学校奖学金英文申请表.docVIP

Page | PAGE 3 CANADA-CHINA SCHOLAR EXCHANGE PROGRAMME (CCSEP) Application Form PART A?:PERSONAL INFORMATION Name: ____________________(汉字)___________________________(拼音) Birth Date (Day/Mo/Yr) :________________________________ Gender: M _________F_________ Educational Institution (including department) (英文) (中文) Address: (中文填写) Postal code: __________ Telephone?: ___________________ (Home Telephone) ___________________ (Institute Telephone) E-mail:_______________________ (Home Email) _______________________ (Institute Email) Position (e.g. Professor) _________________________________________________________ (中/英文) Are you a former recipient of the Special Awards for Canadian Studies or Canada-China Scholars’ Exchange Program? Yes____ No____ If yes, please fill in the following two items: Please list any awards previously received including year and your research topic: Year Research topic Please describe briefly any outcomes of your past awards: English language proficiency: Oral: basic___intermediate___advanced___ Written: basic___intermediate___advanced___ Please provide a brief statement outlining your background field(s) of specialty and particular areas of interest in Canada, and attach a copy of your curriculum vitae and the list of your publications. It is important to highlight any experience and publication/project related to Canada. Background field(s), areas of interest in Canada PART B RESEARCH PROPOSAL 1. Discipline in which your research is to be undertaken: 2. Research topic title: 3. Please attach a concise description of the proposed research project (2,000 words) which will identify the key issues or the main theoretical problems and the appropriate methodology of the research to be undertaken; indicate clearly both the nature and the scope of the project’s contribution to the literature in the chosen field; describe how the CCSEP program wi