Georgia Institute of Technology, School of Modern Languages
Chinese Placement Background Questionaire
Name: Date: Class desired: CHIN...
Email Address:
Write “Permit” or “Overload” requested:
Answer the following questions completely.
1. / Language(s) spoken at home (specify dialect[s]).2. / Years of formal study of Chinese – specify when, where and what curriculum (text used?)
3. / Grade completed abroad in school in China, Taiwan, etc.
4. / Your score on the online Chinese Placement Test:
5. / List the Chinese classes you’ve taken at GT (or elsewhere):
6. / Approximate number of characters you recognize.
7. / Length of time spent abroad (or lived abroad) -- where and when.
8. / Individual self-assessment of spoken, reading and writing skills (write 0 - 5: none – strong). / Speaking:
Reading:
Writing:
9. / Can you read the newspaper?
10. / What Chinese websites do you frequent?
11. / Can you understand popular songs and KTV with or without subtitles?
12. / Do you understand simplified or traditional characters, or both?
13. / Can you write in Mainland Chinese romanization system Hanyu Pinyin? Or Taiwan’s Mandarin Phonetic Symbols?
14. / Parents' native language(s).
Sign hardcopy or write your email address in the box in the right to signify the accuracy of your answers. Note: You are bound by the GT Honor Code. Students who falsify this form will be removed from class and assigned a withdrawal.
Official Use Only:
Course Approved: Faculty Signature:
Date: