Chinese Government Full Scholarships for the Academic Year of 2016-2017 Application Form (Internal Selection) Part One: 1. Full Name 2. GT ID and E-mail 3. Date of Birth 4. Citizenship 5. Special Needs 6. Major 7. Cum GPA 8. Financial Aid (current) 9. Current Year 10. Graduation Year 11. Major/Minor in Chinese? 12. International Plan? (Y or N) 13. Native Language(s) 14. Individual self-assessment of speaking, reading and writing skills in Mandarin Chinese (0 5: none – strong) Years of formal study of Chinese — where and when 15. 16. List the Chinese classes (course code and grade) you’ve taken at GT (or elsewhere): 17. Length of time spent abroad (studied or lived abroad)— where and when 1 Part Two: Please include a Statement of Purpose not to exceed 600 words. You should address why you are interested in this scholarship; how this scholarship can help you with your academic, personal, and future plans; and your study plan in China next year if you obtain the scholarship. 2