SCHEDULE LANGUAGE ASSESSMENT

Language Assessment Request Form

PALS for Health will be in contact with you within 48 hours of submission.
Please contact us at info@palsforhealth.org or (213) 553.1818 with questions.
*Due to the Pandemic, we are only testing verbal skills via Zoom at this time*

* Indicates required field

Name *

First

Last

Language *

Agency/Organization *

Email *

Are you interested in being a consultant with PALS? *

Yes No, just the training

Assessment Type *

Oral Assessment Only Written Assessment Only Both

Date and Time Preferred (Oral Exam) *

Morning (Between 9am to 11:30 am) Afternoon (Between 1pm to 3:30 pm)

Phone Number *

Comments or Questions *

*Submission of Language Assessment Request Form does not guarantee that request will be honored.
All request preference for date and time of assessment is based on availability.
PALS for Health will send confirmation via email if submission is accepted.

Submit