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2012 Three-week Express Program
Session 2 (Aug. 13th ~ Aug. 31st, 2012)
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(Must Be Filled:*)
英文姓名
English Name* |
First:
Middle:
Surname:
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中文姓名
Chinese Name |
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性別
Gender* |
男 Male
女 Female
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出生日期
Birthday (year/month/day)* |
1980/01/31
(Format: 1980/01/31)
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護照號碼
Passport N.O.* |
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國籍
Nationality* |
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緊急聯絡人
Relative or Friend for Emergency Contact |
姓名
Name* |
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關係
Relationship |
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電話
Tel |
公（O） |
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| 住（H）* |
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| 手機（M） |
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聯絡住址
Address* |
郵遞區號Postal (Zip) Code:
, 國家Country:
,
地址Address:
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電話號碼
Home Tel* |
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手機電話
Mobile |
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電郵信箱
E-Mail* |
Primary Contact Email:
Secondary Contact Email:
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日後活動相關訊息、行前通知等，將寄至本信箱，請勿使用AOL信箱，敬請填寫正確。
Program information will be sent to the email accounts. No AOL email addresses please.
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| 現職工作 |
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學歷
Education |
學校名稱
School Name |
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科系
Major |
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年級
Year |
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學習中文經歷
Have you ever learned Chinese before? |
hours per week for years
months.
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中文程度
Present Language Level |
Rate the student’s Chinese on a scale of 1-5, 1 is never studying Chinese before, 5 is native fluency.
聽Listening*
,
說Speaking*
,
讀Reading*
,
寫Writing*
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特殊學習需求
Special Educational Needs |
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請確認資料正確後再點選送出。 Before you submit your application, please confirm the following:
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