外国留学生入学申请表语言生

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1、外国留学生入学申请表（语言生）ApplicationFormforAdmission(languageprograms)ID:_____________*PleasecompletetheforminEnglishorChinese.Ⅰ.个人信息PERSONALDETAILS英文姓FamilyNameonPassport:英文名GivenNamesonPassport:照片Photo中文姓名ChineseName:性别Gender:□男/M□女/F婚姻状况MaritalStatus:□已婚/Married□未婚/Single出生日期DateofBirth:年

2、/Yr.月/Mo.日/Date出生地点CountryofBirth:国籍Nationality:护照号码PassportNo:护照有效期PassportValidUntil:年/Yr.月/Mo.日/Date签证类型TypeofVisa:宗教Religion:母语FirstLanguage:职业Occupation:电子邮件E-mailAddress:工作或学习单位EmployerorSchoolAffiliated:海外地址AddressOverseas:街道Street____________________________________________

3、____________城市City______________________国家Country______________________邮编Zipcode____________电话PhoneNumber__________________邮寄地址（若与上述地址不同）MailingAddress(ifdifferentfromabove)：街道Street________________________________________________________城市City______________________国家Country_______

4、_______________邮编Zipcode____________电话PhoneNumber___________________紧急联系人EmergencyContactPerson：联系人电话ContactPhoneNumber：最后学历HighestAcademicDegreeObtained:学习经历EducationBackground:(fromhighschool)学校名称School/Institutionattended专业Major开始时间（月/年）From:(mo/yr)结束时间（月/年）To:(mo/yr)所获学位Nameofq

5、ualificationⅡ.留学期限DATESOFSTUDY留学期限年月至年月EnrollmentfromYrMotoYrMoⅢ.申请项目APPLYINGPROGRAM申请类别Applyingas:□汉语普通班StandardChineseLanguageProgram□商务汉语班BusinessChineseTrainingProgram□汉语强化班IntensiveChineseTrainingProgram□短期生ShortTermLanguageProgram()周Weeks□中英双语班Chinese-EnglishBilingualProgram□

6、暑期/寒假项目Summer/WinterProgramⅣ.汉语水平LEVELOFCHINESE是否有HSK证书？DoyouhaveanHSK(officialtestonChineseProficiency)certificate?没有No.□有Yes.□级别HSKLevel:_______以前学过汉语吗？HaveyoueverlearnedChinese?没学过No.□学过Yes.□___个月Months汉语水平自我评价Self-assessment:初级Beginner□中级Intermediate□高级Advanced□Ⅴ.项目费用COURSEFEES

7、经费来源TypeofSponsorship:□自费Self-supporting□外国政府奖学金ForeignGovernmentScholarship□交流生Exchangeprogram□其他OtherⅥ.未来学习计划FUTURESTUDYPLANS□在结束汉语学习后，我会留在中国大学继续学习。IwillstudyataUniversityinChinaaftermyChineseCourse.Ⅶ.了解途径MARKETING如何了解到华师大?Howdidyouhearaboutthelanguageprograms?□教育机构Educationalage

8、nt机构名称Nameofagent:□学校网站ECN