2014 International Summer School
Application Form (for Participants)
Please note that all fields with asterisk* are compulsory.
Should you have any queries, please feel free to contact us at
2014 Tianjin University International Summer School
Module for Chinese Traditional Culture and Architecture
(3 August 2014 -30 August 2014)
Module for Chinese Economy and Market
(6 July 2014 -2 August 2014)
Module for Research Placement
(29 June 2014 -26 July 2014)
Module for Enterprise Internship
If you choose the Module for Enterprise Internship, please indicate the time period you would participate the program: *
29 June 2014 -26 July 2014 (4 weeks)
29 June 2014 -23 August 2014 (8 weeks)
Please choose the local accommodation: *
local accommodation will arranged by student him/herself
local accommodation will arranged by Tianjin University
BLD 42- Tianjin University Hostel (on campus)
- twin room: 20 USD/ day/ person; single room:40 USD/ day/ person
Yi Jing Hotel (about 1 km to the university)
- twin room: 20 USD/ day/ person; single room:40 USD/ day/ person
Jin Bin Hotel (4-star Hotel, about 1 km to the university)
- twin room: 25 USD/ day/ person; single room:50 USD/ day/ person
A. Personal Information (Please write in BLOCK letters)
Name (as in Passport)* / Last Name (Surname) *
Middle Name
First Name *
Date of Birth * (DD/MM/YY) / / / Gender* / MaleFemale
Nationality*
Passport No*
Country of Issue* / Date of Expiry* (DD/MM/YY) : / /
B. Contact Information
Email* / Contact Number *
(Country Code – Area Code – Phone Number)
Mailing Address (Line 1) *
Mailing Address (Line 2)
Zip/Postal Code* / Country*
Emergency Contact Person* / Relationship with Applicant*
Emergency Contact Number*
C. Health Declaration (For statistical purposes only and not as selection criteria)
Allergies*
Major Medical Problems*
Medication Currently Taken*
Dietary requirements (Halal, vegetarian etc)
Others
D. Educational Background
Current University*
School/ Major*
Degree/Diploma/Other Qualifications
Year of Study*
E. Knowledge of Languages
Please select (X) to indicate your Language proficiency level:
Fluent/Native / Advanced / Intermediate / Beginner
English*
Chinese (if applicable)
What is your native language
Course on Chinese language is optional for those who are Chinese nationality or holders of the certificate of HSK level 6 or above.
F. Personal StatementPlease write a personal statement of no more than 500 words.
(Participants who choose the Module for Chinese Traditional Culture and Architecture/ Chinese Economy and Market please specify your academic background to ensure the basic qualifications are met; Participants who choose the Module for Research Placement/ Enterprise Internship please specify your academic background as well as research/working interest and internship plan.)
Declaration
I hereby declare that the particulars provided are true to the best of my knowledge and that I have not willfully suppressed any material facts. I understand that misrepresentation or omission of any materials required in this form will be sufficient cause to terminate myposition if I have been chosen. I authorize you, your subsidiaries and affiliates, and your authorized agents, to verify all information contained in this application and any supplement hereto.
Tianjin University
2014 International Summer School
(Please insert your signature image here)
Tianjin University
2014 International Summer School
Tianjin University
2014 International Summer School
Signature: / Date (DD/MM/YY) / /
Required Document
Please attach and send all the required documents listed below to: . The subject line must be in the format of: Your Name _Country_ Application 2014. Please ensure that all documents are submitted at the same time so as to prevent any confusion in processing your application. Please also ensure that you submit your forms and pay registration fee before the deadline.
1. Application Form with signature (in Word.doc format only)
2. Academic Transcript of home university
3. Scanned copy of your passport (clearly showing your photo and page of particulars)
4. Identification photo
5. Certificate of HSK level 6 or Chinese nationality, if applicable