Interest Survey: IEP for Affiliates of the University of Rochester

An 8-week intensive English language program for intermediate non-native English speakers who have a connection to the University of Rochester (staff member, or family of a staff member or student).

Last Name/ Family Name *

First Name/ Given Name *

Gender *

Date of Birth * +

Nationality *

Email Address *

Cell Phone Number *

Rochester Staff ID Number/ID Number of Family Member *

UR Department *

How did you learn about this program? *

Skills Self-Assessment

For each of the four following questions, select the statement that best describes your situation.

1. When listening to English,

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I recognize familiar words and very basic phrases concerning myself, my family and immediate surroundings when people speak slowly and clearly.

I understand the main points of clear standard speech on familiar matters regularly encountered at work, and the main points of many radio or TV programs.

I understand extended speech and lectures and follow even complex lines of argument provided the topic is familiar.

I understand extended, unstructured speech even when relationships are only implied, as well as TV programs and films without too much effort.

2. When reading English,

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I understand familiar names, words and very simple sentences (notices, posters).

I understand texts with everyday or job-related language as well as event descriptions and feelings and wishes in personal letters.

I can read articles and reports about current issues even if writers present attitudes or viewpoints (editorials, academic articles).

I understand long and complex factual texts, and specialized articles, even when they do not relate to my field.

3. When engaging in conversation in English,

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I interact in a simple way if the other person is prepared to repeat or rephrase things slowly and help me with what I'm trying to say.

I deal with most situations that come up at work, and take part in conversations on topics that are familiar to me.

I interact with native speakers with confidence and fluency, and can take part in discussions to explain my views.

I express myself fluently and spontaneously without much searching for the right words, and deliver ideas and opinions with precision.

4. When speaking in English,

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I use simple phrases and sentences to describe where I live and people I know.

I connect phrases in a simple way to describe experiences and events, my dreams, hopes and ambitions, and can give explanations for opinions.

I present clear, detailed descriptions on a wide range of topics related to my field of interest or a viewpoint on an issue, giving pro and cons of various options.

I present clear, detailed descriptions of complex subjects, integrating sub-themes, developing particular points including appropriate conclusions.

5. When writing in English,

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I can write a short, simple texts and ﬁll in forms with personal details (name, address).

I can write simple connected text on topics which are familiar or of personal interest.

I can write clear, detailed text on a wide range of subjects related to my interests, passing on information in support of or against a particular point (essay, report).

I can express myself in clear, well-structured, long texts including points of view.

Personal Goal Setting

What would you like to achieve by participating in our program? *