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[photo]
Student Profile
Name ()
______________________________
English name
______________________________
(If you dont have an English name, like Jessica or John, just write no name)
Student ID number
______________________________
______________________________
Email address
______________________________
______________________________
_____:_____am / pm
On a scale from 1 to 10 (1 = very low, 10 = very high), what do you think is your English
conversation level? Please circle your level.
1
10