The Beijing Center

ChinaVoice Application Form

(There are 3 parts to this application)

PART I. APPLICANT INFORMATION

 
* 1. First Name:
 
  2. Middle Name:
 
* 3. Last Name:
 
* 4. Gender:
 
 
 
  5. Preferred Name:
 
* 6. Present (Campus) Address:(Street Address/City/State/Province/Zip/Valid until)
 
* 7. Telephone
 
* 8. Cell Phone
 
* 9. E-mail Address
 
* 10. University/College Attending
 
* 11. Major / Minor
 
  12. Work experience
 
  13. Briefly describe your foreign language skills (i.e., languages spoken, able to read and write, and what background in languages other than English)
 
* 14. Citizenship
 
* 15. Birth Date
 
* 16. Birth Place (City / State or Country)
 
* 17. At this time, do you have a passport that you plan to use to go to China that is valid at least six months beyond the ending date of your intended stay in Beijing?(If no, please apply for a passport or get your current one renewed as soon as possible.)
 
 
 
  18. If yes, what is the Passport Number?
 
  19. Passport Expiration Date?
 
* 20. Have you attended The Beijing Center undergraduate program before?
 
 
 
  21. If yes, when?
 
* 22. How did you learn about ChinaVoice summer Mandarin program?
 
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