Korean Placement Questionnaire Date: ______
I want to register in K102 (SEC 001 ), K102 (SEC 002 ), K102 (SEC 003 ), K102 (SEC 921 ), K102 (SEC 951 ) K200 (SEC 001 ), K200 (SEC 002 ), K301 ( ), K302 ( ), K410A/B ( )
Are you a registered UBC student? Yes ( ) No ( )
Major&Faculty:______School year (as of Sept 2018): 1st 2nd 3rd 4th 5th Unclassified
Student #: E-mail:______(Please print clearly and legibly. This is the only way we can reach you.)
1. Name: (Last, First)______Korean name if you have: ______Male ( ) Female ( )
2. Were you born in Korea? Yes ( ) No ( )
If you were born in Korea, how old were you when you came to Canada?
Did you go to school in Korea? What grade? ______
3. Is your father, mother, grandfather (either side), or grandmother (either side) Korean? Yes ( ) No ( )
Have you ever lived in a Korean speaking environment (e.g. living in Korea as a foreigner or living with Korean-speaking people whether they spoke to you Korean or not)? Yes ( ) No ( )
4. What is the first language you learned? ______
What language do you speak with your parents at home? ______
Do you speak any dialect of Chinese? No ( ) Yes ( ) If yes, circle: Elementary Not fluent Fluent Native
Do you speak Japanese? No ( ) Yes ( ) If yes, circle: Elementary Not fluent Fluent Native
Other languages known or studied: ______
5. Have you taken any Korean lessons? Yes ( ) No ( )
If your answer is Yes, When & where? ______
How long? ______
6. Have you learned Korean from friends, online, or any other sources? Yes ( ) No ( )
If your answer is Yes, When & how? ______
How long? ______
7. If you know some Korean, assess your abilities in the following areas: None Elementary Not so fluent Fairly fluent Fluent
Listening Speaking
Reading
Writing
8. Do you know how to write Korean alphabets? Yes ( ) No ( ) 9. Do you know more than 10 phrases (including “Hi” “Thank you” “I love you”)? Yes ( ) No ( ) 10. If you are taking Korean in order to fulfill requirements, please specify what requirement (e.g. Arts language req.).
11. Please write why you want to take Korean. How did you get interested in Korean?
______
______
12. Are you taking or planning to take any other Korea-related courses? (e.g. Korean history, sociology, etc. Please specify.)
______
13. Are you planning to take Korean courses beyond 102 level? Yes ( ) No ( ) Don’t know yet ( )
If yes, why? ______
If no, why? ______
14. Have you ever been interviewed before for a Korean language class at UBC? No ( ) Yes ( )
If yes, when?______What course were you assigned to? ______
(If you are not of Korean descent, please skip 15 & 16.) 15. Which language do your parents mainly speak to each other? English ( ), Korean ( ), Both ( ), Other Which language do your parents mainly speak to you? English ( ), Korean ( ), Both ( ), Other Which language do you mainly speak to your parents? English ( ), Korean ( ), Both ( ), Other Which language do you and your siblings mainly use with each other? English ( ), Korean ( ), Both ( ), Other Do you have any non-English speaking people living at your home? (Please specify)
______
16. Have your parents encouraged you to keep up your Korean? Yes ( ), No ( ), They have been neutral ( ) If your parents have encouraged you to maintain your Korean, how have they done it?
______
THE FOLLOWING MUST BE READ, SIGNED AND DATED BY THE STUDENT BEFORE THE INTERVIEW
The Department of Asian Studies strives to place students in language courses appropriate to their level of ability and pedagogical needs. It is for this reason that students are required to undergo a placement interview before enrolling in Korean language courses. This policy is designed to ensure that students do not enroll in classes that are either above or below their proficiency.
Students are responsible for accurately filling out this form and otherwise providing background information to the instructors about their levels of proficiency in, and prior exposure to, the Korean language. Instructors reserve the right to remove from any Korean language course any student deemed improperly placed in that course.
I have read the above.
Student signature: ______Date: ______(You may type your name if you are filling out this form electronically. A typed name will carry the same effect as a handwritten signature.)