| Name: |
Date: |
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| E-mail: |
Phone: |
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| School (circle): |
Amherst |
Hampshire |
Mount Holyoke |
Smith |
UMass |
| Major and/or concentration: |
Expected graduation year: |
Minor and/or certificate program: | Current/approximate grade point average: (Hampshire students--division status:) |
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| Name and department of academic advisor: | |||||
Language course for which you are applying (such as Mentored Swahili I or Mentored Arabic I):
1) What language(s) do you speak at home? Do you read and write in the language(s)?
2) In what language(s) and countries did you receive your formal education? At what ages or grade levels did you attend school in each language? Have you participated in a study abroad or student exchange program?
3) What courses have you taken that focus on a region where the language you want to study is spoken (such as African Studies courses or Middle Eastern Studies courses)?
4) What language courses have you taken (secondary school and college/university)? Give the name and course number or level, school, instructor's name for college or university courses, and the grade you received.
5) If your college has a language requirement, how are you meeting that requirement?
6) Have you had any experience with the language you want to study and/or experience with residence in a country/community where the language is spoken?
7) Why do you want to learn this language? How does it fit with your academic or vocational goals? (use back of form if needed)