STUDY ABROAD LANGUAGE PROFICIENCY EVALUATION To be completed by the applicant: Name Program Graduation Year Major: I hereby waive my right to access the information on this form: Applicant Signature Date ******************************************** To be completed by the foreign language faculty referee: This student is applying for admission to a study abroad program with a language component. Please evaluate the student's current language ability. All information will be considered confidential. Please send to the Study Abroad Office or scan and email to studyabroad@clarku.edu . How long have you known the applicant? In what capacity? What is the most recent grade you gave this student? Please evaluate to the best of your ability the student’s language skills in the following categories: Excellent Good Fair Poor Reading Writing Speaking Understanding How would you recommend this student? Enthusiastically Favorably With Reservations Referee’s Name: Position: Signature: Lang Prof Form.docx 7/14 Date: