简体中文

2018 IMSW Program in Women’s Leadership and Social Development——Application Form


发展中国家女官员“女性领导力与社会发展”社会工作专业硕士项目申请表

Application Form of the Social Work Postgraduate Program for Female Officials from the Developing Country

护照用名/Name in passport

/Family name

中文名/Chinese name

(if applicable)

照片

Photo

/Given name

国籍

Nationality

出生地点

Place of birth

出生日期

Date of birth

年月日

/year/month/date

男□Male

女□Female

已婚□Married

未婚□Single

护照号码

Passport No.

宗教/Religion

(if applicable)

最后学历/Previous education

现职务/Job Duties

现工作单位/Current employer

永久通讯地址/Permanent mailing address:

电话/Tel:传真/Fax:

E-mail 1:

E-mail 2backup:

Note: It is highly suggested that provide two email addresses and avoid to use Gmail for technical reasons.

目前通讯地址/Current address if different:

电话/Tel:传真/Fax:E-mail:

申请专业

Application major

研究方向

Research topic

现有英语水平/English language proficiency:


本人简历/Curriculum vitae

单位时间(年/月——年/月)主修专业

Previous and Current Education & EmployerYears Attended(from/to)Fields of Study

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

家庭主要成员/Family members

姓名/ Name关系/ Relation职业/ Employment电话/ Tel:

____________________________________________________________

____________________________________________________________

____________________________________________________________

紧急联系人(紧急联系人可以是父母或者亲戚朋友,国籍不限,但学生不能做紧急联系人)/Emergency contact during your stay at BLCU(Contact person can be a parent or relative of applicants. Student cannot be the contact person )

姓名/ Name:国籍/ Nationality:与本人关系/Relationship to the applicant:

永久通讯地址/Permanent mailing address:

单位/ Name of employer:

住宅电话/Home Tel:办公室电话/Office Tel:

传真/ Fax:E-mail:

我愿意到金宝搏官方网站 学习,在学习期间保证做到下列各项/I am willing to study at China Women’s University. I pledge the following terms during my study:

1.遵守中华人民共和国法律

I will abide by the laws of the People’s Republic of China.

2.不从事学习目的以外的活动

I will not engage in activities bearing no relation with my academic pursuit in China.

3.遵守学校的各项规章制度,努力学习

I will study industriously and observe all rules and regulations of the University.

学生本人签字/Signature of the applicant:

日期/Date: