First Name：
Middle Name：
Last Name：
Gender：
Citizenship：
Passport No： 
Place of Birth：
Date of Birth  (yyyy-mm-dd)： 
Marital Status：
Home Add & Tel：
Street and number：
City：
State/Province：
Country：
Zip/Postal code：
Telephone number：
Email Address：
Name of Home School or Employer： 
How did you hear about the Program? 
Has recommendation been arranged? 
Your current GPA:
The semester I am applying for: 　
Summer, 2010
Fall, 2010
Spring, 2011
Chinese Language Background：
How many semesters have you studied Chinese?
How many hours each week did your Chinese classes have during the semesters?
What textbook(s) did you use before?
What Chinese characters did you learn, simplified or traditional?
What do you expect to improve the most among the following skills, speaking, listening, writing, and reading?
Note:
1. Application fees should be sent to 30 Wellesley, Irvine, CA 92612.
2. Recommendation letter and transcript should be sent to 30 Wellesley, Irvine, CA 92612.
3. Please send a digital ID picture to sstleanne@gmail.com or elanhonglee@yahoo.com
　
©2008 China Studies Institute