申請辦法

世新大學華語文教學中心

Center for Teaching Chinese as a Second Language

Shih Hsin University

2018 中文學校入學申請表

2018  Chinese School Application Form

1 中文姓名/Chinese Name
2 英文姓名/English Name________________ (名/Given Name) ________________ (姓/Surname)
3 出生日期/Date of Birth________ (Month) ________ (Day) ________ (Year)
4 性別/Ο男/Male           Ο女/Female
5國籍/Nationality
6 護照號碼/Passport Number
7 通訊地址/Mailing Address
8 電話/Telephone Number:
9 電子郵件/Email:
10 緊急連絡人/Emergency Contact Person姓名/Name:_________________________

電話/Telephone Number:______________

電子郵件/Email:_____________________

11 最高學歷/Highest Education Degree學校名稱及所在地/School, City and Country

______________________________________________

主修/Major___________________Ο 在學/Still in school Ο已畢業/Graduated

12 語言背景/Language Background母語/Native Language:___________ 其他語言/Other Language__________
13 是否學習過華語文?/Have you studied Chinese before?Ο是/Yes           Ο否/No

如果答案是否,以下不必填寫。/If your answer is No, no need to answer the following questions.

14 學習了多久?/How long have you studied Chinese?_________________________________________________
15 在哪裡學習的?/Where did you study Chinese?_________________________________________________
16 學的是那種華語文教材?/Which Chinese language text did you study?_________________________________________________
17 最近上的華語文課程是幾年級?/Which level of Chinese Language course did you take most recently?_________________________________________________
18 你最想加強的華語文能力是下列那一項?/What is the number one aspect of Chinese language ability you want to improve on?Ο聽/listening

Ο說/speaking

Ο讀/reading

Ο寫/writing

Tel: 886-2-22368225 #2258, 2259

Email: ctcshu@mail.shu.edu.tw

台北市文山區木柵路一段171

#1 Lane 17 Sec. 1 , Mu-Cha Rd. Taipei , Taiwan, R.O.C.

Chinese-Summer-School-Application-Form-CTC

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