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Tsinghua International Summer School - Experiencing China 2019 July 11-24, 2019, Tsinghua University, Beijing, China Application Form Please complete the application form in English. Application period: Jan. 18th - Apr. 30th (Partner university nomination); Jan. 18th - May 31st (self-application). Please email your application form with your curriculum vitae, official full academic transcript, photocopy of passport photo page, one electronic copy of your passport-sized photo and proof of proficiency in English (if applicable) to: [email protected] Personal Information Surname Gender Male Female First Name Date of Birth (DD/MM/YYYY) Nationality First Language Second Language Passport No. Passport expiry date (DD/MM/YYYY) Have you been to P.R. China before? Yes For how long? For what purpose? Dietary requirement Vegetarian Special requirement Education Home University Undergraduate Postgraduate Department/School/College Degree type Grade 1st year 2nd year 3rd year 4th year Other (please indicate) Major 1 Major 2 (if applicable) Contact Information Email-address Landline (with country code) City Country Post Code Emergency Contacts (at least one; parent or close relative preferred) 1) 2) Best Contact Phone Best Contact Phone Please provide a supporting statement about yourself. What is your greatest talent or skill, and how would that benefit the community of Experiencing China 2019? Mobile phone (with country code) Address State No Name Name Relationship Relationship 1

Tsinghua International Summer School - Experiencing China 2019 · Department/School/College Degree type Grade 1st year 2nd year 3rd year 4th year Other (please indicate) Major 1 Major

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Page 1: Tsinghua International Summer School - Experiencing China 2019 · Department/School/College Degree type Grade 1st year 2nd year 3rd year 4th year Other (please indicate) Major 1 Major

Tsinghua International Summer School - Experiencing China 2019 July 11-24, 2019, Tsinghua University, Beijing, China

Application Form

Please complete the application form in English. Application period: Jan. 18th - Apr. 30th (Partner university nomination); Jan. 18th - May 31st (self-application). Please email your application form with your curriculum vitae, official full academic transcript, photocopy of passport photo page, one electronic copy of your passport-sized photo and proof of proficiency in English (if applicable) to: [email protected]

Personal InformationSurname Gender Male Female

First Name Date of Birth (DD/MM/YYYY)

Nationality First Language Second Language

Passport No. Passport expiry date (DD/MM/YYYY)

Have you been to P.R. China before? Yes For how long?

For what purpose?

Dietary requirement Vegetarian Special requirement

Education Home University

Undergraduate Postgraduate Department/School/College Degree type Grade 1st year 2nd year 3rd year 4th year Other (please indicate)Major 1 Major 2 (if applicable)

Contact InformationEmail-address

Landline (with country code)

CityCountry Post Code

Emergency Contacts (at least one; parent or close relative preferred) 1)2)

Best Contact Phone Best Contact Phone

Please provide a supporting statement about yourself. What is your greatest talent or skill, and how would that benefit the community of Experiencing China 2019?

Mobile phone (with country code)

Address

State

No

NameName

RelationshipRelationship

1

Page 2: Tsinghua International Summer School - Experiencing China 2019 · Department/School/College Degree type Grade 1st year 2nd year 3rd year 4th year Other (please indicate) Major 1 Major

About the person who recommends you to this program (if applicable)

Name

Organization

Post held or Position

Email

Relationship with the applicant

A statement of interest in the program

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