Creative Hearts International Academy (CHIA)    Online Application
Student Information 基本資料:
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Email *
Enrollment Year 申請學期 *
Expected Year Group 申請班級 *
Student's Full Name  (Last, First, Middle) 學生英文姓名 *
Student's Chinese Name 學生中文姓名 *
Student's Preferred Name 學生希望被稱呼的名字(如有)
Student's Gender 學生性別 *
Student's Date of Birth 學生出生年月日 *
MM
/
DD
/
YYYY
Student's Current Age (Year & Month) 學生目前年齡(年月) *
Student's Country of Birth 學生出生地 *
Student's Nationality 學生國籍 *
Student's Passport # and Expiry Date 學生護照號碼/到期日
Republic of China (R.O.C.) Citizenship? 學生是否擁有中華民國護照? *
Alien Resident Certificate (ARC # & Expiry Date) *If not applicable, please type N/A 學生居留證號碼/到期日(如有)
Student's First Language 學生的母語 *
Student's Second Language *If not applicable, please type N/A 學生的第二語言 *
Main Language Spoken at Home 學生家裡主要語言 *
Other Language(s) Spoken at Home *If not applicable, please type N/A 其他家裡使用語言 *
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