CCC Language Learning

Chinese Program Application Form

中文课程申清表

Please read each question carefully and answer honestly.

This application helps determine whether my teaching style is the right fit for you.

请认真阅读每个问题并如实回答。

此申清表用于判断我的教学方式是否适合你。

First name

Last name

Email

Time Zone

What days and general times are you usually available for live sessions? (Select all that apply. Final session times are confirmed after acceptance.)

Monday

Tuesday

Wednesday

Thursday

Time of day:

Morning

Afternoon

Night

What is your primary language? 你的母语是什么？

Are you applying as: 你是以哪种形式申请的？

Individual learner 个人学习

Couple (two people learning together) 情侣 / 两人一起学习

Have you studied Chinese before? 你以前学过中文吗？

Never 从未学过

A little (apps, classes, or self-study) 学过一点（App、课程或自学）

Yes, for more than one year 是的，学习超过一年

What is your main goal with learning Chinese? (Select all that apply) 你学习中文的主要目标是什么？

Understanding spoken Chinese 听懂中文

Speaking with confidence 自信地开口说中文

improving pronunciation and tones 改善发音和声调

Personal or cultural interest 个人或文化兴趣

Other 其他（请说明）

What has been your biggest challenge when learning languages as an adult? 你作为成年人学习语言时，最大的挑战是什么？

My teaching focuses on training the ear, sound, and repetition before reading or grammar. How does this approach feel to you? 我的教学重点是在阅读或语法之前，先训练听力、声音和重复练习。你对这种方式的感觉是

This makes sense to me 这对我来说很有道理

I’m open to trying a different approach 我愿意尝试不同的方法

I prefer traditional methods 我更偏向传统学习方式

Why do you want to learn Chinese at this point in your life? 为什么你现在想学习中文？

At this time, I am NOT offering business-specific Chinese instruction (meetings, negotiations, presentations). Are you comfortable learning Chinese for general communication and foundation-building?

Yes

No, I need business Chinese

Individual programs begin at $599 USD Couples programs (two people learning together) begin at $999 USD

I’m comfortable with this level of investment

I’d like more details before deciding

i work with a limited number of students, and not every applicant is accepted. If I feel we may be a good fit I will reach out with the next steps