Need Assessment– Courses Created On-Demand
Student
First and Last Name:
Date of Birth:
Address (please give the most convenient one):
E-mail (idem):
Home phone (idem):
Mobile phone:
Client = Payer of the course (if different from the student)
First and Last Name or Company Name:
Complete Postal Address:
Date of Application:
Contact Person (if different from the student)
First and Last Name:
Title or Occupation:
E-mail:
Phone:
YourFrench
I’ve never learned French before
I have studied French before
If you know it, what is your current French level:
A1 A1+ A2 A2+ B1 B1+ B2 B2+ C1 C1+ C2 C2+
Give us some information concerning how you learnt French
-Most recent exposure to the language (location, situation):
-You’ve studied at school, at university, with a privatetutor, at a language institute:
-For how many weeks/months/years:
-How many times per week/month:
-Main materials used:
-Most recent date of language learning activity:
Other foreign languages that you speak (indicate your level if known, and for how long you have learnt):
Your career or field of studies:
Your interests:
Your needs for this course
Business contact (shops in Francophone countries, business trips, making deals, developing your business in Francophone countries, etc.)
Career (job interviews, job transfer to Francophone countries, change of position, etc.)
Studies in France (bilingual school, university)
Exams (indicate which and level)
Personal trips to Francophone countries
Communication with French-speakers in your personal life
As a hobby, personal interest
Studies/Schooling in Russia
Other (please specify):
In which situations do you need to use French? Who are your partners andwhat would you like to write/say to them? What do they need you to say/write to you?
What documents do you need to write or understand in French (written reports, group presentations, e-mails, articles, etc.)? (You can send us examples of these documents or their equivalents in Russian, French, English, German orSpanish)
Which linguistic skills would you particularly like to improve?
Listening
Speaking
Reading
Writing
Grammar notes andsubjectsyou wish to cover in class
What are your main difficulties in French (or in general, for learning a new language)?
Starting Your Course
Anticipated start date
Anticipated end date
Number of classes per week and/or per month
Duration per lesson
Availability (please specify times)
Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / SundayMorning
Midday
Afternoon
Evening
Location (if outside the French Institute, please write the exact addressand metro station; if via Skype®, provide your Skype® name)
Preferences regarding your teacher
Any other information you’d like to provide
Your budget (if you know it)
The French Institute and you
How did you find about courses and certifications at the French Institute?
Advertisement (which one?)
Word of mouth
Internet search
What made you want to contact us?
Your initial French level test
You now have the opportunity to start your course quickly: give us an idea of your level to better prepare your teacher (course plan and materials) from your first session to teach you what you’d like. Please respond to the following questions in French, spontaneously,without using a dictionary, with no outside help…and withoutcorrecting your mistakes!
Present yourself in a few sentences!
What did you do during your last vacation? What do you plan on doing on your next vacation?
If you met the mayor of your city/town, what law would yousuggest him to change or keep and why?
Describe your area of expertise (academic or professional)
Institut français de Russie / ФранцузскийинститутвРоссии - 16 rue Vorontsovo Pole / ВоронцовоПолеул., 16 С1 - 105 064 Moscou, Russie / Москва, Россия
Tél. : +7 495 916 - 0304 / - 3435 / – 3313 - -