DD Form 2934 National Language Service Corps (Nlsc) Global Skills Self-assessment

DD Form 2934 - also known as the "Nlsc Pilot Global Skills Self-assessment" - is a Military form issued and used by the United States Department of Defense.

The form - often incorrectly referred to as the DA form 2934 - was last revised on January 1, 2016. Download an up-to-date fillable DD Form 2934 down below in PDF-format or find it on the Department of Defense documentation website.

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FOR NLSC USE ONLY
NATIONAL LANGUAGE SERVICE CORPS (NLSC)
OMB No. 0704-0449
CONTROL NUMBER
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 (http://dpcld.defense.gov/Privacy/SORNsIndex/DODComponentArticleView/tabid/7489/Article/6689/dhra-07.aspx).
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 http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx 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
NLSC portal.
SECTION 1 LISTENING
LANGUAGE:
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.
(X one)
NO
I have no practical understanding of the spoken language. My understanding is limited to occasional isolated words;
PROFICIENCY
I have essentially no ability to comprehend communication.
0
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
ELEMENTARY
1
about basic survival needs such as getting a meal, obtaining a place to stay, getting directions and other travel-
PROFICIENCY
related information so long as the person is speaking more clearly than normal at a rate slower than normal, with
frequent repetitions or rewording.
1+
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
LIMITED
this language. I can understand speech dealing with everyday topics, common personal and family news, well-
2
WORKING
known current events, and routine work matters. I can understand descriptions of different places and discussions
PROFICIENCY
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.
2+
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
GENERAL
3
PROFESSIONAL
of the language, reasonably clear telephone calls, radio broadcasts, news stories, oral reports, some oral technical
PROFICIENCY
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.
3+
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
ADVANCED
technical discussion on professional topics within the range of my knowledge. I can understand language tailored to
PROFESSIONAL
4
different audiences and purposes, including persuasion, representation, counseling, and negotiating. I can readily
PROFICIENCY
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.
4+
I can fully understand educated and academic speech, abstract and professional discussions, regional dialects,
EDUCATED
highly colloquial speech, jokes and puns, and speech in noisy places or heard under unfavorable acoustic
5
NATIVE
PROFICIENCY
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.
Adobe Professional X
FOR NLSC USE ONLY
NATIONAL LANGUAGE SERVICE CORPS (NLSC)
OMB No. 0704-0449
CONTROL NUMBER
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 (http://dpcld.defense.gov/Privacy/SORNsIndex/DODComponentArticleView/tabid/7489/Article/6689/dhra-07.aspx).
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 http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx 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
NLSC portal.
SECTION 1 LISTENING
LANGUAGE:
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.
(X one)
NO
I have no practical understanding of the spoken language. My understanding is limited to occasional isolated words;
PROFICIENCY
I have essentially no ability to comprehend communication.
0
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
ELEMENTARY
1
about basic survival needs such as getting a meal, obtaining a place to stay, getting directions and other travel-
PROFICIENCY
related information so long as the person is speaking more clearly than normal at a rate slower than normal, with
frequent repetitions or rewording.
1+
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
LIMITED
this language. I can understand speech dealing with everyday topics, common personal and family news, well-
2
WORKING
known current events, and routine work matters. I can understand descriptions of different places and discussions
PROFICIENCY
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.
2+
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
GENERAL
3
PROFESSIONAL
of the language, reasonably clear telephone calls, radio broadcasts, news stories, oral reports, some oral technical
PROFICIENCY
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.
3+
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
ADVANCED
technical discussion on professional topics within the range of my knowledge. I can understand language tailored to
PROFESSIONAL
4
different audiences and purposes, including persuasion, representation, counseling, and negotiating. I can readily
PROFICIENCY
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.
4+
I can fully understand educated and academic speech, abstract and professional discussions, regional dialects,
EDUCATED
highly colloquial speech, jokes and puns, and speech in noisy places or heard under unfavorable acoustic
5
NATIVE
PROFICIENCY
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.
