| Application Form for GCE Programs |
| Write clearly. Apply early. Application Deadlines: See Calendar. Late applications, contact admission@studychinesenow.com |
| First Name |
Last Name |
Mr / Mrs / Miss / Ms |
||||
| |
DOB Age |
Male / Female |
||||
| Address |
||||||
| City |
State |
Zip code |
||||
| Country |
Place of Birth |
|||||
| Phone (H) ( ) ( ) country city |
Phone (W) ( ) ( ) country city |
Fax ( ) ( ) country city |
||||
| Nationality |
Passport No |
Native language |
||||
| Occupation | Academic Institution / Employer | |||||
| Program options (circle one): Total Program (Tuition, Accommodation, Insurance, Activities etc) / Tuition Only / Tuition Plus / Accommodation Only with TO/TP / Direct Entry | ||||||
| Program Title |
Location |
Duration (weeks) |
Program Code (if available) |
|||
| Program Start (e.g. Wed, Apr 10) |
Program End (e.g. Wed, Jul 3) |
|||||
| ForChinese Martial Arts only. List preference of discipline: | ||||||
| For Chinese Medicine only. List preference of discipline: | ||||||
| For Chinese Cooking only. List preference of discipline: | ||||||
| Previous China Language studies | ||||||
| Dates | Where | Hours per week | Level | |||
| Circle the most appropriate number of Chinese words you know: None (Total Beginner) / Approx. 300 / Approx. 800 / Approx. 1500 / Approx. 2500 / Approx. 3500 | ||||||
| Are you receiving a credit transfer for this Program from your college or university? Yes / No If yes, how many credits? | ||||||
| How did you hear about this China language program? | What other languages have you studied? | |||||
| Accommodation | Double Share / Individual |
Extra accommodation nights |
||||
| Accommodation Start (day before start of program) |
Accommodation End (day after the last day of program) |
|||||
| For shared accommodation: Do you smoke? Yes / No | Do you prefer to live in a smoke-free room? Yes / No | |||||
| Person to contact in case of emergency Name |
Relationship (e.g. father) |
|
||||
| Phone (H) ( ) ( ) country city |
Phone (W) ( ) ( ) country city |
Fax ( ) ( ) country city |
||||
| Address |
||||||
| Date Application Fee (US$ 100) was paid |
Paid by: Bank transfer / Certified Bank Check / Money Order | Name of Bank | ||||
| Program Fee (Bank charges must be paid by the applicant) |
Enrollment Deadline |
|||||
| I agree that: 1) The above information is true and documents given in support of my Application are complete and correct. 2) I will abide by the laws of the People's Republic of China and will not engage in activities that bear no relation to my academic pursuit in China. Signature of Applicant / Parent or Guardian if under 18 years old Date |
||||||
| Comprehensive information on GCE's China Program, Fees, Features and How To Apply guide is available at www.studychinesenow.com. For general questions, e-mail info@studychinesenow.com. For questions regarding application, e-mail admission@studychinesenow.com. |
||||||
www.studychinesenow.com