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First Name
Last Name
Date of Birth (dd/mm/yy)
Gender Male Female
Passport
Passport Number
Occupation
Address
Telephone (home)
Email (please double check)
Expected Arrival (dd/mm/yy)
Intended length of study 1 Quarter
2 Quarters or more
Summer session only
Highest Educational Background

Name of School

Major

Graduated (mm/yy)
Preferred School Chung Hua University: Taipei CLD: Taipei
Providence University: Taichung
Do you require health insurance? Yes No
Have you ever studied Chinese? Yes No

 If Yes,
Length of Study (months)
Location of Study
Did you study standard or simplified characters?
Did you study Pinyin, Yale, or Mandarin Phonetic system?
Textbook used
What is your reason for wanting to learn Mandarin? What level do you intend reaching and which is more important for you: reading, writing or speaking?
Contact in Taiwan
(if applicable)
Name
Relation
Address
Phone
Contact in your home country
Name
Relation
Address
Phone
Additional services req'd Accommodation Finding

 

Please also email us a copy of your passport and recent photo.
 

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