FLEX Program Interest Survey
Thank you for your interest in FLEX program. Please Note: This is not a FLEX test but only a statement of interest. We will contact you when the FLEX testing gets approved. FLEX testing is open to all high school students who are born between March 15, 2003 and May 31, 2005 (students in the 11th grade who are required to complete military service are ineligible). Please take a few minutes to fill out this survey. All eligible candidates will be invited for testing.
Email address *
Student Information
1. Family Name *
2. First Name *
3. Sex ( choose one) *
4. Date of Birth (Month/Date/Year) *
MM
/
DD
/
YYYY
5. City (where you currently live) *
6. Region *
7. Home telephone (City code, Number) *
8. Mobile number *
9. Other telephone number where you can be contacted: (not a parent) *
10. School City and Name (Example: Ashgabat, #2) *
11. In which class do you study? *
12. What time do you finish school? ( Example: 15:00 ) *
Family Contact Information
13. Mother/Legal Guardian's Name
14. Mobile number
15. Father/Legal Guardian's Name
16. Mobile number
English language background
In order to participate in FLEX testing, you need to speak English well and have an academic standing of good or better.
17. Do you know English? *
18. In your opinion, what is your level of English? *
19. Have you attended any language courses? *
If you answered yes to the question #19, please indicate what is the final level of English have you completed?
Advanced
Intermediate
Pre-intermediate
Elementary
Beginner
English Language Level Completed
Clear selection
During the interview you will have an opportunity to answer questions in any language that you are comfortable with. Knowledge of English is not the most important assessment factor.
20. In which language, do you prefer to be interviewed for FLEX? *
21. Internet access *
Yes
No
Do you have Wi-Fi at home?
If you don't have a Wi-Fi at home, do you have another place where you can access internet?
Can you access internet from you mobile phone?
Will you be able to use ZOOM?
22. Do you have a disability? *
If you answered Yes to the question #22, please specify what type of disability?
23. Additional Comments or Questions:
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy