1.
PERSONAL
DETAILS
Title
Mr
Mrs Miss
Ms
Surname
First Names
Nationality
Date of Birth
DD/MM/YYYY
First Language
Work Address
Phone Number
Person to whom reports should be
sent
(if required)
2 .
PROFESSIONAL
DETAILS
Name of the company,
organisation or government department:
What is the nature of
your company’s business?
Which languages do
you work in other than English?
Your Job Title
Please describe your
main job responsibilities
3.
KNOWLEDGE OF SPANISH
Have you studied Spanish
formally before?
Yes
No
If yes, where, when
and for how long?
What teaching method
was used?
Have you been to a country that
speaks Spanish?
Yes
No
If yes, where, when
and for how long?
4.
YOUR NEEDS
a. Work
Do you need improve
your Spanish for:
Your present job
A new job
If you marked one or both
options, please give details.
Some special purpose?
E.g. training course, conference, etc.
Do you usually speak
with: (please tick)
Native Speakers
Non-Native Speakers
b. Language
i.
Speaking / Understanding
Please note on a
scale of 0-10 the
importance of your needs in the
following areas:
( 0 = not necessary 10 = essential)
social (e.g. looking after foreign visitors)
using the telephone
attending meetings
giving presentations / lectures
instructing /explaining/ demonstrating
on the job
negotiating
Other
Others
(please give details)
Please give details
of the needs you have
marked 5 or above:
ii.
Reading
Please mark the ones that are
relevant for you:
Letters
Memos
Telexes
J ournals
Reports
Manuals
Books Newspapers Other
Others
(please give details)
iii.
Writing
Please mark the ones that are
relevant for you:
Letters
Articles
Memos
Reports
Telexes
Other
Others
(please give details)
5.
PREVIOUS LANGUAGE
LEARNING EXPERIENCE
Have you learned any languages
before?
Yes
No
If so, could you specify:
What language(s)
What level have you acquired
Where you learnt
When you learnt
How you learnt (i.e. intensive,
method used)
6.
OTHER INFORMATION
Please give details of the areas
in which you want to improve yourself in your chosen language.
Please give here any other
information which you think may help us in planning your course