CLARK UNIVERSITY

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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 [email protected] .
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:
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