Adobe Professional X
FOR NLSC USE ONLY
NATIONAL LANGUAGE SERVICE CORPS (NLSC)
CONTROL NUMBER
GLOBAL SKILLS SELF-ASSESSMENT
SECTION 2 READING
LANGUAGE:
INSTRUCTIONS: Read and consider the following six descriptions of reading proficiency (numbered 0 through 5, including 1+ through 4+). Afterwards, decide which
description most accurately represents your overall reading 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.
(X one)
NO
I have no practical ability to read the language. I consistently misunderstand or I cannot comprehend at all.
PROFICIENCY
0
I am able to read very simple text that is printed clearly with normal-style letters. For example, I can read and
ELEMENTARY
understand descriptions of persons, places or things. I can also understand- written explanations of geography and
1
PROFICIENCY
government such as those simplified for tourists, though I sometimes misinterpret what I read. When looking at
more complex texts, I can only get some main ideas and locate prominent information or subject matter.
1+
I can read simple written material in print on subjects I am familiar with. I am able to read straightforward, familiar
and factual material with only some misunderstandings. I can locate the main ideas and details in material written
LIMITED
for the general public. I can read uncomplicated prose on familiar subjects. I can generally comprehend most news
2
WORKING
articles involving description or narration of current events, travel, food,and music. I can also comprehend simple
PROFICIENCY
biographies, social notices, personal correspondence, routine business letters, and simple technical material written
for the general public.
2+
I can read a variety of materials on unfamiliar subjects with normal speed and almost complete comprehension.
I can fully understand news stories or international news items in magazines, routine correspondence, editorials,
GENERAL
and general reports. I can understand technical reports and other materials in my field of specialization even when
3
PROFESSIONAL
they include hypothesis, argumentation, and supported opinions. I can read and comprehend literature, including
PROFICIENCY
short stories, novels, and plays. I can usually read between the lines, if necessary. I rarely have to reread general
vocabulary; however, I may have some difficulty with unusually complex structures or low frequency idioms.
3+
I can read nearly all styles and forms of the language pertinent to professional needs fluently and accurately. I
ADVANCED
can readily follow unpredictable turns of thought and author intent in such materials as sophisticated editorials,
PROFESSIONAL
4
specialized journal articles, professional documents, and complex literary texts, as well as any subject directed
PROFICIENCY
toward the nonspecialized reader. I can also read legal documents and legal texts written for the general reader and
documents from earlier periods containing archaic forms of language.
4+
I can fully understand extremely difficult and abstract prose, including general legal and technical material, as well
EDUCATED
as contemporary and classical literature. I can read classical or archaic forms of writing as well as a well-educated
5
NATIVE
native. I can read a wide variety of handwritten documents. My speed and comprehension are equal to that of a
PROFICIENCY
well-educated native reader.
DD FORM 2934, JAN 2016
Page 2 of 4 Pages
FOR NLSC USE ONLY
NATIONAL LANGUAGE SERVICE CORPS (NLSC)
CONTROL NUMBER
GLOBAL SKILLS SELF-ASSESSMENT
SECTION 3 SPEAKING
LANGUAGE:
INSTRUCTIONS: Read and consider the following six descriptions of speaking proficiency (numbered 0 through 5, including 1+ through 4+). Afterwards, decide which
description most accurately represents your overall speaking 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.
(X one)
NO
I am unable to function in the spoken language. My oral production is limited to occasional isolated words. I have
PROFICIENCY
essentially no communicative ability
0
I can engage in simple face-to-face conversations on familiar topics. People often misunderstand me, but I am able
to make myself understood to people used to dealing with nonnative speakers by repeating myself. I have a very
ELEMENTARY
1
simple vocabulary and make a lot of grammatical errors, but I am able to take care of a lot of survival needs such
PROFICIENCY
as greeting people, introducing people, telling people about myself, and asking for basic information about hours of
operation, how much things cost, simple directions to destinations, etc.
1+
I can handle informal conversations successfully. I can begin, continue, and bring to completion a variety of
LIMITED
communication tasks. I can handle most everyday social conversation with some confidence, but not with ease,
2
WORKING
including casual conversations about current events, work, family, and autobiographical information. I can describe
PROFICIENCY
events occurring in the past, present, and future. I have control of everyday vocabulary sufficient to discuss general
topics of a concrete nature.
