Chinese placement test request

First name

Last name

Student ID (10-digit # that starts with 1)

Academic major(s)

Academic minor

E-mail address

Your local phone number ((xxx) xxx-xxxx)

List native language(s)

Other language(s) or Chinese dialects spoken or understood well

What is your family's native (most dominant) language or Chinese dialect(s)?

Can anyone in your family speak Mandarin? If yes, how well?

What language or Chinese dialect do you use the most to communicate with your parents?

Please describe your experience with other cultures

Where were you born?

How long did you live there?

Please list the language(s). How long did you study? Where? How well did you do?

Have you ever visited or lived in China, or any Chinese-speaking countries or regions before? If yes, for how long and how old were you?

Have you studied Chinese before?

Have you ever attended school in China or a Chinese speaking country or region? If yes, please list: where, the language of instruction, for how long and grade(s) completed.

Can you recognize any Chinese characters? If yes, approximately how many?

Can you write any Chinese characters? If yes, approximately how many?

Which form of Chinese characters are you able to read and write?

If yes, what score? And when did you take it?