請先查閱學校資料，再填表格。因為在您填妥資料後，按送出鈕，您的資料將會被直接
   傳送給學校單位，故請用英文詳細填寫本表格。   Please read the school's information first,
   then fill in this form.  After you fill in this form and press "Send" button, your information will
   be submitted directly to schools. Hence,  Please fill in this form in English precisely.
Application Form
Personal Details
Family name
Given names
Nationality
Date of birth
Male
Female
Address in home country
(include post code and country)
Telephone in home country
Fax in home country
E-mail address
Course Selection
Location Check your course is available at the centre you choose. Refer to the School's courses and programs.
Please indicate your choice of country
Preference Course 1
Preference Course 2
Commencement date

Check schools' data if unsure
Your Accommodation
Do you want assistance in obtaining accommodation? No
Yes
What type of accommodation do you need? Homestay
School Residence
Length of stay (weeks)
Do you smoke? No
Yes
Please list any special medical or dietary conditions you might have
Do you require airport pick-up and transfer? No
Yes
Date
Time
Airport
Airline
Flight number
Educational history
High School / Senior Secondary Studies
Give details of your high school studies (eg. Senior, HSC, "A" Levels, Senior High School)
Year(s) Name of Qualification School or College State or Country Tertiary
Entrance
Score
(OP/TER etc)
　 "A" Levels Chung-Hua High School Taiwan not applicable
Are you currently undertaking high school studies? If so, when you expect to complete these studies?
Tertiary Education
Give details of your tertiary (higher education) studies (if any)
Year(s) Name of Qualification School or College State or Country Completed
　 Bachelor of Science Nagoya University Japan Completed
Are you currently undertaking tertiary studies? If so, when you expect to qualify for your award?
International Student Details
  English Language Proficiency
  Please enter score or grade TOEFL
  IELTS
  Other
  Is your verbal English Fluent

Good

 Fair

Weak
  Is your written English Good

Fair

 Weak
   English Language Preparation Programme
   Do you require an English Language Preparation Programme before you begin your course? No

Yes

 　

　
    If so, indicate the length of course you think you will need. Refer to course information if unsure. Weeks
   Do you have current Overseas Student Health Cover? No

Yes
   If so, indicate details. Expiry date
   Insurance number
Please prepare the following documents.  Mail them to the school directly after being informed by the school:
  • Your high school results
  • Your university or college transcript (if you have undertaken higher education studies)
  • Your IELTS or TOEFL results (if required)
  • Your detailed resume (if you are a mature age applicant)

*  Please find the school's address from its homepage when you mail these documents.


  

NOTE：The school reserves the right to vary fees, curriculum and timetables without prior notice.
This section is for Applicants under 18 years of age
Please print this form, sign and mail it to the school directly.
  
_________________________________ ___________________
Signature of applicant Date
_________________________________ ___________________
Signature of parent or guardian
(if applicant is under 18 years of age)		 Date


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