Applicant Cover Sheet & Check List

CYDP Applicant Form

Please include this form with your application.

All materials filed in support of this application become the property of American International Education & Exchange Center. They will not be returned. We recommend that you keep a copy of your application and your personal statement.

Which program you are interested (July Mentor Program or August Business Program) / .
Passport Number: / (if applicable)
Last/Family Name: / (if applicable)
First/Given Name: / (if applicable)
Middle Name: / (if applicable)
Title (Mr. or Ms.): / (if applicable)
Have you ever applied to our programs? / Yes or No / If yes, when? / (insert year)
Have you ever visited or studied in USA? / Yes or No / If yes, when? / (insert year)

Checklist of Application Materials

* Please submit the following application materials in electronic version by email to with email subject “program name_your university name and your name”. You can scan or picture your transcript, passport, student ID, test scores and send us the electronic files in PDF, JPG, etc.

Yes or No / Item
Resume typed in 1-2 page in English and Chinese
Application Form
Copy of Transcripts in Chinese (provided after admitted)
Copy of Passport (you will not be provided official admission letter unless you provide passport copy)
Copy of Student ID (provided after admitted)

I assert that the information provided in this application is accurate, complete and honestly presented. I confirm that the statement of purpose was written by me and is, in its entirety, my own original work. I understand that any inaccurate or misleading information or any omission of information could be cause for the rescinding of any offer of admission, or for subsequent discipline or dismissal.

Signature:
(In place of your signature, please type your full legal name) / Date: .
Reminder: It is your responsibility to complete your application with all supporting materials by the deadline.

Application for Admission

Please type or use black ink.

Personal Information

Last Name: / First Name: / Middle Name:
(non-U.S. citizen must write full name above exactly as it appears on passport or student ID)
Note: Your application will be processed under the name given above. If you were registered at any of the institutions listed in this application under any other name or any variations of your name as given above, please write that name below.
Have you ever been registered under another name at any other institution? If yes, please provide the name:
Last Name: / First Name: / Middle Name:
Date of Birth: / Gender:

Permanent Address (not your university address)

Street 1:
Street 2:
City: / State: / Zip code: / Country:
Daytime Phone: / Evening Phone:
Email Address:
*We will use the email address to communicate important information about your application as well as inform you of upcoming events that may be of interest. We cannot communicate official admission decisions over email.
Current Mailing Address / (Valid until MM/DD/YY): / (if different from above)
Street 1:
Street 2:
City: / State: / Zip code: / Country:
Daytime Phone: / Evening Phone:
Email Address:

Educational History

Record of Preparation. Supply FULL information regarding ALL college preparations to date. List every institution from which you have received a degree or you are studying now first, followed by any other institutions attended in chronological order. Note: Any and all undergraduate and graduate work must be listed. Use additional sheets if needed and be sure that your name is on all additional sheets. Failure to disclose this information may result in the cancellation of your application or your admission.

Transcript: One copy of transcript from each college or university attended must be included for this application to be considered.

Dates of Attendance / Institution / Location / Department/Program / Degree
(BA, BE, etc) / GPA
(4.0, 100)

Will your company be sponsoring your program studies? (Yes or No):

Intended Career and Study Plan

Please indicate the industry which you are working currently or you plan to pursue upon completion of your studies:
.
Will you plan to pursue to apply advanced programs in the United States? (Yes or No)
What program you are interested? / .

Financial Aid

Who will sponsor your study here? / .
All admitted students are required to provide a financial statement of their sponsors.
I would like to be considered for financial aid. (Yes or No)*

*If you would like to be considered for financial aid, simply check the box. Not all the programs provide financial aid. But we do offer scholarship, assistantship, and fellowship. Note that your application must be entirely complete to be considered. Also you should offer all application materials by each program’s financial aid deadline.

Citizenship

Are you a U.S. Citizen? (Yes or No):
If you are not a U.S. Citizen, please complete this section:
What is your country of citizenship? / Native Language
Have you ever been issued a U.S. visa? (Yes or No)
Have you ever been refused a U.S. visa? (Yes or No)
Are you a U.S. Permanent Resident? (i.e., hold a “green card”) (Yes or No):
If you are a student, what is the name of your school? / .

Address of Parents in Country of Permanent Residence (please provide detailed information)

Street 1:
Street 2:
City: / State: / Zip code: / Country:
Daytime Phone: / Evening Phone:
Email Address:
Father’s Name: / Father’s Job Position:
Mother’s Name: / Mother’s Job Position:
*We will use the information to contact your parents in case of emergency.

Additional Information

You can leave this blank if you have attached resume
May we share your name, picture, contact information, and relevant application information with American university programs, outside scholarship organizations or educational institutions? (Yes or No)

Signature: / Date: .
Reminder: It is your responsibility to complete your application with all supporting materials by the deadline.