Chinese (Mandarin) Learning Program, Chienkuo Technology University-BeClass報名表格2018-06-30

※ Name(Last, First)：

※ email：

電話/Cellphone：

Personal Information

中文姓名 / Chinese Name：

※國籍/ Nationality：

※性別 / Gender：

Female
Male

※護照號碼 / Passport Number：

※生日 / Date of Birth：

※目前從事行業/Current Occupation：

※郵寄地址/Mailing Address：

緊急聯絡人地址 / Emregency Contact Address：

Academic Information

※Academic Standing：

School Name? Major ＆ Minor? The address of school? The degree and the graduation date

1.
2.
3.
4.

Application

※Which courses are you applying for?：

班級/class group：

課程期別/ Terms：

學生學習背景資料調查表Survey of Student’s Language Background

※1.hrs/per week 2. months 3.years 4.language center：

Have you studied Chinese before?

1.
2.
3.
4.

※Where did you learn it?：

What was your Chinese textbook?：

※你認識拼音嗎？Can you listen and write down PinYin?：

精通 Perfect
尚可 Fair
一點 A little
不會 No

※你會說中文嗎？Can you speak Chinese?：

精通 Fluently
尚可 Fair
一點 A little
不會 No

※Have you ever spoken in Chinese?：

經常 Often
有時候 Sometimes
很少 Rarely
從不 Never

※Can you read Chinese?：

繁體字 Traditional character
簡體字 Simplified character
100個字以下 below 100 characters
500個字 500 characters
1000個字以上 above 1000 characters
不會No

※Can you write in Chinese?：

※Have you ever taken a Chinese Proficiency Test?：

If yes, please answer the following questions.：

HSK
TOCFL
Other Certificate

The level and the year you get the certificate.：

※Which topics are you interested in? (multiple)：

※What kind of ability do you want to enhance?：

multiple

※Study Plan：

檔案大小上限：1,000KB
檔案類型：Word檔、Pdf 檔

※ID Photo：

Please insert a recent front view full-face, 2-inch color portrait ID photo, taken without hats or headgears.

檔案大小上限：1,000KB
檔案類型：圖形(jpg、png、gif)、Pdf 檔

※Copy of Diploma：

檔案大小上限：1,000KB
檔案類型：圖形(jpg、png、gif)、Pdf 檔

※Photocopy of Passport：

檔案大小上限：1,000KB
檔案類型：圖形(jpg、png、gif)、Word檔、Pdf 檔

※Financial Statement（2,000 US Dollars at least）：

檔案大小上限：1,000KB
檔案類型：圖形(jpg、png、gif)、Word檔、Pdf 檔

※Applicant Signature：

I declare that:

The above information included in my application is accurate and correct to the best of my knowledge.I hereby declare that the information given above is true, correct and complete, for which I shall bear all the legal responsibilities.

團報資料

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總金額：***元
(依據人數計費：每人元)