2017汉语桥—美国高中生夏令营学生申请表ApplicationFormfor.PDF

2017“汉语桥—美国高中生夏令营”学生申请表 Application Form for 2017Chinese Bridge Summer Camp Students 请用英文提供以下信息。/ Please provide following information in English. 1. 申请人情况/Personal information 护照名/Passport Name: ______________________________ __ 照片 Photo 姓/Last Name: _____________________________________ 名/Given Name: ______________________________________ 性别/Gender: _______ 出生日期/Date of birth: _______ 国籍/Nationality: ________ 护照号码/Passport #: ______________ 护照有效期/Passport Expiration Date: _____________ _ 年级/Grade: 学校/School : ________________________ 第一语言/First Language : _________________________________________________ 第二语言/Second Language: 家庭成员间主要使用语言情况/Which language your family members mainly use at home? 英语/English 汉语/Chinese 其他/Other 如果你选择“其他”，请说明。/If you choose “other”, please indicate. _____________ 当前地址/Current Address(including zip code): 电话/Phone: _____________________ ___ 传真/Fax: ________________________ 手机/Cell: __________________________ 邮箱/Email: _________________ 如果有任何艺术特长，请详述。/If you have any artistic skills, please specify. 2. 紧急联络人信息 联络人 1/Contact #1 姓名/Name: ______________________ 家庭电话/Home Phone: ________________ 办公电话/Office Phone: _______________ 手机/Cell Phone: ___________________ 联络人2/Contact #2 姓名/Name: ______________________ 家庭电话/Home Phone: _________________ 办公电话/Office Phone: ______________ 手机/Cell Phone: 3. 汉语水平及项目背景/Chinese Language Proficiency and Program Background 1) 学习中文多长时间？/ How long have you been learning Chinese? 2) 中文水平/Chinese Language Proficiency (Basic, Intermediate, Advance): 3) 是否到过中国?/ Have you been to China before? 是/Yes 否/No 4) 是否参加过“汉语桥- 美国高中生夏令营”项目？哪年参加的？/ Have you