Japanese Language Self-Assessment Form
All students admitted to the Japan Studies Program must complete and submit this complementary survey.

This survey will be used along with the Japanese Language Placement Test to help place you in a class closest to your Japanese language ability.

Your details
Last Name
As shown on your passport.
Your answer
First Name
As shown on your passport.
Your answer
Middle Name(s)
As shown on your passport. If you have no middle name, please write "none".
Your answer
1. Study background in Japanese
Have you taken Japanese language classes before?
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