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Foreign Language
Occupational Skills Certificate Application
Please fill out a separate application for each certificate for which you are applying.
1. What is the language for which you are seeking the certificate? Please check one:
____ Chinese ____ French ____ German
____ Italian ____ Japanese ____ Russian
____ Spanish
2. For which level certificate are you applying? (You may find it helpful to consult the
lists of courses that are applicable to the different certificates.)
Please check one:
_____ Basic _____ Intermediate _____ Advanced
3. Please list the courses that you have taken that make you eligible for this
certificate:
4. What is your name?
Last: ___________________________________ First: _________________________________
5. Gender: ____ Male ____ Female
6. Please indicate your student ID #: _____________________________
7. Please clearly write your e-mail address: