George Washington University
Translator/Back-Translator Form
If you are planning to work with populations who are not proficient in English, you must include the English versions, translations, and back-translations of the informed consents/information sheets/assent forms, and questionnaires/interview questions in your submission. In addition, please include a completed copy of this form with your submission. Should you have any questions, please contact the Office of Human Research at (202) 994-2715.
Name of translator:
Background in language:
Native speaker
Hold a degree/certificate in language
Signature __________________________________ Date ___________________
Background in language: (please circle)
Native speaker
Hold a degree/certificate in language
Other, please specify:
Signature __________________________________ Date ___________________
04OCFSLCM02 JUNE 4 2004 GEORGE E PATAKI GOVERNOR NEW
04OCFSLCM16 OCTOBER 26 2004 GEORGE E PATAKI GOVERNOR NEW
04OCFSLCM21 DECEMBER 14 2004 GEORGE E PATAKI GOVERNOR NEW
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