中方大学专业师资定向培养项目英文申请表

1、中方大学专业师资定向培育项目英文申请表CommonApplicationForm-ChineseVisitingScholarPersonalInformation:FamilyName_FirstName_Gender:FemaleDateofBirth_/_/_CountryofBirth/Male_MMDDYYYYCity/CountryPermanentContactInformation:Address_Phon_Fax_EmailAddress_SKYPEAccount_EmergencyContactInformation:EmergencyContact_Relationshi

2、p_TelephoneNumber_Email:_PeriodofVisiting:From:/_to:_/_/MMDDYYYYMMDDYYYYAcademicBackgroundEarnedhighestdegree:_Date:NameoftheInstitutionandlocation:_Majorfieldofstudy:_ProfessionalData:Employer:_Title/Position_FieldofExpertise_HaveyoueverbeenintheUnitedStatesYesNoIfYes,pleasetellwhenandwherehaveyoub

3、eenintheUnitedStates.EnglishProficiencyInformation:TOEFLScore(ifany)_;IELTSScore(ifany)_;ChineseCollegeEnglishTestLevelPassed:_;EnglishStudy:FromTo_Academic/ResearchPlanInaseparatedocument,pleasesubmitatypedplanofnomorethan500words.*TheAcademicPlanprovidesanopportunitytoevaluatetheacademicgoalsandco

4、mpatibilityofthecandidate.Italsoprovidesinformationregardingthecandidatesspecificareaofinterest,academicexpertiseandproposedstudyplanTheAcademicPlanshouldalsoineludeastatementreflectingyourthoughtsabouthowyouwillcontributetomulticulturalenrichmentandunderstandingofyourcountry,traditions,culture,hist

5、ory,language,etc.duringyourstay.CurrentCurriculaVitaeInaseparatedocument,pleasesubmityourCV.YourCurrentCurriculaVitae(CV)mustbesubmittedinEnglishandincludedetailsregardingyoureducationalbackground,academicqualifications,publications,relevantawards/honorsandsignificantinstructionalandresearchpresenta

6、tionexperienee.HousingInformation(pleasechecktheproperones,itcouldbemultiplechecks)_Sharedapartmentbutwithyourownbedroom_Sharedapartment,bathroom,andkitchen,butwithyourownbedroom_Notsharedwithothers,yourownapartment,bathroom,kitchenandbedroom_Preferfurnishedrooms_Preferunfurnishedrooms_Walkingdistan

7、eefromschool,orwithpublictransportation_Otherspecialrequirements:_Pleasenote:ThisHousingInformationisonlyapplicabletotheAmericanhostschoolswhodoNOThaveon-campushousingforthevisitingscholarsThecoordinatorswilltrytheirbesttomeetyourneeds.However,somechangesmayoccurduetocertainsituations.Thecoordinator

8、swillcontactyouafterwardsregardingthehousingissuesOthers:_IwillbuyhealthinsuraneefrommyUSinstitutionrecommendedcompaniesfortherecommendedpolicycoverage_IwillbuyhealthinsuranceinChinaforthecoverageofrecommendedpoliciesprovidedbyUSinstitutions_IhavesufficientfundingfrommyuniversitytosupportduringmytimeintheUnitedStates._IhavesufficientfundingfromtheChinesegovernmenttosupportmytimei