Uwc atlantic College



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EDUCATION, ACTION, PEACE


UWC Atlantic College Language Profile Form for Admissions

This form is intended for internal use in the UWCAC English Department only. We use it to estimate the entry-level English ability of every new student. Could we kindly ask you to fill it in, independently, to the best of your ability. Thank you.
Your full name:


First name(s) Surname
Your date of birth:
day month year



What is your nationality?




Which country were you born in?




Have you lived in any other countries?

If so, please state the country/countries and how long you lived there for (in chronological order)



I have always lived in my country of

birth






I have lived in other

countries (list below):

How long did you live

there for?



1




2




3




4




5




6




What are your hobbies and interests?






What is/are your home language(s)? Your Home language” is the language which you learned from your parents, speak at home, think and dream in.

1.

2.


List the languages that you can speak.

Indicate whether you are fully proficient in this language or not.



Fully proficient = This means that you can fully do all of the following well and without too much effort: speaking, listening, reading and writing.


Language

Yes,

I am fully proficient in this language

No,

I am not fully proficient but I can:

(tick what you can do)

Speak

Listen

Read

Write

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2
















3
















4
















5


















Can you tell us what you use your languages for (on a daily basis)?


Language

Home language

(social purposes)

School language

(academic purposes)

























































Can you give a rating to how well you can use your languages?

1 = I can’t use it well

4= I use it very well

Put a tick in the relevant box


Language

Limited

I am a beginner

Average

I am at an intermediate level

Good

I am at an upper- intermediate level

Excellent

I am fully proficient in this language

1

2

3

4


























































































Language use with family and friends



Which language do you use with:


Your mother




Your father




Your grandparents




Your brother(s) / sister(s)




Your extended family (aunties,

uncles, cousins etc)




Your friends



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