Needs Analysis Step 1 of 3 33% Page 1First Name* Last Name* Address* Street Address City State / Province / Region ZIP / Postal Code Mobile Phone*Phone*Email* Home Country* Languages spoken Page 2Language of Study*AfrikaansAlbanianAmharicArabicASL (America Sign Language)BahasaBengaliBosnianBulgarianBurmeseChinese (Cantonese)Chinese (Mandarin)CroatianCzechDanishDutchEnglishESL (English as a Second Language)EstonianFarsiFinishFlemishGermanGreekHebrewHindiHungarianIcelandicIndonesianItalianJapaneseKazakhKoreanLatvianLithuanianMalayNorwegianPolishPortuguesePunjabiRomanianRussianSerbianSlovakSlovenianSomaliSpanishSwedishTagalogTeluguThaiTigrinyaTurkishUkranianUrduVietnameseOtherWhat is your experience learning and using this language?Please rank each skill area 1-10 (10 being near native), and include any additional notes on your abilities:Speaking*12345678910Additional notes: Listening*12345678910Additional notes: Reading*12345678910Additional notes: Writing*12345678910Additional notes: Vocabulary*12345678910Additional notes: Grammar*12345678910Additional notes: Pronunciation*12345678910Additional notes: Please check the areas that you would like to focus on during your training, and any notes about what in particular you hope to accomplish:Areas of focus Daily Communication Business Academic Specific Purpose Speaking Listening Reading Writing Vocabulary Grammar Pronunciation Test Preparation Additional goals and areas of interest:How much time can you dedicate to homework every week? Page 3 FinalPlease select your preferred class location* LTC Language Solutions' Offices My Workplace My Home Online (Skype, FaceTime) Public Location How long would you prefer each class to last?*1 hour1.5 hours2 hours2.5 hours3 hoursImmersionHow many times per week would you like to meet?*123456Which days of the week?*MondayTuesdayWednesdayThursdayFridaySaturdayWhich days are NOT available for classes?*MondayTuesdayWednesdayThursdayFridaySaturdayWhat time of the day works best for you?*MorningAfternoonEveningPreferred start date:
