Agency Name:    
Agency Acronym: 
Contact Name:   
Address:        
City:           
State:          
Country:        
Zip:            
Phone:          
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E-Mail:         
Web Address:    

Type of Accessible Media (Braille, Large Print, Sound Recording, Braille Computer File)      


Type of agency (volunteer, nonprofit, state, government, commercial, individual small business)


Is your service limited to a certain state? If so, which state? 


Type of distribution (check all that apply):
Loan    Free     Exchange of Materials     Sell

Certifications and Expertise:

I am Library of Congress Certified in Literary Format

I am CNIB Certified in Literary Format

I am NBA Certified as a Braille Transcriber of Educational Materials

I transcribe Nemeth Code

I am Library of Congress Certified in Nemeth Code

I am CNIB Certified in Nemeth Code

I transcribe academic tests

I have Braille Computer Code Expertise

I transcribe Music

I am Library of Congress Certified in Music

I am CNIB Certified in Music

I create Tactile Graphics

I transcribe Foreign Language(s)
If so, which languages?

I am a Braille Transcription Instructor

Computer Software Use:

I transcribe using Computer Program(s)
If so, which programs?

Proofreading:

Proofreading is done using copyholders

Proofreading is done by someone other than the transcriber

I use Library of Congress Certified Proofreaders

I use CNIB Certified Proofreaders

I use Library of Congress Nemeth Certified Proofreaders

I use CNIB Certified Nemeth Proofreaders