Chinese Season Course   BLOCK

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International Student Application Form (p.1) Chinese Season Course
Chinese Language Section of Language Center 語文中心華語組
Instructions 
Please complete this form in BLOCK LETTERS in English 
Return to: 
Read and SIGN the conditions of enrolment I SHOU UNIVERSITY, Language Center (Level 1, 
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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 above address or by e‐mail International College) No.1, Sec.1, Syuecheng Rd., Dashu Dist., Kaohsiung City 84001, Taiwan, R.O.C. Tel: 886‐7‐6577711ext.2603 Fax: 886‐7‐6577472 PASSPORT PHOTO Email: [email protected] Web:www.isu.edu.tw/clc
Personal Details □Mr □Mrs □Ms □Other_______________ □Family name:_______________________ Given names:____________________________ Chinese Name:__________________
Date of Birth: DD/MM/YYYY
Gender:_______________Nationality:____________________ Passport number:______________
Applicant’s permanent home address outside Taiwan: Number and street:____________________________________________City(Province,State):________________________________
Post/zip code:______________________________________ Country:___________________________________________________ Taiwanese address (if any): Number and street:____________________________________________City(Province,State):________________________________
Post/zip code:______________________________________ Country:___________________________________________________ Phone:__________________________Mobile:_________________________________ Email:________________________________
Do you take any medication or have a medical condition? □No □Yes Details________________________________________________ Visa Information Do you already have a visa that will allow to study at ISU‐LC? □No □Yes
If no, what type of visa are you applying for? If yes, type of visa:_________________________________
□Visitor visa (Chinese Study) □Resident visa □Other type of visa___________________________________ Education Background Highest Education: □Senior High School □Bachelor □Master Degree Name of School:_________________________ Major:_________________________________________________________ Graduated: □Yes □No Airport pickup Do you require an airport pickup on arrival? □No □Yes If yes, please provide details of your arrival: Date of arrival: DD/MM/YYYY Flight arrival time:___________ Flight number:_______
Arriving at : □Kaohsiung International □High Speed Rail (Kaohsiung/Zouying) *The arrival time between 8:00a.m. to 5:00p.m.is highly recommended. Insurance Please ensure that you will have valid accidental insurance and medical insurance during your stay at Taiwan. You could also subscribe accidental insurance in Taiwan. You could ask the LC office for assistance regarding the insurance matters. International Student Application Form (p.2) Chinese Season Course Language Background Have you ever studied Mandarin before? □Yes (If yes, complete the following section) □No Where did you study? ____________________ When?_____________________ State years, months studied _____ year(s) _____month(s) How many hours per week? ______________ hours/week Please mark your Mandarin level? □ Basic □Intermediate □ Advanced □ N/A Which have you studied? □Simplified Characters □Traditional Characters □Zhuyin(ㄅㄆㄇㄈ)
□Pinyin □Listening □Speaking □Reading □Wri ng Did you regularly use Chinese in your home country? □Yes □at home □at work □How many hours a day?____________ □No Have you ever lived in a Chinese‐speaking country? □Yes □which country______________ □when?______________ □How long? ____________ □No Did you take any official Chinese test? □ Yes /Name of test___________________ Level_____________ Score__________ □No List the main books you have formally studied (please indicate title and level) English Level/ English Certificate? □ Basic (less than 1 year) □Intermediate (about 1‐2 years ) □ Advanced (more than 3 years ) Did you take any official English test?□ Yes /Name of test___________________ Level_______________ Score__________ □No Which course are you applying for? Level: □Beginner □Basic □Intermediate Year: 20□□ Month/Season: □Mar‐May/Spring □Jun‐Aug/Summer □Sept‐Dec/Fall Please note that the level of class you will be in may not be the level you choose. All students are subject to a placement test before they are assigned to any class. Further studies in Taiwan 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 Affairs? □Yes □Faculty______________________ □No Conditions of enrolment and declaration 
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I understand that I must graduate from high school at the time of course beginning. I understand and accept the terms of the LC 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‐LC 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‐LC within three working days. I agree that ISU‐LC 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‐LC. I acknowledge that ISU‐LC 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‐LC to use this to communicate with me on any matters relating to my enrolment at ISU‐LC.  I agree to abide by the regulations of ISU‐LC 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 Certification Name (please print in English):__________________________ Signature:______________________ Date: DD/MM/YYYY International Student Application Form (p.3) Chinese Season Course
Checklist of required documents □Application form (including study plan). □2 passport photos. □Photocopy of diploma, photocopy of official school transcripts or equivalent academic records listing courses, grades, credits, etc. □Recent health certification (including HIV Test) issued within 6 months. □Photocopy of passport first page (must clearly show passport number, name, personal data and photograph). □Recent financial statement within 3 months proving the applicant has at least US$2,000. Study plan Certification Name (please print in English):__________________________ Signature:______________________ Date: DD/MM/YYYY 
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