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AR-1097 04/09

Michigan Department of State Bureau of Regulatory Services Lansing, Michigan 48918-1200

TRANSLATOR AGREEMENT
To be completed by the Test Applicant. Please print.
Applicant's Last Name First Name Middle Name

Street Address

City, State, Zip

Driver License or Personal ID No.

Daytime Telephone No.

Exam(s) to be taken: Social Security Number

I understand that the translator must be a person who has never been involved in the field of automotive repair or any related occupation. I hereby certify that the information contained in the agreement is true and correct to the best of my knowledge.

Applicant's Signature

Date

CHEATING POLICY
Cheating is defined, as any activity, behavior, or procedure that an applicant employs that would enable him/her to pass an examination by dishonest, fraudulent or deceitful means. Examples of cheating would be, but are not limited to: · · · · Obtaining answers from another applicant's answer sheet, Using prepared notes during the examination, Discussing the examination with others prior to completing the examination, Referring to textbooks, or having someone take the examination for the applicant.

Absolutely no copying of examination items is permitted. Anyone found removing or attempting to remove test materials or notes from the examination room may be denied licensure. Applicants who are suspected of cheating may be removed from the examination by the test monitor. An applicant would be suspected of cheating if the test examination monitor witnessed something unusual or if another applicant made a complaint. Any applicant seen giving or receiving assistance or who is found with unauthorized materials or who violates test security will be asked to surrender all examination materials and to leave the test center. Communicating test contents is a violation of test security and may result in denial of licensure.

ELECTRONIC DEVICES PROHIBITED!
The use of electronic devices during testing are prohibited!

(OVER)

To be completed by the Translator. Please print
Applicant's Last Name First Name Middle Name

Street Address

City, State, Zip

Driver License or Personal ID No.

Daytime Telephone No.

Exam(s) to be taken: Social Security Number

Having been designated by the Test Applicant listed on this agreement to act as Translator during the written portion of the examination(s) listed, I do HEREBY AGREE: THAT I have never been enrolled as a student in an automotive program; and THAT I am not now and have never been engaged in the automotive repair industry in any capacity; and THAT I will not use any reference material to aid the applicant, with the exception of word-to-word translation dictionary; and THAT I will present and official, signed, photographic identification at the examination site; and THAT I understand the secure and confidential nature of this examination and will not reveal the contents to anyone; and THAT I am limited to serving as a reader/translator two times in a six month period; and THAT I will ONLY read the examination or translate examination content, as written, into the approved language for the applicant and I will not provide any further information or guidance; and I UNDERSATAND THAT ANY EXAMINATION REQUIRING VERBAL TRANSLATION INTO A FOREIGN LANGUAGE MAY BE TAPE RECORDED, AND I HEREBY GIVE MY CONSENT TO THIS PROCEDURE; AND I UNDERSTAND THAT IF IT IS DETERMINED THAT ANY OF THE INFORMATION FURNISHED IS FALSE IN MATERIAL RESPECT, IT MAY VOID THE APPLICANT'S TEST RESULTS; AND I FURTHER UNDERSTAND THAT ANY BREACH OF THIS AGREEMENT MAY REVOKE MY PRIVILEGE OF PARTICIPATING IN FUTURE EXAMINATIONS AS WELL AS VOID THE APPLICANT'S TEST RESULTS. I hereby certify under the penalty of perjury as defined pursuant to Act 328 of the Public Acts of 1931, as amended, being Section 750.423 of the Michigan Complied Laws, that I have read the foregoing and that the information contained therein is true and correct. _________________________________
Signature of Translator Date

_________________________________
Signature of Applicant Date

AR-0197 04/09