秋季班外国学生入学申请书.docVIP

Taipei Municipal University of Education 2010年秋季班外國學生入學申請書 Important: No application for admission to this university if you have been dismissed by any university or college in the R.O.C.. (不曾被中華民國各大學校院退學之外籍者才能提出申請) ■Applicant should read all application materials completely and carefully. Type or print clearly in English. (2 copies) 申請者應仔細閱讀所有申請文件(申請書需2份) Applicant Information(申請人個人資料) Name 姓名 Chinese中文: English英文: Family Name First Name Middle Name Date of Birth 出生年月日 / / Month月/ day日/year年 Sex 性別 □ Male男 □ Female女 Country of Citizenship國籍 Country of Birth 出生國家 E-mail Address 電子信箱 Permanent Address 永久住址 Telephone 電話 ( ) Current Mailing Address 通訊住址 Telephone 電話 ( ) Passport No. 護照號碼 Legal Guardian’s Name 監護人姓名 Chinese中文: Relationship 關係 English英文: Occupation 職業 Permanent Address 永久住址 Zip Code 郵遞區號 Current Mailing Address 目前住址 Zip Code 郵遞區號 E-mail Address 電子信箱 Telephone 電話 ( ) Cell phone or Fax 手機或傳真 Contact person in Taiwan 在臺聯絡人 Relationship 關係 Telephone 電話 ( ) Address in Taiwan 聯絡人住址 E-mail Address 電子信箱  Summary of Educational Experiences (Please list ALL secondary schools and universities attended.)教育背景 Educational Information 高中及高中以上學歷 Name of School 學校名稱 City and Country 所在城市及國家 Enrollment (from m/y to m/y ) 入學時間(月/年-月/年) Degree/Diploma/ Certificate 畢業學位/證書名稱 Date Granted 畢業時間 To which department/graduate program and degree do you wish to be admitted? (Please mark a check in the blank. Each application form can be applied for ONE department only.) 請確認你要申請的學系及學位(每份限申請1個) Enrollment Information 確認申請入學的學系及學位 招生系所Department/Graduate Institute 學位Degree Bachelor Master Doctor 教育學院College of E 教育學系Department of Education 特殊教育學系Department of Special Education 幼兒教育學系Department of Early Childhood Education 課程與教學研究所Graduate School of Curriculum and Instruction 教育行政與評鑑研究所Graduate School of Educational Administration and Evaluation 兒童發