Second Language Acquisition (SLA) Course Registration Form
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Sending Agency/Organization
*
How did you hear about this course?
My sending agency
ICCT newsletter or website
Facebook
A friend or colleague
Other
Which SLA course would you like to take?
*
SLA for Beginning Learners - $1350
SLA for Continuing Learners - $1350
Introduction to Language Learning - $850
Jump-Start SLA - $450
I'm not sure. Please contact me to help me decide.
At what pace would you like to take your SLA for Beginning or Continuing Learners course?
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6 weeks, 15-20 hours per week
12 weeks, 7-10 hours per week
Not sure
Other
At what pace would you like to take your Introduction to Language Learning course?
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3 weeks, 15-20 hours per week
6 weeks, 7-10 hours per week
Not sure
Other
At what pace would you like to take your Jump-Start SLA course?
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1 week, 25 hours per week
5 weeks, 5 hours per week
Not sure
Other
In which month would you like to take your course?
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At the time you take this course, in which time zone OR city and country will you be?
*
Would you like to add on language coaching for your first year on the field? (This includes individual and group coaching meetings with an instructor to help you be successful in language learning. $500.)
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Yes
Maybe; tell me more.
No
Would you like to take the Cross-Cultural Living and Ministry course? ($450; 5-6 hours per week for one month.)
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Yes, at the same time as the SLA course
Yes, immediately after the SLA course and before arriving on the field
Yes, sometime in the future (when I'm on the field)
Maybe; tell me more.
No
Where will you be living and when do you plan to get there?
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What language(s) will you be learning?
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Other than English, what other languages do you know, where/how did you learn them, for how long, and how many hours per week? (e.g., Darija for one year in Morocco for approximately 10 hours per week; Spanish is my family's primary language of communication.)
*
Have you taken any linguistics courses before? If so, which ones?
*
Thank you for your registration. You will receive an email with payment information soon. Once your payment is submitted, you will receive access to your course(s).
Please sign up for a meeting with Dr. Natalie Mullen Leisher, director of ICCT, to discuss further details: https://calendly.com/nataliemullen
Optional Demographic Survey
The following questions are related to your demographic information. ICCT will use this generate statistics for grant applications and subsequent reporting. This information will remain anonymous, and completing this survey has no impact on your registration or acceptance into the course.
Ethnicity
African American
Asian
Bi/Multi-Racial
Caucasian
Hispanic/Latino/a
Native American/Alaskan Native
Hawaiian/Pacific Islander
Other
Age Range
0-17
18-30
31-45
46-65
66+
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