Background Info form

This Background Info form is for first-time BASE students. This is not a registration form.

I understand this Background Info form is not a registration, and that I must complete the registration form to get in the queue for course placement.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

What language will you be learning?

Why do you want to learn your target language?

Learning Background

If you studied your target language in high school, how many years did you study?

If you studied your target language in college, how many years did you study?

If you have learned your target language elsewhere, please describe in detail:

How long ago? For how long? What intensity (hours per week)? How many classmates?

Have you been to a country before where your target language is spoken?

If so, how long? Please provide any details that may be helpful to us.

Have you learned any other languages?

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