Chinese Language Ability Declaration

This form is to be completed prior to enrollment in 241.106 Chinese for Heritage Speakers A or 241.206 Chinese for Heritage Speakers B

Part I: Answer the following

Paper number:

(For example 241.106 or 241.206)


Massey Student ID
(numeric only)
Email address:

Country of birth:

Mother tongue:

Second languages (Chinese):

Country where you received your education in Chinese:

Highest year of education completed in Chinese:

Other comments:

(Please add any other comments you feel may be useful in assessing your proficiency)
Part II: Evaluate your proficiency in Mandarin

Aural comprehension:

(Select one)

Speaking ability:

(Select one)

Reading ability:

(Select one)

Writing ability

(Select one)

Email Address