Instructor: _____________________ Section: ___________________
Last name: ____________________ First name:________________________
BC Phone: _______________________ e-mail address: _____________________
School (circle one): A & S CSOM Education Nursing
Year (circle one) of graduation: 2018 2019 2020 2021 Other ______________
Why do you want to learn French?
What's your connection to French?
Are you taking this course to meet the BC Proficiency Requirement? __yes __no
Does anyone in your family speak French?
__yes __ no
If yes, please elaborate.
Have you ever lived in a French speaking country?
If yes, which country (or countries) and when.
Have you ever traveled in a French speaking
country or participated in a school exchange?
__ yes __no
If yes, please describe your experience(s).
In addition to English, what other language(s) do
you speak fluently? How did you learn the language(s)?
What language(s) have you studied in school?
Indicate If possible, indicate the grade(s) you received.
|Elementary, middle and high
||College- Name courses taken.
|Other(s)? If yes, name