Spanish Placement Referral Request Form

Students with previous Spanish experience must complete a placement exam prior to enrolling in Spanish courses at Lone Star College-CyFair. Fill out the form below, and you will soon be contacted with the necessary steps to take in order to be placed into the correct level. Students interested in enrolling in Spanish courses at other LSCS campuses (Kingwood, North Harris, Tomball, & Montgomery) are to inquire at the actual campus at which they intend to enroll.

First Name	Last Name	Student I.D.
Phone	E-mail
Mailing Address
City	State	Zip
Language you spoke at home while growing up.
*If you spoke / speak any Spanish at home (with family and/or friends), did you also learn to read & write it? (enter n/a if you didn't speak Spanish at home)*
*Country in which you completed your high school studies (or equivalent)*
Language of instruction in your high school (the language teachers & administrators taught & ran the school in)
Number of years of high school Spanish language courses
Number of semesters of college Spanish language courses
*End date (month & year) of last Spanish classroom experience*
Approximate letter grade average in all Spanish courses
Location, duration, year, & context of any travels/study in a Spanish-speaking country that lasted longer than 2 weeks
Additional information or comments