鲁东大学外国留学生入学申请表.doc

鲁东大学外国留学生入学申请表 APPLICATION FORM OF ENROLLMENT FOR INTERNATIONAL STUDENTS 请认真阅读后再填表： Please read the application form carefully before filling in it. 申请人情况/ Personal details 姓/Family name (in English) :______________________________ 名/Given name (in English) :_______________________________ 汉字姓名/Chinese name (if you have):___________________________ 国籍/Nationality:_________________ 性别/Sex:__________ 护照号码/Passport No.(if you have) :_________________ 出生日期/Date of Birth :_____年/Year___月/Month___日/Day 出生地/Place of Birth_______ 宗教信仰/Religion_______ 婚姻状况/Marital Status:______ 健康状况/Physical Status_______ 最后学历/Highest Academic Degree Obtained___________________ 专业/Major____________ 现学习或工作单位/Current Employer or College Attended: ______________________________________________________________________________ 目前联系地址（寄送录取通知书和JW202表）Current mailing address to which Acceptance Letter and JW202 Form should be sent: ______________________________________________________________________________ TEL:___________________ FAX:_________________ E-mail:___________________________ 本国联系地址/:Permanent Address in Home-country: ______________________________________________________________________________ TEL:___________________ FAX:_________________ E-mail:___________________________ 2、汉语能力/Chinese Language Proficiency： HSK成绩 □无/None □3级 □4级 □5级 □6级 阅读/Reading □很好/ Excellent □好/ Good □一般/ Fair □不会/ Poor 听力/Listening □很好/ Excellent □好/ Good □一般/ Fair □不会/ Poor 会话/Speaking □很好/ Excellent □好/ Good □一般/ Fair □不会/ Poor 汉语学习时间/Time for Chinese learning ________________________ 在鲁东大学学习计划/Plan of study in LDU □语言生/Chinese language course □进修生/None-degree advanced program □专科生/Diploma □本科生/Bachelor’s degree □ 硕士研究生/Master’s degree 学习专业/Subject or field to study 学习时间/Duration：From:______年/Year____月/Month ~ To:______年/Year____月/Month 费用来源/Financial Support resources 奖学金/Scholarship 奖学金名称/Name of Scholarship：_______________