San Diego State University -
American Language Institute

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 out this form and press "Send" button, your information will
   be submitted directly to schools. Hence,  Please fill out this form in English precisely.
Application Form
個人資料 Personal Details
姓氏
Family name
名字
Given name
國籍
Nationality
生日
Date of birth
(dd/mm/yy)
(日/月/西元年)
性別
Sex
Male
Female
地址
Address

(請寫明郵遞區號與國家)
(include post code and country)

 

電話
Telephone
傳真
Fax
電子郵件
E-mail
最高學歷
Education Background

(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.)
欲申請之課程 Course Selection
欲申請之課程名稱
Program Name

請參閱學校課程。  
Refer to the School's courses and programs.
課程開課日期
Commencement date
(dd/mm/yy)
(日/月/西元年)
若不確定,請先查詢學校資料。
Check schools' data if unsure. 
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)
住宿安排  Your Accommodation
•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 accommodation do you need?
   Homestay 住宿家庭      School Residence 學校宿舍
注意:有些學校並不提供宿舍。另外,提供宿舍的學校通常很早便會額滿,因此若宿舍額滿,學校將會協助學生安排住宿家庭或其它選擇。

 

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

* NOTE:The school reserves the right to vary fees, curriculum and timetables without prior notice.

* 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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