For office use only Prog Start Date: Date Sent Fin: Year: China Intensive Language Program Application Form Instructions: 1. Familiarise yourself with the program and check your eligibility to take part by visiting: http://artsonline.monash.edu.au/llcl-study-abroad/chinese-intensive/ 2. Seek advice from your managing faculty to ensure the program fits your course progression 3. Seek language assessment and approval to enrol in the program from Chinese studies by 25 September 2015. Provide a copy of your unofficial Monash academic record downloaded from WES. 4. Submit application to Arts Student Services by 4 pm. 2 October 2015 – located Level 2, South, Building 11, Clayton, or Level 5, Building H, Caulfield. Non-Arts students should first obtain approval from their managing faculty before submitting application to Arts. Absolutely no applications will be accepted after this date. Please see http://www.monash.edu.au/enrolments/dates/census.html for information on census dates. 5. After receiving e-mail confirmation from Monash Abroad that you have been accepted into the program, please complete the Monash Abroad International Study Program online form by 21 October. The Form URL will be sent to you with the confirmation email. 6. In order that we may confirm accommodation at Chinese host institutions, please ensure that your enrolment is finalised by 16 October. . Student personal details Monash ID Given name(s) number Title Family name Date of birth Telephone (mobile) Place of birth Country of passport used to enter overseas destination Faculty Campus Monash email address (Ms, Miss, Mr) Country of citizenship Alternate email (other than Monash or gmail) Emergency contact Relationship to student Family name Current postal address Telephone (mobile) Given Name(s) email address Telephone (home) Telephone (work) International study program details and faculty approval Overseas Institution: Country of destination: Length of program: Program start/end dates: Teaching dates excluding travel Date you depart from Australia: Please estimate if bookings not yet confirmed Date you return to Australia: Please estimate if bookings not yet confirmed Page 1 of 2 Enrolment: Shanghai – SISU 上海外国语大学 Chinese Intermediate 1 & 2 Chinese Proficient 1 & 2 Chinese Advanced 1 & 2 Chinese Advanced 3 & 4 Chinese Advanced 5 & 6 Credit points Unit codes and titles AEH2001 - Chinese Intermediate 1 (CILP) 6 AEH2002 - Chinese Intermediate 2 (CILP) 6 AEH2001 - Chinese Proficient 1 (CILP) 6 AEH2002 - Chinese Proficient 2 (CILP) 6 AEH3001 - Chinese Proficient 1 (CILP) 6 AEH3002 - Chinese Proficient 2 (CILP) 6 AEH3001 - Chinese Advanced 1 (CILP) 6 AEH3002 - Chinese Advanced 2 (CILP) 6 AEH3003 - Chinese Advanced 3 (CILP) 6 AEH3004 - Chinese Advanced 4 (CILP) 6 AEH3005 - Chinese Advanced 5 (CILP) 6 AEH3006 - Chinese Advanced 6 (CILP) 6 Your application (tick) School approval* Beijing – UIBE 对外经济贸易大学 Chinese Translation in specialised topics# 1&2 Chinese Business Translation 1 & 2 AEH2003- Chinese Translation in specialised topics1 (CILP) 6 AEH2004- Chinese Translation in specialised topics 2 (CILP) 6 AEH3003- Chinese Business Translation 1 (CILP) 6 AEH3004- Chinese Business Translation 2 6 (CILP) *Chinese studies approval will be sent to your student email account. Please print and attach to application. #Prohibition: ATS2043/2044 Student declaration Should my application for this program be approved, I authorise the faculty to process my enrolment into the approved units. _________________________________ Signature _________________________ Date Managing Faculty declaration: I confirm the above details are correct and meet faculty requirements (name, signature and stamp required). _________________________________ Managing Faculty Signature _________________________ Date Page 2 of 2 Faculty/Dept stamp