入學申請表Application Form
請以中文或英文輸入Please type in Chinese or English
Email address *
個人資料 PERSONAL INFORMATION
Full Name in English/ own language (as on your passport) *
Your answer
中文姓名 Chinese Name
Your answer
國籍Nationality *
Your answer
護照號碼Passport number *
Your answer
護照到期日 Expired date of passport *
MM
/
DD
/
YYYY
性別Gender *
生日Date of Birth *
MM
/
DD
/
YYYY
最高學歷 Highest Level of Education *
學校名稱 Name of School *
Your answer
科系 Major
Your answer
是否申請研習中文簽證?Do you intend to apply for Visa for Chinese Language Studies? *
(個人班)希望上課時段?Specify the time you wish to study(for individual course only).
Monday
Tuesday
Wednesday
Thursday
Friday
9:00~12:00
14:00~17:00
希望上課季別Session of study at Chaoyang University of Technology *
聯絡資訊 CONTACT INFORMATION
通訊地址Mailing address *
*入學許可信將會寄至下述地址,請務必以英文或中文詳細正確填寫。The admission letter will be mailed to this address, please fill clearly in English or Chinese.
Your answer
電話Phone number *
Your answer
電子信箱Email address *
Your answer
在臺緊急聯絡人Emergency contact in Taiwan
姓名Name, 關係 Relationship, 電話號碼Phone number
Your answer
本國緊急聯絡人Emergency contact in home country *
姓名Name, 關係 Relationship, 電話號碼Phone number
Your answer
語言背景資料 LANGUAGE BACKGROUND
是否學習過華語?Have you ever studied Chinese? *
學了多久華語? How long have you studied Chinese?
Your answer
在哪裡學華語? Where did you study Chinese?
Your answer
學習過哪種教材?What learning materials have you used before?
Your answer
哪個程度?Which level?
學習華語文的經驗與心得 Chinese learning experience and reflection
請用華文簡述自己學習華語文的經驗與心得,讓我們了解您的中文程度,請自行填寫,勿使用翻譯軟體。(200字以內)Please use Chinese to write your Chinese learning experience and reflection. The purpose of this is for us to understand your Chinese level. Please do not use a translator (in 200 words)
Your answer
學習計畫STUDY PLAN *
以200字內之華文或英文簡述Please write in Chinese or English(in 200 words)
Your answer
你在之前的華語課學了什麼?What did you learn in your Chinese course before?
就學期間經費來源 How will you finance the major portion of your studies at the Center?
DECLARATION
I am aware of the extent of the tuition and living costs associated with studying at Chaoyang, and am able to meet these expenses. During my studies at the Language Center, I agree to abide by the rules and regulations of Chaoyang University of Technology and by the laws of the Republic of China. (This includes regulations relating to work by foreign students.) I declare that, to the best of my knowledge, the information that I have supplied is correct and complete. I understand that incorrect or incomplete information may result in cancellation of my enrollment. I recognize that it is my responsibility to provide all the necessary documentary evidence of my qualifications, studies, and experience. I authorize the University to obtain further information where necessary.I hereby consent and authorize the Language Center (LC), Chaoyang University of Technology to collect the personal information that I provide for the purpose of affairs of courses, activities and administrative work in LC. I also understand that LC will protect the information well in accordance with Personal Information Protection Act. The information will not be disclosed to third parties without my agreement.
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