Arabic 4 adults
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Fields marked with a (
*
) must be completed.
1 Personal details
Title
Mr
Mrs
Miss
Sir
Dr
Surname
*
Forename
*
D.O.B.
dd/mm/yyy
*
Gender
Male
Female
Door Number
*
Street
*
Area
*
City
*
Postcode
*
Tel/Mobile
Email
2 Arabic Language Background
2.1 Existing Students
Students already attending Arabic4Adults courses, please indicate your present level here
level
N/A
1
2
3
4
5
book
N/A
1
2
3
unit
N/A
1
2
3
4
5
2.2 New Students
Please describe in some detail the Arabic language courses you have taken. Include the name of the course and number of hours, the name of the textbook(s), description of class activities, etc
Can you read the Holy Qur'an
Yes
No
Please describe your Arabic language skills
Approximate proficiency level
Speaking
Very limited
Fair
Good
Very good
Fluent
Listening
Very limited
Fair
Good
Very good
Fluent
Reading
Very limited
Fair
Good
Very good
Fluent
Writing
Very limited
Fair
Good
Very good
Fluent
Where would you like to study?
*
London
Birmingham
Manchester
Glasgow
Cardiff
Nottingham
Other
Please specify
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