The TOEFL (Test of English as a Foreign Language) is an English proficiency test used by over 7,000 institutions worldwide to assess non-native English speakers' abilities to use and understand English at the university level. It was first administered in 1964 and has since been taken by over 23 million students. The TOEFL comes in paper, computer-based, and internet-based formats, and measures reading, listening, speaking, and writing skills. Scores are used by colleges and universities to make admissions and placement decisions for international applicants.