申請表(Application Form)

InternationalStudentApplicationForm (p.1/3)

Chinese Seasonal Course

Chinese Language Center華語文中心

Instructions

PASSPORT
PHOTO

●Please complete this form in BLOCK LETTERS in English

●ReadandSIGNtheconditionsofenrolment

●Mark relevant boxes with an X

●My application is through a representative: □No □Yes

●Please fill out the form and send it with the rest of the application materials to the below address or by e‐mail

●Return to: No.1 SyuechengRd.,Sec. 1, Dashu Dist., Kaosiung City 84001,Taiwan R.O.C.Chinese Language Center

E-mail:

Family Name: / Given Name: / Chinese Name:
Gender
□Male □Female / Date of Birth
/(D) /(M) /(Y) / Nationality
Emergency contacts:
Relationship:
Name:
Mobile: / Mobile: / Passport Number:
E-mail:
Address for correspondence :
Do you take any medication or have a medical condition? □Yes □No
If yes, please details ______
Education Background / Highest Education：□Senior High School □University
□Master Degree □Ph.D Degree
School Name: ______
Major: ______Graduated : □Yes □No
Language Background / (1)Have you ever studied Mandarin before?
□Yes □No
(2)Where did you learn Mandarin?
□Taiwan □Mainland China
□In your own country □Other ( ______)

InternationalStudentApplicationForm (p.2)

Language Background / (3) Please mark your Mandarin level
□Basic (less than 1 year)
□Intermediate (about 1-2 years )
□Advanced (more than 3 years )
(4) Whichhave you studied?
□Zhuyin
□Pinyin
□Simplified Characters
□Traditional Characters
Do you intend to continue your studies at I-Shou University after completion of your Chinese language course? □Yes □No
If yes, have you already submitted an application to ISU Office of International & Cross-Strait Affairs? □Yes □Faculty______□No
Conditions of enrolment and declaration
  • I understand that I must graduate from high school at the time of course beginning.
  • I understand and accept the terms of the CLC refund/cancellation policy.
  • I understand that I must complete all class work, assignments, activities and assessments in order to maintain satisfactory progress.
  • I understand that I must attend at least 85% of my course and that if I am studying on a Visitor Visa (with Chinese Language Study as the reason).
  • I understand that ISU‐CLC reserves the right to defer, temporarily suspend, or cancel my enrolment for misbehavior.
  • I understand that I change my address of accommodation in Taiwan I must notify ISU‐CLC within three working days.
  • I agree that ISU‐CLC can share information about my course and progress with my university or college, my sponsor or educational representative.
  • I understand that I am fully responsible for my educational and living expenses while studying at ISU‐CLC.
  • I acknowledge that ISU‐CLC has the right to change its fees and conditions, cancel or defer courses, and to alter course timetables and class locations at any time without notice.
  • I understand that by providing my personal email address on this application form I am giving permission to ISU‐CLC to use this to communicate with me on any matters relating to my enrolment at ISU‐CLC.
  • I agree to abide by the regulations of ISU‐CLC and I‐Shou University.
  • I understand that more information about my student rights and responsibilities under the Regulations Regarding International Students Undertaking Studies in Taiwan is available online at law.moj.gov.tw/Eng/news/news_detail.aspx?id=3619

Checklist of required documents
 Application form (including study plan).
 1 passport photos.
 Photocopy of diploma or photocopy of official school transcripts
.
 Photocopy of passport first page (must clearly show passport number, name, personal data andphotograph).
 Recent financial statement within 3 months proving the applicant has at least US$2,000.
Dormitory required
 Yes, please arrange a 4-person sharing room for me. (9,300 NTD per term)
 Yes, please arrange a single room for me.( (42,000 NTD per term)
No, I don’t need accommodation.
Study plan:
______
______
______
______
______
______
______
______
The information contained in this form will be basis of university record, please fill it in clearly and correctly. I-Shou University reserves the right to computerize and utilize your personal information for administrative purposes.
Applicant’s signature: ______
Date: ______
ChineseLanguage Center of I-Shou