LIVING & LEARNING INTERNATIONAL SPANISH COURSE REGISTRATION FORM FOR

ECUADOR: SPRING 2015

NAME UNIVERSITY YEAR IN COLLEGE

If the questions below do not apply to you, then circle NOT APPLICABLE (N/A)

1) List the Spanish Course(s) name and number in which you are currently enrolled: N/A

2) Circle the Course(s) for which you would like to register during the first, second, and/or full term in Ecuador.
Please note that your first choice may not be available due to course number restrictions. L&LI encourages
you to take at least 2 Spanish courses. Consult with the Chair of your Language Department or your Spanish
Professor, if you are unsure.

First Term Second Term Upper-Division Courses (Full-Term)

101 102 310

102 201 400

201 250

250 301

3) List Course names and numbers for Spanish courses taken in high school and college. Leave blank years
when no Spanish was taken. If you have never studied Spanish, circle here: N/A (No Spanish)

High School College 1st semester 2nd semester

Freshman Freshman

Sophomore Sophomore

Junior Junior

Senior Senior

4) Have you spent any extended time in a Spanish-speaking country or does your family speak Spanish? If
yes, describe the amount of time spent and the nature of your language engagement. N/A

5) How would you describe your current level of Oral Proficiency in Spanish? Check one.

o True Beginner (cannot express myself beyond word level).

o Beginner / High Beginner (I can say several sentences and talk about myself and get across basic
ideas, but probably not talk for more than five minutes, & I do not dominate verb tenses).

o Low Intermediate (I have basic survival skills, and am confident speaking in present, future with "voy
a..." and past tense, but have mistakes in past tense & I do not dominate other tenses).

o Intermediate (I could carry on a conversation for at least 20 minutes with some mistakes in present,
past and future tense. I could report on something to a group feeling fairly confident).

o Advanced (I can talk at length in Spanish and feel I have mastered everyday vocabulary, the basic
tenses, and could survive with my Spanish in a Spanish-speaking country. I have successfully
completed 200-level courses in college).

6) Writing Sample: Write a paragraph showing your current best Spanish. Talk about your life in high school,
what you did and liked, and then choose an unforgettable experience to describe. If you are intermediate
level or above, delete any simple introductions describing friends and family to show more advanced Spanish
proficiency.