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Oral English Proficiency Assessment Form

Please complete this form if you have received instructions to apply, including verification code. DO NOT complete this form if you do not have a verification code - unsolicited forms will not be processed.

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Last Name *

First Name *

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UC Merced graduate group *

Your country of origin *

Your gender (female or male)

Where are you currently located? *

(China, London, Iran, New York, etc )

Please input your most recent language test results, including the speaking section.

Please upload a copy of your most recent language test

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp eps tif pict psd txt rtf html pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit tar zip.

Have you ever held a teaching job at an English-speaking institution?

If yes, please describe

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Oral English Proficiency Assessment Form

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