Online Application for Learners

Contact Information

First Name:

Last Name:

Email:

Phone:

Address:

General Information

University Affiliation:

Major / Area of Study:

Language Background

Your Primary Language:

Language to be Studied:

Current Level of Proficiency:

What is your previous experience with learning other foreign languages:

Your Language Program

Please specify where, when, and under what circumstances you studied the language you wish to learn (e.g. college, travel, study abroad, independent study, etc.):

Please list in order of importance the skills you wish to acquire (listening, speaking, writing and reading):

Please describe your personal and academic background, why you want to study this particular language and your preparation for this program:

What goals do you hope to achieve by studying your chosen language? How does this language relate to your major and/or career goals?

How do you know that you can successfully complete a self-instructional language course?