FOR NLSC USE ONLY
NATIONAL LANGUAGE SERVICE CORPS (NLSC)
OMB No. 0704-0449
OMB approval expires
GLOBAL SKILLS SELF-ASSESSMENT
Nov 30, 2018
PLEASE RETURN YOUR COMPLETED FORM TO:
NATIONAL LANGUAGE SERVICE CORPS, P.O. BOX 12221, ARLINGTON, VA 22219-2221
The public reporting burden for this collection of information is estimated to average 18 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives Division,
4800 Mark Center Drive, Alexandria, VA 22350-3100 (0704-0449). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty
for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 131, Office of the Secretary of Defense; DoD Directive 5124.2, Under Secretary of Defense for Personnel and Readiness (USD(P&R));
50 U.S.C. 1913, National Language Service Corps.
PRINCIPAL PURPOSE(S): To allow U.S. citizens with language skills to self-identify their skills for the purpose of t emporary employment on an intermittent work
schedule or service opportunities in support of DoD or another department or agency of the United States. The information will be used to determine eligibility for NLSC
membership and to identify and contact NLSC members. Submitted forms are covered by Privacy Act System of Records Notice DHRA 07, National Language Service
Corps ( ).
ROUTINE USE(S): In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act of 1974, as amended, the records or information
therein may be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows: To another department or agency of the United States in need of
temporary short-term foreign language services, where government employees are required or desired.
The DoD Blanket Routine Uses at may apply.
DISCLOSURE: Voluntary. However, failure to provide information may result in non-enrollment in the NLSC program and refusal to grant access to member areas of the
SECTION 1 LISTENING
INSTRUCTIONS: Read and consider the following six descriptions of listening proficiency (numbered 0 through 5, including 1+ through 4+). Afterwards, decide which
description most accurately represents your overall listening proficiency in the language named above. If your language proficiency is substantially better than one level
but not consistently as good as the next higher level, select the appropriate “plus” level.
I have no practical understanding of the spoken language. My understanding is limited to occasional isolated words;
I have essentially no ability to comprehend communication.
When I engage in simple face-to-face conversations on familiar topics, I often misunderstand people, but I am able
to ask them to slow down and repeat what they say. Within those limitations, I can understand them when they talk
about basic survival needs such as getting a meal, obtaining a place to stay, getting directions and other travel-
related information so long as the person is speaking more clearly than normal at a rate slower than normal, with
frequent repetitions or rewording.
I can understand face-to-face speech in standard pronunciation spoken at a normal pace, with some repetition and
rewording even when spoken by a native speaker who is not used to speaking to people with limited proficiency in
this language. I can understand speech dealing with everyday topics, common personal and family news, well-
known current events, and routine work matters. I can understand descriptions of different places and discussions
about past, current, and future events. I can follow the essential points of the average discussion on work-related
topics in my field. I can understand the facts, such as reported in news broadcasts, but I do not grasp deeper/hidden
meanings or implications expressed through more complex language.
I can understand the essentials of all speech in standard pronunciation, including discussions within my field of
interest or specialization. I can follow accurately the essentials of conversations between educated native speakers
of the language, reasonably clear telephone calls, radio broadcasts, news stories, oral reports, some oral technical
reports, and public presentations on non-technical subjects. I can infer meanings that are not directly stated. I have
trouble understanding native speakers if they speak very quickly or use dialect or slang.
I can understand all forms and styles of speech pertinent to my social and professional needs. This includes speech
involving extensive and precise vocabulary, subtleties and nuances in standard dialects of the language, and
technical discussion on professional topics within the range of my knowledge. I can understand language tailored to
different audiences and purposes, including persuasion, representation, counseling, and negotiating. I can readily
infer meanings and implications. I can easily understand all social conversations, radio broadcasts, and phone calls.
I may experience some difficulty understanding speech heard under unfavorable conditions, such as through a poor
quality loudspeaker or radio or in a noisy room.
I can fully understand educated and academic speech, abstract and professional discussions, regional dialects,
highly colloquial speech, jokes and puns, and speech in noisy places or heard under unfavorable acoustic
conditions. My comprehension of the language is fully equivalent to that of a well-educated native speaker.
DD FORM 2934, JAN 2016
Page 1 of 4 Pages
PREVIOUS EDITION IS OBSOLETE.
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