*必填 (Required)


*報名課程
Course Registration
中文姓名
Chinese Name
*英文姓名
English name
*護照號碼
Passport NO.
* 護照失效日期
Passport expiry date

Please select the date by clicking the input box.
*居住國家
Living Country
*國籍
Nationality
*生日
Birthday

Please select the date by clicking the input box.
*性別
Gender
*身高
Height
*體重
Weight
*居住地緊急連絡人
Contact person in case of emergency
(in living country)
*在台緊急聯絡人
Contact person in case of emergency
(in Taiwan)
*電子信箱
Email Address
*信用卡卡號後四碼
The last 4 numbers of your credit card number
*法定監護人(保險用)
Legal Guardian (For Insurance)
*供餐
Dietary information
若無請填寫「無」 Fill in "No" if None.
若無請填寫「無」 Fill in "No" if None.
*特殊病症
Are you suffering or have you suffered in the past from any special diseases?
【如:心臟病、高血壓、糖尿病、氣喘……等】 【e.g., heart diseases, high blood pressure, diabetes, asthma, etc.】 若無請填寫「無」 Fill in "No" if None. 以上項目,請務必依實際情況填寫完整,如有因不實或未告知而造成學員生命財產安全之影響等,本院將有權利取消其參加資格,並將由報名者及其法定代理人自行負責。
Please fill out the application form seriously and honestly. If we got the incorrect or hidden information, your application will be canceled. Besides, regard to the safety of the participants, you must be responsible for it.
*特殊學習狀況
Do you have any special learning situation?
【如:過動症、自閉症……等】 【e.g., Hyperactivity, Autism, etc.】 若無請填寫「無」 Fill in "No" if None. 以上項目,請務必依實際情況填寫完整,如有因不實或未告知而造成學員生命財產安全之影響等,本院將有權利取消其參加資格,並將由報名者及其法定代理人自行負責。
Please fill out the application form seriously and honestly. If we got the incorrect or hidden information, your application will be canceled. Besides, regard to the safety of the participants, you must be responsible for it.
*華語程度調查
Mandarin Level Survey

◎您的母語為? Your first language is?

1.您是否有學習過華語的經驗?
Have you ever learned Mandarin?

2.您曾經學習過華語幾年?
How long have you been learning Mandarin?

3.您每週學習華語課程的時間為何?
How many times do you take the Mandarin class per week?

4.您於每週華語課程中所使用的教材為何?
What kind of material do you use in Mandarin class every week?

5.您使用的是注音符號還是漢語拼音?
Which system do you use in learning Mandarin, MPS or Pinyin?

6.您使用的是繁體字還是簡體字?
Which characters do you use in Chinese, Traditional or Simplified?

7.您是否於家中常使用華語?
Do you usually speak Mandarin at home?

8.您是否有過相關的華語活動或營隊經驗?
Do you have any experience of join a Mandarin activity or camp?

・以下相關個人語言程度自評,請圈選出您認為適合的選項。
Please fill the personal evaluation of Mandarin, and select the proper option which suits your current ability.
1 零程度 Beginner
2 基礎 Elementary
3 普通 Intermediate
4 良好 Upper-Intermediate
5 精通 Advanced

聽力能力 Listening

口說能力 Speaking

閱讀能力 Reading

書寫能力 Writing

*請問您是從何得知本夏令營之訊息?(可複選)
Where do you get the summer camp information? (Multiple choice)
優惠方案
Discount

請選擇您想要額外再報名的梯次 Please select another session you want to register:

請輸入與您共同團報的其他人之姓名與護照號碼 Please enter the other students' name and passport numbers: e.g. Steve Jobs (HT21233112)
其他問題詢問
Is there anything you would like to ask about the studies?
  
以上項目,請務必依實際情況填寫完整,如有因不實或未告知而造成學員生命財產安全之影響等,本院將有權利取消其參加資格,並將由報名者及其法定代理人自行負責。
Please fill out the application form seriously and honestly. If we got the incorrect or hidden information, your application will be canceled. Besides, regard to the safety of the participants, you must be responsible for it.