International Student Summer Program - Application Form国际学生暑期申请表格

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1、InternationalStudentSummerProgram–ApplicationForm國際學生暑期申請表格Pleasecompleteandsubmitthisapplicationto:請將已填妥的申請表格，直接傳真或寄到歌摩士谷學區國際教育：InternationalStudentProgramComoxValleySchoolDistrict1551LerwickRoadCourtenay,BritishColumbiaCanadaV9N9B5Phone:(250)703-2904Fax:(250)897-1496Admissioncriteria行政原則ComoxVall

2、eySchoolDistrictwillacceptstudentswhoprovideevidencethattheyhavetheacademicandsocialpotentialtobesuccessfulinourprograms.歌摩士谷七十一學區將會接受，在學術成就與社交表現上，能展現成功潛力學生的申請入學。Notification申請通知Receiptofallapplicationswillbeacknowledged,andapplicantswillbeadvisedpromptlywhetherornottheyhavebeenofferedplacementinth

3、esummerprogram.Eachstudentadmittedtotheprogramwillreceivealetterofacceptance.無論是否可以入學，每個申請學生都會很快地接獲我們的通知；一旦得到申請許可，歌摩士谷學區會核發入學許可書。Applicationpackageistoinclude:完整申請書包含如下：□Completedapplicationform完成申請表格□Smallrecentphotographattachedtoapplication最近半年內兩吋照片一張PleasePRINTinEnglish請用英文正楷填寫以下資料Dateofapplica

4、tion申請日期Forwhichprogramareyouapplying？(Pleasecircleone)你要申請何種專案課程？(請圈選)□ESL/activities:July16–August7,2007OR□ESL/activities:August7-25,2007英語文化生活營OR□CreditProgram:July3-August3,2007學分課程OR□AcademicPreparationProgram:August7-24,2007學科預備課程...continued接續下頁ComoxValleySchoolDistrict–InternationalStudentP

5、rogram–Application(Page2)第二頁歌摩士谷七十一學區─國際學生專案─申請書1.□Ms.女□Mr.男Surname姓氏GivenName(s)名字2.Student’sBirthdate:Age:CountryofCitizenship:出生日期YYYY-MM-DD年齡國籍CountryofLegalResidence:PassportNumber:居民護照號碼3.PermanentAddress:永久住址Streetaddress街道City城市Province/State省份（）Country國家PostalCode郵遞區號AreaCode區域號碼Telephone

6、No.電話號碼4.ParentContact:家長聯絡資訊Surname姓氏GivenName名字□Father父□Mother母Mother’sbirthdate:Father’sbirthdate:家長的出生日期YYYY-MM-DDFather’sOccupationMother’sOccupation父親職業母親職業E-mailaddress電子郵件信箱Fax傳真Telephone(Home)住家電話Telephone(Work)辦公室電話5.Iamcurrentlyenrolledingradeatthefollowingschool:目前就讀年級與學校資料如下：Schoolna

7、me學校名稱City城市6.MyfirstlanguageisSecondlanguage:我的母語是第二語言是7.IwoulddescribemyabilityintheuseoftheEnglishlanguageas:□Beginner初學者我認為我的英語使用能力是□Intermediate中間等程度□Fluent流利8.Siblings:兄弟姐妹Name姓名Age年齡Occupation職業Brot