Group Study Programs
Centre for International Students and Study Abroad
Room 275, MacEwan Student Centre
University of Calgary
Phone: (403)220-8992
E-mail: group.study@ucalgary.ca
Academic Reference
Faculty of Arts
Linguistics, Languages & Cultures
Room C.205, Craigie Hall
Telephone: (403) 220-5293
FAX: (403-284-3810
Email: gsea@ucalgary.ca
Credit Travel Study Program
at Senshu University, Tokyo, Japan
SPRING 2016
This information is being collected under the authority of the Freedom of Information and Protection of Privacy Act and the Universities Act (Section 32c). It is required
to evaluate your status in the Japanese Language Programme, and will form part of your student record. Questions about the collection or use of this information may be
directed to the Department Head (403-220-5293), Department of Linguistics, Languages & Cultures. Please print all of your answers clearly!
PART A: To be completed by the applicant and given to the instructor of Japanese.
GIVEN NAMES IN FULL:
E-MAIL ADDRESS:
SURNAME:
FACULTY
STID
MAJOR/
YEAR IN PROGRAM
#
□FULL-TIME
□PART-TIME
JAPANESE COURSES COMPLETED, TERM AND INSTRUCTOR’S NAME IN BRACKETS (EXAMPLE: JPNS 205, F2013, YANG)
PART B:
To be completed by the instructor of Japanese. The instructor must return the completed evaluation form to Yoko
Kodama, Department of Linguistics, Languages & Cultures, C.H. C214, University of Calgary, 2500 University Drive N.W., Calgary,
AB, T2N 1N4 by Friday, November 27, 2015, (a) in person, (b) via mail, or (c) via an e-mail attachment (yykodama@ucalgary.ca).
PLEASE RATE THE APPLICANT’S ABILITY AND PERSONALITY BY
CIRCLING THE APPROPRIATE NUMBER.
Agree
Somewhat Agree
Disagree
Works well within a group
5
4
3
2
1
Capable of working within structure
5
4
3
2
1
Flexible and adaptable/ Handles stress well
5
4
3
2
1
Class attendance
5
4
3
2
1
Enthusiastic
5
4
3
2
1
Diligent/ Manages time well
5
4
3
2
1
Complies with authority; not disruptive
5
4
3
2
1
Additional comments:
Referee’s Name:
E-mail address:
Title:
Affiliated institution:
CREDIT TRAVEL STUDY\APPLICATION JAPAN 2016