SELF-EVALUATION OF PROFICIENCY IN ENGLISH LANGUAGE Erasmus Individual Mobility This form should be filled by the students,planning to study at the University of Maribor within the Erasmus Individual Mobility Programme. To be completed by the applicant Name: Home Institution: Native language(s): 1. Have you taken a proficiency test in the English language? Which test? What was the result? If yes, please enclose a copy of the official score report. 2. How many years have you studied English language (where, at which institution)? 3. What activities have you performed at your home institution, related to English language and your field of studies (e.g. reading professional papers, textbooks, preparing reports, conversation with foreign students...)? Please provide brief description. 4. What other experiences have you had related to English language? (e.g. spoken at home, read journals/newspapers, studies abroad, etc.) 5. Please evaluate your English language ability according to European Language levels (http://europass.cedefop.europa.eu/LanguageSelfAssessmentGrid/en). Please encircle: A1 A2 B1 B2 C1 C2 I declare by my signature below that I am able to understand written materials in English language and participate in oral discussions in my field of studies. Date: Applicant’s Signature: ________________________ This document should be sent along with other documents as a part of Erasmus application for study at the Polymer Technology College: Polymer Technology College, Ozare 19, SI-2380 Slovenj Gradec, Slovenia