Spoken English Screening Form
Revised: 12/20/2012
Candidate’s / Employee’s Name:
Department: Date:
WSU ID#:
Assessment Setting (check one):
Seminar Regular Class Oral Presentation Other
The assessment must be conducted prior to appointment by at least three evaluators: two (2)
faculty and one (1) student. Each evaluator must submit a separate form.
Place a check beside the description which best matches the spoken English of the candidate.
Spoken English is:
1.
Competent (clearly understandable)
2.
Competent (acceptable for classroom)
3.
Understandable with difficulty (students would have trouble understanding candidate)
4.
Not understandable (students would not understand the candidate)
WAIVER: The above named person is a
visiting one-year exchange scholar or non-
employee international scholar.
Evaluator’s Signature
Signature of Supervisor Evaluator’s Name (printed) and Position
NOTES:
A rating of 1 or 2 indicates competency in spoken English and is required.
A rating of 3 or 4 indicates the candidate’s spoken English would impede the teaching of
students and means the candidate must take the Test of Spoken English (TSE) with a passing
score of 50 or above.
A report of Spoken English Proficiency is submitted to the Kansas Board of Regents every
other year.
Please return this form to Human Resources at Campus Box #15.
