Language Self-Assessment Form

FOREIGN LANGUAGE CENTRE

Queen’s Building, Exeter EX4 4QH

Email:

Web: www.exeter.ac.uk/flc

EVENING LANGUAGE PROGRAMME

ENROLMENT FORM

Personal Information
First Name ...... …...... Surname ......
Address ...... …………………………………………………...... …...... Postcode ......
Daytime Telephone ……………………………..… Mobile…….….…………… Email ...... ………………………………………………………….
PLEASE READ THE FOLLOWING CAREFULLY:
·  No confirmation of enrolment will be issued. However, a receipt of payment will be available for collection from the FLC Reception Desk in October
·  Should it be necessary to cancel a course, you will be notified and given a full refund.
·  A Certificate of Attendance can be provided on completion of the course by request, subject to a minimum 80% attendance.
·  Acceptance on a course is subject to approval by the Centre and availability of places.
·  NO REFUNDS ARE GIVEN AFTER THE COURSE HAS BEGUN.
I confirm that I have read and agree to the above information.
Signature: …………………………………………. Date: ……………………………
Fees
I wish to enrol for (LANGUAGE) …………..……….. (LEVEL) ………..………… (EVENING)……………………..
Please CIRCLE the fee as appropriate and attach payment.
Beginners / Post-Beginners / Intermediate / Upper-Intermediate/ Advanced Conversation, 2 hours per week for 2 Terms
·  Standard Fee £290 University (Retired) Staff/Student/Alumni Discounted Fee* £250
Introduction to ...... Courses
·  Standard Fee £145 University (Retired) Staff/Student/Alumni Discounted Fee* £125
British Sign Language Level 1, 2 hours per week for 3 Terms
·  Standard Fee £420 (No Discounts available for this course)
British Sign Language Level 2,
·  Standard Fee £600 (No Discounts available for this course)
*Current members of Staff at the University of Exeter: Employee No. …………………………….
*Current students at the University of Exeter: Student ID No. ………………………………………
*University of Exeter Alumni: Year of Graduation…………………………………………………….
For postal applications, please include this form with your cheque, made payable to The University of Exeter, to be received by commencement of course.
Marketing - Please can you tell us how you originally heard about our courses? (please tick)
Leaflet from:
Local Library:
Which one? ______/ Exeter Picturehouse Cinema / Exeter Phoenix Arts Centre / Northcott Theatre
Newsletter/Noticeboard:
University Staff Association / University General news / University Innovation Centre / Exeter Chamber of Commerce
Institute of Directors / Devon and Cornwall Business Council / Business Link / Peninsular Enterprise
Exeter Business Leader’s Forum / Devon County Council / Other: ______
General:
Search Engine / Hot Courses / Exeter Living Magazine / Word of Mouth
We sometimes use feedback and comments in our marketing material. Please tick if you do NOT want us to use your comments for this purpose.
PLEASE NOW COMPLETE THE ‘LANGUAGE SELF-ASSESSMENT FORM’ OVERLEAF.

Language Self-Assessment Form

Which language do you wish to study?
Have you studied this language before? Yes / No (Please circle as appropriate)
Where did you study? School University Evening classes Private lessons Other
How long have you studied the language / any significant period of time spent in a country where this language is spoken?
Please describe in your own words your current knowledge of the language you would like to study.

Read through the statements below and tick all those which apply to you in the language you wish to learn.

Read the WHOLE list so that the assessor can place you in the appropriate class.

q  I have little or no previous experience of the language.
q  I know some words or basic phrases which I can recognize and use in a limited manner.
q  → Your recommended level is Beginners
q  I have completed a Beginners Course / I studied the basic language at school some years ago.
q  I am able to interact in basic situations, such as introducing myself and others and asking / answering questions about personal details.
q  I passed a GCSE or equivalent quite a few years ago
q  → Your recommended level is Post-Beginners
q  I have a recent A-B pass at GCSE (or equivalent) in this language.
q  I can talk about past and future events although I tend to make mistakes
q  I can deal with everyday situations with reasonable confidence, e.g. making travel arrangements or finding my way around.
q  → Your recommended level is Intermediate
q  I have a pass at AS Level (or equivalent) in this language.
q  I can talk manipulate tenses at a more complex level
q  I can express feelings and opinions and discuss topics of personal interest.
q  → Your recommended level is Upper-Intermediate
q  I have a pass at A Level (or equivalent) in this language
q  I can converse with confidence and can describe past experiences and events, and give reasons and explanations for opinions and plans.
q  I can express opinions about topics such as education, society and culture
q  → Your recommended level is Advanced Conversation.

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