Edmonds Community College

請先查閱學校資料,再填表格。因為在您填妥資料後,按送出鍵,您的資料將會被直接
   傳送給學校單位,故請用英文詳細填寫本表格。
  Please read the school's information first,
   then fill out this form.  After you fill in this form and press "Send" button, your information will
   be submitted directly to schools. Hence,  Please fill out this form in English precisely.
Application For Enrollment
欲申請之課程 Course Selection
您之前是否曾經申請過本校課程嗎?
Have you ever applied to any of our programs before?
Yes 曾經      何時:(日/月/西元年)
No 不曾
欲申請之課程名稱
Program Name
英語課程  ESL only 
升學準備英語課程  ESL for College
學院正式課程 (副學位課程 / 大學轉學課程)
     College Programs (Associate Degree Program / University Transfer Degree Program)
高中文憑課程 
High School Completion Program
實習課程  
Internship Program

請參閱學校課程。
Refer to the School's courses and programs.
課程開課日期
Commencement date
   西元
課程結束日期
Closed date
(dd/mm/yy)
(日/月/西元年)
* 如果不清礎課程正確結束日期,請填寫您想唸
該課程幾週:
Week(s) 週
個人資料 Personal Details
姓氏
Family name
名字
Given name
地址
Address in Home Country

(請寫明郵遞區號與國家)
(include post code and country)
 
電話
Telephone
(Area code + Number 請寫明區碼與電話號碼)
傳真
Fax
(Area code + Number 請寫明區碼與電話號碼)
電子郵件
E-mail
國籍
Country of Citizenship
出生地(國)
Country of Birth
母語
Native Language
   其它語言:
                                           
Other Languages
生日
Date of Birth
(dd/mm/yy)
(日/月/西元年)
性別
Sex
Male
Female  女
婚姻狀況
Marriage Status
Single 未婚
Married
已婚
最高學歷
Level of Study Completed
畢業學校名稱:Name of School

(請寫明現就讀或畢業學校、主修或專長等等)
(
Please include your current school or the school you were graduated from, major, specialty...etc.)
住宿安排與其它資料  Your Accommodation and Other Info.
•您將於何時到達華盛頓呢?
    When will you arrive in Washington? 
   
(日/月/西元年)

 

•需要學校安排住宿嗎?
    Do you want assistance in obtaining accommodation?
   No 不需要      Yes 需要

 

•您需要哪種住宿安排?
    What type of housing would you like?
   
   Homestay  住宿家庭
   Dormitory
學生宿舍
注意:供宿舍的學校通常很早便會額滿,因此請儘快申請。

 

•需要學校安排接機嗎?
   
Do you require airport pick-up and transfer?
   No 不需要    Yes 需要

 

•您有家屬隨行至華盛頓嗎?
   
Will any members of your family accompany you to Washington?
   No 沒有     Yes

    若有,請寫明他們的姓名、與您的關係、生日、出生地:
   
If yes, please list their names, relationship to you, date of birth and country of birth:
  

 

•您是否由美國另一所學校轉學過來的?
   
Will you transfer directly from another school in the U.S.?
   No 不是     Yes

    若是,請寫明您在美國的地址:
   
If yes, what is your address in the U.S.?
  

 

•您是否需要學校發予入學許可證明,以方便申請美國學生簽證?
    
Do you need an I-20 for a student visa?
    Yes 需要     No
不需要
國際學生資料  International Student Details
英語程度 English Language Proficiency
若您接受過任何測驗,請在此填入成績
Please enter score or grade if you've undertaken any test

TOEFL: 
IELTS:  
Other:   

 

您的英語口說能力如何?
Is your verbal English
   Fluent  很流利     Good  好    Fair  還可以   Weak  很弱
您的英語書寫能力如何?
Is your written English
   Good  好      Fair  還可以    Weak  很弱
其它申請文件  Other Required Documents
請學校通知您課程申請費金額 (如果有的話)及應如何繳付:
Please inform me the  application fees if there is any and the payment options. 

    Yes 請通知         No  不用通知
請學校通知您其它申請文件 (如果有的話):
Please inform me other required application documents if there is any.

    Yes 請通知         No  不用通知

* 注意:填寫完此表格,按「送出」鍵送出後,請等待學校通知確認接受申請。後續申請程序依學校通知為依據。
Notice:  After filling out this form and pressing "Send " button, please wait for the school's confirmation of application acceptance.  The following application procedure should be based upon the school's notification.



  


按下「送出」鍵後,即自動送出您的資料給國外學校,故請勿重覆按「送出」鍵,謝謝。
After completing this form, press "Send" button and your message will be automatically sent to the school, so Please don't press the button twice.   Thanks!

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