 請先查閱學校資料，再填表格。因為在您填妥資料後，按送出鍵，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 out this form. After you fill out this form and press "Send" button, your information will be submitted directly to schools. Hence, Please fill out this form in English precisely. |
| Application Form | |||
| 個人資料 Personal Details | |||
| 姓氏 Family name |
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| 名字 Given name |
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| 國籍 Nationality |
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| 生日 Date of birth (dd/mm/yy) |
(日/月/西元年) | ||
| 性別 Sex |
Male
男 Female 女 |
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| 地址 Address |
(請寫明郵遞區號與國家) (include post code and country)
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| 電話 Telephone |
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| 傳真 Fax |
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| 電子郵件 |
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| 最高學歷 Education Background |
(請寫明現就讀或畢業學校、主修或專長等等) (Please include your current school or the school you were graduated from, major, specialty...etc.) |
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| 欲申請之課程 Course Selection | |||
| 欲申請之課程名稱 Program Name |
請參閱學校課程。 Refer to the School's courses and programs. |
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| 上課地點 Location |
Berkeley
柏克萊校區
San
Francisco 舊金山校區 Fremont 佛瑞蒙特校區 Redwood City 紅木市校區 San Ramon 聖瑞蒙校區 如果您申請的是英語課程，請點選欲就讀的校區。 |
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| 課程開課日期 Commencement date (dd/mm/yy) |
(日/月/西元年) 若不確定，請先查詢學校資料。 Check schools' data if unsure. |
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| 課程結束日期 Closed date (dd/mm/yy) |
(日/月/西元年) * 如果不清礎課程正確結束日期，請填寫您想唸 該課程幾週： Week(s) 週 |
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| 住宿安排 Your Accommodation | |||
| •需要學校安排住宿嗎？ Do you want assistance in obtaining accommodation? No 不需要 Yes 需要
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| •您需要哪種住宿安排？ What type of accommodation do you need? College Dormitory 學校宿舍
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| •需要學校安排接機嗎？ Do you require airport pick-up and transfer? No 不需要 Yes 需要 |
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| 國際學生資料 International Student Details | |||
| 英語程度 English Language Proficiency | |||
| 若您接受過任何測驗，請在此填入成績 Please enter score or grade if you've undertaken any test |
TOEFL: |
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| 您的英語口說能力如何？ Is your verbal English |
Fluent 很流利 Good 好 Fair 還可以 Weak 很弱 | ||
| 您的英語書寫能力如何？ Is your written English |
Good 好 Fair 還可以 Weak 很弱 | ||
| 其它申請文件 Other Required Documents | |||
| 請學校通知您課程申請費金額
(如果有的話)及應如何繳付： Please inform me the application fees if there is any and the payment options. |
Yes 請通知 No 不用通知 |
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| 請學校通知您其它申請文件
(如果有的話)： Please inform me other required application documents if there is any. |
Yes 請通知 No 不用通知 |
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注意：填寫完此表格，按「送出」鍵送出後，請等待學校通知確認接受申請。後續申請程序依學校通知為依據。 Notice: After filling out this form and pressing "Send " button, please wait for the school's confirmation of application acceptance. The following application procedure should be based upon the school's notification. |
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