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NAME__________________________  Class & Section______________  Term/Quarter___________  Year_______

Address___________________________________________________________ Phone_______________________

Occupation______________________________________ Email__________________________________________

Textbook Used______________________________________________ Year first enrolled _____________________

........................ DO NOT WRITE BELOW THIS LINE ...... FOR USE OF YOUR INSTRUCTOR ...........................
 

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Poor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Excellent . . . . . Not Applicable

1. Grammar . . . . .. . . . . . . . . . . . . . . . 1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA

2. Writing . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA

3. Reading . . . . . . . . . . . . . . .. . . . . . . 1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA

4. Aural/Listening . . . . . . . . . . . . . . . .1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA

5. Oral/Speaking . . . . . . . . . . . . .  . . . 1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA

6. Communicative Competence . . .  . .1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA

7. Attendance . . . . . . . . . . . . .  .. . . . . 1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA

8. Punctuality. . . . . . . . . . . . . . . .  . . . 1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA

9. Performance . . . . . . . . . . . . . . . . . . 1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA

10. Homework . . . . . . . . . . . . . . . . . . 1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA

11. Attention, Effort, Motivation . . .  . 1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA

12. Progress . . . . . . . . . . . . . . . . . . . . .1 . . . . . . 2 . . . . . . 3 . . . . . . 4 . . . . . . 5 . . . . . . 6 . . . . . . 7 . . . . . .. NA
 
 

FINAL EXAMINATION: Date Given__________________________________ Score _______________%

PROFICIENCY TEST (IF GIVEN): Date Given__________________________ Score _______________%
Form/Version Used :
 
 

RECOMMENDED TO : (Circle One or Write)

Beg1, Beg2, Beg3, Int1, Int2, Int3, Int4, Int5, Int6, Kanji1&R, Kanji2&R, Kanji3&R, IntConv, PracComm, ReadComp

COMMENTS:
 

Instructor Name________________________________ Signed____________________________ Dated___________
 
 
 




prog-rep.adu p2

EXPLANATION OF RATINGS (ITEMS 7-12)

Category: Rating Explanation: 7=93-100%, 6=78-92%, 5=63-77%, 4=48-62%, 3=33-47%, 2=18-32%, 1=0-17%


Attendance: 7 Has never been absent. 6 1 absence. 5 2 absences [not affecting progress in class]. 4 3 absences [improved attendance recommended]. 3 4 absences [frequent absences make it difficult to maintain progress]. 2 5 absences [extremely poor attendance]. 1 6 or more absences. 
Punctuality: 7 Always on time and ready for classes to begin. 6 Usually on time and ready for classes to begin. 5 Sometimes tardy without a valid reason. 4 Occasionally tardy without a valid reason. 3 Frequently tardy, which interferes with class procedures. 2 Hardly ever on time for class. 1 Never on time for class. 
Performance: 7 Outstanding performance indicating an excellent understanding of the concepts and principles for this level or course. 6 Fairly good performance indicating a good understanding of the concepts and principles for this level or course. 5 Performance indicates that concepts and principles for this level or course are understood and steady improvement is being made. 4 Performance is the average required to achieve improvement. 3 Performance is the minimum required to achieve improvement. Demonstrates some understanding of the concepts and principles of this level or course. 2 Performance indicates the rate of improvement is insufficient for the standards of the course. Demonstrates minimum understanding of the concepts and principles for this level. 1 Performance is below the standards and failing. Performance indicates that concepts and principles for this level or course are not understood. 
Homework: 7 Assignments are always completed on time. Always well-prepared for class. 6 Assignments are usually (about 85% of the time) completed on time. Usually well-prepared for class. 5 Assignments are completed about 70% of the time. 4 Assignments are completed about 55% of the time. 3 Assignments are completed adequately for minimal participation. 2 Assignments are frequently incomplete or turned in late. 1 Rarely completes homework assignments and is seldom prepared for class. 
Attention, Effort, and Motivation: 7 Active participation in and constructive contribution to all aspects of the class. 6 Consistent effort to participate in and contribute to class activities. 5 Participation in and contribution to class activities are above average. 4 Participation in and contribution to class activities are average. 3 Participation in and contribution to class activities are sufficient. 2 Insufficient effort or interest to achieve improvement. 1 Little or no constructive participation or interest in class activities. 
Progress: 7 Making excellent progress in acquiring necessary skills of outstanding performance. 6 Making fine progress in acquiring the skills at this level. 5 Making good progress in acquiring the skills at his level. 4 Making satisfactory progress in acquiring the skills at his level. 3 Progress is slower than the rest of the class. 2 Progress is minimal. 1 Not making progress at this level. 

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