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STUDENT DATA FORM

For Conversational Exercise

(may be printed for individual use)

 

Name:
 
A. Personal History/Biographical Data
 
Date of birth:
 
Country of birth:
 
Native languages:
 
Other languages spoken:
 
Information about family:
 
Where have you lived?
 
Name all the cities and towns in which you lived in your native country.
 
Name all the cities and towns in which you've lived in the United States.
 
When did you come to the United States?
 
Where do you live now?
 
How do you get to school?

 
B. Educational Background
 
Where did you go to grammar school, and when did you graduate?
 
Where did you go to high school (secondary school), and when did you you graduate?
 
Do you have any college degrees? When did you receive them?
 
When did you begin to study English?
 
Where have you studied English?
 
When did you start college?
 
What kinds of courses have you taken?
 
What is your major?
 
What are your career goals?
 
What other schools do you plan to attend?
 
Do you plan to go to graduate school?

C. Other Information
 
Do you have a job now? How many hours a week do you work?
 
Have you ever had any other jobs?
 
What do you do when you have free time?
 
What are your hobbies?
 
What kinds of books do you like?
 
What kinds of movies?
 
What kinds of food?
 
What kinds of music?
 
What kinds of people?
 
Do you play any sports?
 
What is your favorite book?
 
Your favorite movie?
 
Your favorite color?
 
Your favorite song or performer?
 
What places (cities, parks, and so on) have you visited in the United States and elsewhere in the world?
 
What places do you want to visit?
 
Is there anything you would like to add?

 
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