Language Proficiency

Student Name (Last, First & Middle)

Student Banner ID #

Today's date

MM/DD/YYYY

This student demonstrated proficiency in:

	Chinese
	French
	German
	Greek
	Japanese
	Latin
	Spanish

On the basis of:

	ESL courses
	Oral Proficiency
	Written Exam

If written exam please indicate Placement & Score

	Placement:
	Score:

Department Chair Authorization (Name)

Your Banner ID# (for verification)

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