Department of
Workforce Services
State of Utah CcaSEY R. CAMERON
(GARY R HERBERT Depa Decor
Governor rec paras
renee s.cox Deputy Director
ewenant Governor
THE UTAH INTERPRETER PROGRAM
Student Permit Authorization
Courtney Jacobs
Has been approved to act as an interpreter using this temporary non-certified
student permit for use only with
Salt Lake Community College
restricted to the guidelines outlined within the Utah Interpreter Program Policies
and Procedure Manual
‘This Permit is valid through
December 7, 2020 through June 30, 2021
1, Courtney Jacobs hereby agree to this Student Permit contract. I understand I may not interpret
alone and must work with an interpreter certified at an advanced level. I will only perform these
duties for the approved interpreter training program and within the limited defined time period. I
understand that failure to comply with the Permit requirements will result in revocation of this
Per
pf
"rogram Director, Uiah Interpreter Program
(2/3/B20
Date
aah state Oe or Rebates
Division ot Serves tothe Dea an lar of Hening
WORKFORCE 5709 South 1500 Wes, Telos Uh 8413 + Teephone 806575200,
SERVICES Heay Utah 71 «Span Rely Ua 1-86 463162
Page FFHASILITATION a 01315-6810 worth pr + Ege! Opprnty EmplyePrgrans
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