Language Reference Form: To be Completed by Language Recommender

NOTE: Fill in this form and then print it.  There is not a button to submit it electronically.  The address of where to submit the form is found at the bottom of the page.

Applicant’s Name (last, first):       

Language Being Evaluated:           

Name of Language Recommender

Position/Title:                                

If this evaluation is not based primarily on courses taught to the applicant, please indicate how your evaluation was determined (e.g., by means of a test, through daily contact, etc.)

Language courses you taught to the applicant:

Course Title Language or Dialect
Taught and
Level
 Years Taught Number of
Weeks in
Course
 Contact
Hours per
Week
 Textbook or
Teaching
Materials






Rate the applicant on a scale of one to five (1=poor; 2=fair; 3=good; 4=excellent; 5=fluent).
Place a check mark in the box under the appropriate column.

  1 2 3 4 5
Speaking and listening:  
Listening Comprehension
 Fluency of Self Expression
Vocabulary Control
 Pronunciation
Reading:  
 Grasp of Grammar
Knowledge of Vocabulary
Reading Speed
Writing:  
 Vocabulary Control
Control of Sentence Structure

Indicate any special linguistic strengths or weaknesses:

Signature: 

Date:        

Please submit this form along with your letter of recommendation by February 1 to:
Center for Southeast Asian Studies
Northern Illinois University
520 College View Court
DeKalb, IL 60115
Email: cseas@niu.edu