邢唷��>� UW��T��欹�o ��4bjbj22 蔅PdJjPdJj"+��4��hw<��4�,��(%%%��+�+�+�+�+�+�+T/� 2`�+i�:�"�::�+��%%�Z,@"@"@":��8%�%�+@":�+@"@"V�)@�A*%��0苘T钂��)�+p,0�,�)Tj2^ N�3A*A*&j2T�3$�g*t�0"@"=Y��+�+�!��,::::��3��YQ: 褠轢{忓]N'Yf[Y銷%�;m≧3u鲖h� Zhengzhou University of Light Industry Application for Summer Camp ,gh堬S YpSO(u If necessary, please make a copy of this form, then fill it out. 鲖(uckwiW[kX橯 Please write clearly in BLOCK CAPITALS. 鲖(W@b 恲橆v筫Fh �% 匭R " h�:yPlease indicate with " in the blank chosen. 1. 覻 TName: _________________________________ 駛噀gq(u TEnglish Passport Name: 覻Surname: ________________________ TGiven Name: _______________________ 2. 齎M|Nationality: ________________________ 3. '`+RSex: 7uMale �% sYFemale�% 4. 鶴u錯gDate of Birth: _____t^Year____gMonth_______錯Day 5. 鶴u0WBirthplace: 蜽^City _________ 齎M|Nationality ____________ 6. 梉Ye酧餘Religion: ____ 7. ZZ鸜秗礠Marital Status: US珟Single �% 騗ZZMarried�% 8. gq鱏x蔛 gHegPassport No. & Date of Expiration: ________________________ 9. g貧f[哠Last Degree Awarded: ______________ 誯Nf[!hSchool / University where you obtained your last degree: __________________________ 10. 皊(Wf[`Nb錧\OUSMOPresent Institution / University: ___________________ 珟齆bL€MOStudent Status / Position: ________________________________ 11. Il韹4ls^Chinese Proficiency: HSKb閪Do you have an HSK/YCT degree? �% gYes _______________ Degree, _______________ HSK Certificate No. _______________ YCT Certificate No. �% 鄀No f[`NIl韹I have studied Chinese for _______________ f[鰁Hours 12. 駛韹4ls^English Proficiency: TOEFL or IELTSb閪Do you have TOEFL or IELTS score? �% gYes _______________ RpeScore: ___________ �% 鄀No f[`N駛韹I have studied English for _______________ f[鰁Hours 13. 顅MRT€鹼0W@WCurrent Postal Address: _____________________________________________________________ 5u輯Tel: _______________ OwFax: ______________________________ 5uP[異鯪E-mail: ___________________________________ 14. 禰璣惎�0W@WFamily Postal Address: __________________________________________________________________________ 5u輯Tel: _____________________ OwFax: ______________________________ 15. ╟P僓SMORecommended by: ______________________________ 5u輯Tel: _______________ 16. 3u鲖篘睳^\臽礠Applicant s Family Members: M憊PSpouse: 6r睳Father: 蚹睳Mother: 覻 TName ________ "n�� 灬炙崂番崅yn穎`番番TIh4 h�-CJaJh4 h�-CJaJo( h�-PJh�-CJPJh弙=5丆JPJo(h�5丆JPJh^�5丆JPJo(h�-5丆JPJh\,Ih�-CJOJPJh�-5丆JOJh�-5丆JPJo(h�-5丆JPJh�-5丆JPJo(h弙=CJOJPJo(hi+CJOJPJo(h�-CJOJPJo(%jh�-5丆JPJUmHnHu"�� l n � J�l�T � j�� $dha$gd�- �;dhWD�`�;gd�-dhgd�-gd�-d�&dP��gd�-d�gd�- 勨WD�`勨gd�- 凨dWD�`凨gd�- 剹WD�`剹gd%Ye� � � � � � � � � : < > @ B h l n � J��68<BRVZhjlz�� 8 J R 箬箬箬哌种呱呔呔擢Κ炛曋獘獎獎�� hO�o( h�-CJo(h盇�h�-aJo(h�#�OJQJo(h魎�OJQJh�- h�-o(hN/h�-CJOJQJaJhN/h�-CJaJh�-CJOJQJaJo(h�-OJQJo(h�-CJaJo(h\,Ih�-CJaJh\,Ih�-CJaJo(2R T b r ~ € � � � � � � � � � � � � 4jx€�"*<r��z��,8>\^��>HJLN鳅鳅鳅鳅礓茼漩鳅鳅鳅愈佞琼俏径为径雾№琼乔砬鲇�h��OJQJo(h�$h�$OJQJo(h�$h�$o(h�$OJQJo(h��h�- h�$o( h��o(h��h魎�OJQJh魎�OJQJo(h�-OJQJo(h�- h�-o(?�<r�z�>�J�@��z�T�,�� ;dhWD�`�;gd�� 劋dhWD�`劋gd��dhgd�� dhWD�`�gd�$ 劋dhWD�`劋gd�-dhgd�- �;dhWD�`�;gd�- 刬dhWD2`刬gd�-N��&(@BFJTr€��xz�T\`htv��*,Rd�NPRz|��&&&&&"&漭漩唁蠕蒌蓥蒌蔸镁妹霉妹妹久得得冒懊霉妹妹矛矛妹妹妹忙耿h��h盨.Uh�- h�3�o(h^� h��o( h^�o( h�-o(h薠�OJQJo(h��h��OJQJo(h��h��h��OJQJo(h��OJQJo(h�� h��o(@,�NPR��&$&:&j&�&�&�&�&'6'��dhgd�3�劜劜dhUDUVDU]劜^劜gd�- 劜dhVDU^劜gd�-dhgd�- 勔dhWDd`勔gd��________ ________ USMOEmployer _______________________ _______________________ ________________________ L€MOPosition _____________ _____________ _____________ T€鹼5u輯Tel ___________ ___________ ___________ 17. 3u鲖篘軴翄 N饛Ty�-N衏汷剉臽礠/fw瀃鄀飲�(W褠轢{忓]N'Yf[Amg魰�u悎[f[!hTy樐夃z6R0I hereby affirm that all the information given in this form is true and correct; I shall abide by the regulations of Zhengzhou University of Light Industry. 3u鲖篘~{ TSignature of Applicant: _________________ 錯gDate:____________________ What s included? Fully covered by ZZULI: Expenses in China, including round-trip airport transfers (Beijing/Shanghai), accommodation, meals, local transportation, and activity fees. What s not included? Participant s Responsibility: International airfare and visa application costs remain the responsibility of the students/your institution.� Once you have filled this form, please send it to HYPERLINK "mailto:partnerships@canterbury.ac.nz"partnerships@canterbury.ac.nz with the following: Personal information: UC student ID number Cover letter answering the following questions: What motivated you to attend this outbound program and how do you believe it will contribute to your academic, personal or professional development? Why have you chosen China and Zhengzhou University of Light Industry (ZZULI) for your outbound experience? What aspects of the location and institution are you most excited about? How do you plan to put into practice the skills, knowledge, and experiences gained from this outbound program upon your return to the University of Canterbury? Important: the completion of this form does not guarantee your participation in the program. Applicants will go through a selection process and be notified of the outcome. Do not make any travel arrangements before the spot is officially offered to you. 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