2+
I can participate effectively and with ease in both formal and informal conversations on abstract and professional
GENERAL
topics as well as practical and social topics. I can discuss my particular interests and fields of competence with ease.
3
PROFESSIONAL
In conversation, I can answer objections, clarify points, justify decisions, state and defend policy, or give a briefing.
PROFICIENCY
I show some breadth of vocabulary. I make occasional errors with low frequency and complex language, but these
almost never impede communication.
3+
I can speak the language fluently and accurately and with a high degree of effectiveness, reliability, and precision
ADVANCED
for all purposes within the range of my personal and professional experience and scope of responsibilities, even
PROFESSIONAL
4
when communicating in sophisticated and demanding conversations. I can communicate effectively with varied
PROFICIENCY
audiences, purposes, tasks and settings. If a nonnative speaker, I may exhibit a slight foreign accent, although this
never disturbs the native listener.
4+
I speak the language as well as a highly articulate, well-educated, native speaker. I can use the language with
complete flexibility and intuition, so that my speech on all levels is fully accepted by, and equivalent to, a well-
EDUCATED
5
NATIVE
educated native speaker in all of its features, including breadth of vocabulary, colloquialisms, and pertinent cultural
PROFICIENCY
references. My pronunciation is consistent with that of an educated native speaker of a standard dialect of the
language.
DD FORM 2934, JAN 2016
Page 3 of 4 Pages
FOR NLSC USE ONLY
NATIONAL LANGUAGE SERVICE CORPS (NLSC)
CONTROL NUMBER
GLOBAL SKILLS SELF-ASSESSMENT
SECTION 4 WRITING
LANGUAGE:
INSTRUCTIONS: Read and consider the following six descriptions of writing proficiency (numbered 0 through 5, including 1+ through 4+). Afterwards, decide which
description most accurately represents your overall writing 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.
(X one)
NO
I have no functional writing ability.
PROFICIENCY
0
I can handle limited everyday needs by writing simple statements and questions on very familiar topics. For
ELEMENTARY
example, I can write down simple phone messages, excuses, notes to service people and simple notes to friends.
1
PROFICIENCY
My vocabulary is very limited, and I make a lot of grammatical errors, but someone who is used to dealing with a
nonnative writer can understand most of my simple ideas.
1+
I can handle routine social correspondence and write basic documentation on matters that address most limited
LIMITED
work requirements. I can produce simple written texts about a very limited number of current events or daily
2
WORKING
situations. I am able to control most common formats and punctuation conventions, and people usually understand
PROFICIENCY
what I write even if they are not accustomed to nonnative writing.
2+
I can produce effective writing in most formal and informal written exchanges on practical, social and professional
GENERAL
topics. The types of writing I can produce competently include reports, summaries, and short library research papers
3
PROFESSIONAL
on current events, on particular areas of interest or on special fields. I can use complex sentences appropriately, and
PROFICIENCY
I control most common grammatical structures. As a result, I am also able to connect different ideas in clear ways.
3+
I can produce written language precisely and accurately in a variety of prose styles pertinent to professional and
ADVANCED
educational needs. I am comfortable enough with grammar and writing conventions to be able to tailor what I write to
PROFESSIONAL
4
suit particular audiences and to express subtleties and nuances. I can produce clear and well-organized prose using
PROFICIENCY
a variety of organizational patterns and cohesive devices such as ellipses, parallelisms, and subordination. I can
write on all topics normally pertinent to professional and educational needs and on social issues of a general nature.
4+
My writing proficiency is equal to that of a well educated native. I can write and edit informal and formal
EDUCATED
correspondence, official reports and documents, and professional/educational articles. I can produce or edit different
5
NATIVE
genres of writing including legal, technical, educational and literary writing. I can write expressively and imaginatively
PROFICIENCY
without any pattern of errors.
DD FORM 2934, JAN 2016
Page 4 of 4 Pages
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