Questionnaire My language learning experience: an overview Face-to-face classes: availability Multimedia-based learning: requirements The following questionnaire will assist us in planning our language courses in the best possible way. We would therefore kindly ask you to answer all questions fully and accurately. We can assure you that your answers will not influence the expert assessment of your application for the International Leadership Training. Family name: First name: Address: Country of origin:
Chronological overview of my language learning experience Languages I grew up with
Example: Year: 1976; language: YESpanese
Languages I have learnt (school/ language course, length of course, number of hours)
Example: Year: 2005; School: VHS; Language course: Russian, 50 hours, alongside work
Language Certificate(s) acquired (e.g. FCE, TOEFL, IELTS, DELF/ DALF, DELE, Start Deutsch 1 Start Deutsch 2 Zertifikat Deutsch, etc.)
Example: Year: 2003: Name of certificate: IELTS
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Year: Year: Year:
; Language: ; Language: ; Language:
Example: Year: 2006 ; School: University; Language: Swedish, 70 hours on a summer holiday course
Year: Year: Year:
Year: Year: Year: Year:
: School: : School: : School:
; Language course(s): ; Language course(s): ; Language course(s):
: Name of certificate: : Name of certificate: : Name of certificate: : Name of certificate:
Please send back with your application.
Questionnaire My language learning experience: an overview Face-to-face classes: availability Multimedia-based learning: requirements How have I learnt the abovementioned languages? Language courses, selfaccess materials, Tandem (a language exchange), multimedia learning centers, distance learning, others? Practical language use Within a country/region where the language is officially spoken (at work, on trainings, with acquaintances, on trips ...)
Practical language use Outside a country/region where the language is officially spoken (at work, on trainings, with acquaintances, on trips ...)
Available time for learning German For the purpose of attending the face-to-face sessions of 'Sprachtraining Deutsch,' my employer will release me from work Please tick all possible options
YES
NO
once a month Monday and Friday (for the duration of three months)
YES
NO
once a month one week (Monday through Friday) (for the duration of three months)
YES
NO
6 weeks at a stretch (full time)
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Please send back with your application.
Questionnaire My language learning experience: an overview Face-to-face classes: availability Multimedia-based learning: requirements YES
NO
12 weeks at a stretch (full time)
YES
NO
18 weeks at a stretch (full time)
YES
NO
24 weeks at a stretch (full time)
In order to learn German consistently and on a regular basis, I can put in the following amount of time daily: YES
NO
2 hours a day
YES
NO
2.5 hours a day
YES
NO
3 hours a day
Miscellaneous YES
NO
I have a CD-player
YES
NO
There are people in my hometown with whom I can talk in German.
Multimedia-based learning: requirements
I will do a web-based language course on a PC YES
NO
at home
YES
NO
at work
YES
NO
My employer allows me to use my PC at my workplace for the purposes of German language training.
YES
NO
This PC meets the following technical requirements: • IBM PC or compatible • 700 MHz Processor • 192MB of RAM • Microsoft Windows® NT4/2000/XP/Vista • 30MB available on hard disk • 16-bit Windows®-compatible sound card • 16 million-color graphics card and 1024x768 display • Internet Explorer® 5 or higher • Microphone and speakers or headset • 128 Kb/s Internet or Intranet connection
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Please send back with your application.
Questionnaire My language learning experience: an overview Face-to-face classes: availability Multimedia-based learning: requirements I have visited the following website:
http://www.tellmemorecorporate.com and tested whether my PC fullfills the technical requirements of the TELL ME MORE language learning software. YES
NO
TELL ME MORE runs properly on my PC.
This PC will have a reliable Internet connection YES
NO
for the duration of 3 months
YES
NO
for the duration of 6 months
While working with TELL ME MORE, you will be accompanied by a virtual Tutor. This Tutor can talk and write to me in YES
NO
Chinese
YES
NO
English
YES
NO
French
YES
NO
Spanish
My Tutor can contact me on the following telephone numbers: (1)
(including country and area codes)
(2)
(including country and area codes)
(3)ยน
(including country and area codes)
(4)ยน
(Skype) ยนif available
My Tutor can contact me at the following e-mail addresses: (1) (2) (3)ยน ยนif available
YES Page 4 of 5 2011/01
NO
I access my e-mail account several times a day. Please send back with your application.
Questionnaire My language learning experience: an overview Face-to-face classes: availability Multimedia-based learning: requirements YES
NO
I access my e-mail account once a day.
YES
NO
I usually access my e-mail account once a week.
YES
NO
I have access to an „Instant Messenger“ on my PC at home.
YES
NO
In my company/organisation I have the technical possibility to participate in videoconferencing.
Thank you!
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Please send back with your application.