2015 Bliss Wisdom New York Life Camp Application
時間 ：1/2 (星期六） ~ 1/4 （星期一） (3天2夜)
地點：在公布
費用（課程/餐飲/住宿): $60

Date: 1/2 (Sat) ~ 1/4 (Mon) (3 days 2 night)
Place: TBA
Fees (course/meals/housing): $60  
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Name/英文名字 *
Last name/姓
*
First name/名
Chinese Name (if available)/中文姓名
Age/年紀 *
Date of Birth/生日 *
MM
/
DD
/
YYYY
Gender/性別 *
Home Phone Number/電話號碼
xxx-xxx-xxxx
Cell Phone Number/手機號碼 *
xxx-xxx-xxxx
E-Mail *
Permanent Address/永久地址
Street, City, State Zip Code
Current Mailing Address/聯絡地址
Street, City, State Zip Code
Ethinicity/族裔
Your native language/你的母語 *
Required
Mandarin Proficiency/您的國語程度 *
Required
Language Preferences/希望使用何種語言 *
Currently Enrolled in School/在校生
Currently Enrolled in School/在校生
Clear selection
Name of School/就讀學校
Major/主修
GRADUATED AND CURRENTLY WORKING/已就職
Highest Degree Obtained/最高學歷
Clear selection
Occupation/Job Title /職業名稱
School graduated from/畢業學校
Degree/學位
Year Graduated/畢業年分 *
Religious Belief/宗教信仰
Clear selection
How are you arriving?/到達方式
Clear selection
Days you will attend/你會參加: *
Required
Emergency Contact/緊急聯絡人 *
Last, First
Relationship/關係
Home Phone Number/電話號碼
*
Cell Phone Number/手機號碼
Past or Current Club Membership/曾參與過的社團
List any officer positions held/曾擔任幹部的名稱
Special Skills/Hobbies/Talents/專長/興趣/才藝
Special Needs/特殊需求
Diet/Accommodations/others (飲食、無障礙設施等…)
Referred by/介紹人
Name (Last, First) /姓名
Chinese Name (if available)/中文姓名
Phone Number/電話號碼
Relationship/關係
How did you hear about this camp?/您是如何知道這次的營隊？ *
Level of interest for the camp/參加營隊意願 *
Your Goals or Aspirations in Life/您對生命的期許？
Your expectation for the camp/ What do you want to learn from this camp? 這次營隊想學到什麼？
Best Way to Reach You/請留下您的聯絡方式
Facebook
Skype
Line
Whatsapp
Wechat
Other
Terms and Conditions
Columbia University is a smoke free campus. To ensure the best learning experience for all participants, Bliss & Wisdom Youth College Life Camp kindly asks your cooperation to help maintain an environment that prohibits inappropriate activities such as smoking, alcohol, and drugs. Each camp participant will stay on site for lodging and all activities throughout the entire program.
Notes
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