山东大学2010国际暑期学校

Shandong University
山东大学2010国际暑期学校
Application Form for International Summer School 2010
Shandong University
August 01~ August 27, 2010@ SDU
NOTE: Y ou are requested to complete this form as fully as possible, providing such additional supporting information as you feel is appropriate or useful. PLEASE COMPLETE SECTION ONE IN BLOCK CAPITALS AND/OR USE A COMPUTER THROUGHOUT.
Section One
OTHER NAMES............................................................
DATE OF BIRTH................. ..... ..... ..........Male/Female NATIONALITY....................................
HOME ADDRESS.................................................................................. ............................................... ... ... ... ... .......................................... .................... ... ... ... ... ....... ........................ .... ... ........................... TELEPHONE........................................................................................... FAX....................................................................................................
E-MAIL ADDRESS....................................................................... UNIVERSITY.............................................................................. SCHOOL/DEPARTMENT...............................................................
Section Two:
LANGUAGE(S) YOU SPEAK
i) Your Own............................Others................................................
ii) Fluency in English (please tick as appropriate)
Oral: NONE FAIR GOOD FLUENT
Written: NONE FAIR GOOD FLUENT
iii) Fluency in Chinese (please tick as appropriate)
Oral: NONE FAIR GOOD FLUENT
Written: NONE FAIR GOOD FLUENT
Shandong University
Section Three
EDUCATION and TRAINING
Undergraduate Institution................................................................... Major............................................................................................... Date or Expected Date of Graduation....................................................
Graduate Institution........................................................................... Degree Program................................................................................ Date or Expected Date of Graduation....................................................
State any training you have had relevant to the Summer School course and any qualifications gained:
...............................................................................................
...............................................................................................
Please provide any other information you consider relevant to your application.
...............................................................................................
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I certify that the information I have given in this form is true: Signed........................................ Date......................................... Countersigned................................. Date.......................................
(By the Head of International Office or your equivalent office--only applicable to students from SDU sister universities) ......................................................................................................... (Name of the Head of International Office or equivalent [in full print])
Please send the completed application to:
Ms. Jiang Hongmin
International Office
Shandong University
27 Shanda Nanlu
Jinan 250100
P. R. China
Tel：+86-531-88362840; 88364853
Fax：+86-531-88565051
E-mail: ipo@
International Summer School 2010
Shandong University
山东大学2010国际暑期学校
Field Trip Attendance Form for International Summer School 2010
Shandong University
August 01~ August 27, 2010@ SDU
Please fill in this form and submit it along with the application form.
Please note that at least 20 candidates are expected to join for each field trip.。