FORMULIR PENDAFTARAN

ITP TOEFL

Nama : .
Alamat Rumah : .
Institusi : .
No. Telp/HP : .
Tes tanggal :

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Appendix B : TOEFL ITP Background Questionnaire

1. Before today, how many times have you
taken a TOEFL ITP test?
a. None
b. One
c. Two or more
Note: There is no option D for this question.

2. Reason for taking a TOEFL ITP test
a. To demonstrate my proficiency in
English for placement in an English
language program
b. To demonstrate my proficiency in
English upon completing a program in
English as a foreign language
c. To enter a short-term, non-degree
program in an English-speaking country
d. To enter a degree program in a non-
English speaking country where English
is not the dominant medium of
instruction
e. To enter a collaborative international
degree program where English language
training will be a feature of the program
f. To obtain an indication of my English
language proficiency for my own
information
g. Other

3. What is your current level of study?
a. Elementary school
b. Middle school
c. High School
d. 2 year college/community college
e. 4 year undergraduate college
f. Graduate/post-graduate college
g. Other

4. How much time have you spent studying
English in a middle/high school or a
college/university?
a. None
b. Less than 1 year
c. 1 years or more, but less than 2 years
d. 2 years or more, but less than 5 years
e. 5 years or more, but less than 10 years
f. 10 years or more




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