EAP Registration Form
Title: 	Mr / Ms*	Student number (if known): 		
Given names:		Surname:		
Email address: 		
Faculty: 	I/II/III/IV*	Course and Semester:		
Level of English A1-C2
(if known; see here): 	B1 / B2 / 
C1 / C2*	English language certificate and grade (if applicable): 		
What do you need the course to help you with most? 		
	*Please delete as appropriate 	
Study skills -- Please evaluate your study skills as follows:	
1            I need help!
2
3            I need some help. 
4
5            I think I can do this well. 
If you do not need certain skills you can leave those fields blank.	
Activity	Required skills	Evaluation (1-5)	Activity	Required skills	Evaluation (1-5)	
Lectures, talks / Seminars, discussions	Listening and understanding 		Practicals / lab work / field work	Understanding written and spoken instructions		
	Taking notes 			Requesting help and clarification		
	Asking questions for: repetition, clarification and information			Recording results		
	Answering questions, explaining		Writing (essays, reports, etc.)	Planning, writing drafts, revising		
	Agreeing / disagreeing, giving opinions / reasons, interrupting			Summarizing, paraphrasing, creating sentences		
	Giving presentations, verbalising data, initiating and responding to comments 			Continuous, well-organized writing in academic style		
Private study / reading	Reading efficiently: understanding, speed			Using quotations, footnotes, bibliography		
	Scanning, skimming, and evaluating texts			Using data appropriately		
	Understanding and analysing data (graphs, diagrams, etc.)		Exams (written and oral)	Understanding questions / instructions		
Reference material	Using a dictionary efficiently 			Answering questions explicitly and precisely		
Argumentation
	Constructing arguments logically using connectives and other appropriate vocabulary			Explaining, describing, justifying		
Thank you for registering and for taking the time to fill this form in!