Five College Supervised Independent Language Program: New Student Application Form (print out and complete)

Name:

Date:

E-mail:

Phone:

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:)

Name and department of academic advisor: Language you with to study:

The prerequisites for enrollment in FCSILP are a record of past success in language learning and a clear purpose for learning the language.

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 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.










3) If your college has a language requirement, how are you meeting that requirement?




4) Have you had any experience with the language you wish to study and/or experience with residence in a country/community where the language is spoken?




5) Why do you want to learn the language you are applying to study? How does it fit in with your academic, vocational, and personal goals? (use back of form if needed)