<p>Declaration of Bilingual Competence: English Language </p><p>Students whose primary, first language, native language or dominant language is English, who consider themselves fully bilingual, and who are applying for a program in administration, cheminement bilingue, linguistics, English, translation or in teaching English as a second language may complete and return this form, with their application, if they wish to be exempted from the English placement test.</p><p>Program applied for: Baccalauréat en administration, cheminement bilingue (7364) ( ) Majeure en langue et linguistique (6632) ( ) Certificat inter-universitaire en langue anglaise (4425) Certificat en traduction (6295) ( ) Programme court de traduction en anglais (0458) ( ) Programme court de traduction en français (0658) ( ) Programme court en enseignement de l'anglais langue seconde (0502) ( )</p><p>______Section A: General information </p><p>Last name: ______Given name(s):______</p><p>Birthdate: D: ____ M: ____ Y: ____ Student I.D. #:______or New student: ( )</p><p>Address:______City:______</p><p>Postal code:______Country______</p><p>Telephone: Home: ( ) ______Office: ( ) ______</p><p>E-mail:______</p><p>______Section B: Education </p><p>Previous courses in English-speaking establishments (latest official diploma and transcripts must be included) Year Level/grade Most recent Province or academic grades country</p><p>English elementary/primary school</p><p>English secondary school</p><p>English post- secondary/university Section C: College or university level courses in the English</p><p>College or university English language courses (transcripts and course descriptions must be included) </p><p>Course title Year Level/grade Most recent Province or academic grades country ______</p><p>______</p><p>______</p><p>______</p><p>Section D: Other experiences in English</p><p>Other English language experience (please provide details and include your curriculum vitae)</p><p>( ) Work experience: ( ) Travel: ( ) Family: ( ) Live(d) in an English-speaking community: ( ) Courses (year, duration, name of institution):</p><p>Additional comments (experience in translation, teaching, etc.):</p><p>______</p><p>Section E: Declaration and signature</p><p>As a bilingual student, I request to be exempted from the English placement test.</p><p>Signature: ______Date:______</p><p>Space reserved for UER Sciences Humaines, Lettres et Communications </p><p>The candidate is exempted from the English placement test ( ) The candidate must take the English placement test ( ) Commentary: ______</p><p>Authorized signature: ______Date: ______</p>