您现在的位置：
首页 >> 通知公告 >> 正文
Application form for short term Study Abroad in China1218

                                       
Application Form for ASSCU Institutions Short Term Study in China Program

  • Please complete the form in English.
  • Please type or write clearly in block capitals.

1. Personal Information (The following should be filled by the applicants.)

Passport Name:

First Name:                     Middle Name:                          Last Name:

Gender:

Nationality:

Marital Status:

 

Date of Birth:   ____________________________

                                 Yr.           Mon.           Date

 

Place of Birth:   ________________________________                                                  

                                  Country                      City

Native Language:

Foreign Language:

Current Institution:

School Year:

Major:

Major GPA:

Minor:

Minor GPA (if applicable):

Phone Number:

E-mail:

Mailing Address: 

 

Permanent Address (if different from the current mailing address):

Signature:

Date:

2.Institutional Information (The following should be filled by applicant’s supervisor)

Institution Name:

Applicant’s supervisor’s Name and Title:

Host Institution (School Name, Department and Program if applicable):

Departure Date and Study Duration at the Host Institution:

I would like to recommend the applicant for the scholarship for short term study in China because:

 

 

 

 

 

 

Signature:

Date: