3.INSTITUTION
DEPT.
(Must be validated against AI table or blank spaces)
General scores
Subject scores
Writing Assessment scores
4.INSTITUTION
DEPT.
(Must be validated against AI table or blank spaces)
General scores
Subject scores
Writing Assessment scores
12.BACKGROUND INFORMATION可不用填
a. What is your current citizenship status? United
States citizen
Resident alien ("permanent resident") in the United States Neither 选第三个Neither
I Do Not Wish To Answer This Question
b. the state or U.S. Territory you consider your permanent residence. 不用写，美国专用
(U.S. citizens and "permanent residents" only)
(00-99 validated against table or blank spaces)
c. Find the country code from the list in the Bulletin, enter it in the boxes, and fill in the
corresponding ovals. 国家代码，457
(not a United States citizen)
(000-999 validated against table or blank spaces)
d. If you are a United States citizen, how do you describe yourself? 不用写，美国专用
American Indian or Alaskan NativeBlack or African AmericanMexican, Mexican American, or
ChicanoAsian, Asian American, or Pacific Islander Puerto Rican Other Hispanic or Latin
American White (non-Hispanic)OtherI Do Not Wish To Answer This Question
e. Do you communicate better (or as well) in English than in any other language? Yes No 你用英
语交流比用其他语言更(一样)好吗?
