2015 Summer Application Forms
2015 Summer Application Forms
APPLICATION FORM
(Please Type or Write Legibly in Block Letters)
I.
PERSONAL DETAILS
Full Name*
(first name)
(middle name)
(last name)
Chinese Name*
(in traditional characters)
*Your Chinese name will appear on your Student ID so please make sure that it is correct.
Nationality
Date of Birth
Passport Number
(Date)
(Month)
Telephone Number
(Year)
Email
Mailing Address*
*Please provide your address in details, including postcode and country.
Permanent Address*
*Please provide your address in details, including postcode and country.
Marital Status
II.
Single
Married
Yes
No
(major/subject)
(university)
(year of graduation)
(degree)
Now pursuing
(major/subject)
(university)
(expected graduation year)
III.
If applicable, provide dates, length of stay and purpose of residence in any Chinese-speaking countries:
Taiwan
PRC
Others
IV.
V.
LANGUAGE BACKGROUND
I am a complete beginner in Chinese language. Please skip to VI.
I am not a beginner in Chinese language. Please answer the questions below.
Year you began Chinese language study
Where?
Chinese language course(s) completed
(Course Name)
(No. of Semesters/Quarters)
(Where)
(When)
(2)Name
Signature: _______________________
Date: ______________________
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REFERENCE REPORT 1
Name of Applicant
Name of Evaluator
How long and in what capacity
have you known the applicant?
TO THE EVALUATOR: The above-named applicant is applying for admission to intensive language study
at ICLP. Your candid evaluation of the applicant will be of great help. Please comment on the applicants
intellectual ability, academic achievement, maturity and emotional stability, initiative, oral and written
communication, strengths and weaknesses. You may add a personal letter on behalf of the applicant if you
wish.
Evaluators Signature
Date
Evaluators Affiliation
Evaluators Email
Please return this reference report to the applicant in a sealed envelope with your signature across the flap or mail it
directly to International Chinese Language Program, Language Center, National Taiwan University, Office 420,
170 Xin-Hai Road, Section 2, Da-An District, Taipei 10663, Taiwan by March 31, 2015.
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REFERENCE REPORT 2
Name of Applicant
Name of Evaluator
How long and in what capacity
have you known the applicant?
TO THE EVALUATOR: The above-named applicant is applying for admission to intensive language study
at ICLP. Your candid evaluation of the applicant will be of great help. Please comment on the applicants
intellectual ability, academic achievement, maturity and emotional stability, initiative, oral and written
communication, strengths and weaknesses. You may add a personal letter on behalf of the applicant if you
wish.
Evaluators Signature
Date
Evaluators Affiliation
Evaluators Email
Please return this reference report to the applicant in a sealed envelope with your signature across the flap or mail it
directly to International Chinese Language Program, Language Center, National Taiwan University, Office 420,
170 Xin-Hai Road, Section 2, Da-An District, Taipei 10663, Taiwan by March 31, 2015.
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