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1、郑州大学校长奖学金申请表APPLICATIONFORMZHENGZHOUUNIVERSITYPRESIDENTSCHOLARSHIP请申请人认真阅读本表第四页的填表说明。请用中文或英文填写此表格。请用电脑打印或用篮色或黑色钢笔认真书写表格内容。请在所选项框内划x表示。不按规定填写的表格将视作无效。Pleasereadcarefullytheimportantnotesonthelastpagebeforefillingoutthefbnn.PleasecompletethefbnninChineseorEnglish.IftheformisnotfilledinonPC,pleasewrite
2、legiblyinblackorblueink.PleaseindicatewithiX,intheblankchosen.Anyfbnnsthatdonotfollowthenoteswillbeinvalid.1.申请人情况/PersonaIInformatiOn:护照用名/PassportName:姓/FamiIyName:名/GivenName:国籍/Nationality:护,照号码/PassportNo.:出生日期/DateofBirth:年/Year月/Month日/Day出生地点/PlaceofBirth:国家/Country:城市/City:男/Male:女/Female:已
3、婚/Married:未婚/Single:其它/Other:母语/NativeLanguage:宗/Religion:当前联系地址/PresentAddress:电,舌/Tel:传真/Fax:E-mail:永久通信地址/PermanentAddress:主修专业Fieldsof Study毕业证书及学位证书CertificatesObtained orTo Obtain从事工作WorkEngaged职务及职称PostsHeld2 .受教育情况/EducationBackground:学校在校时间InstitutionsYearsAttended(from/to)3 .工作经历/Employmen
4、tRecord:工作单位起止时间EmployerTime(from/to)4 .语言能力/LanguageProficiency:a) .汉语/Chinese:很好/Excellent：好/Good：较好/Fair：差/Poor：不会/None：HSK考试等级或其他类型汉语考试成绩7LevelofHSKtestorothercertificateswhichcanshowyourChineselevel:b) .英语/English:很好/Excellent:好/Good:较好/Fair：差/Poor：不会/None:我的英语水平可以用英语学习/ICanbetaUghtinEnglish:是/
5、Yes否/Noc) .其他语言/OtherLanguages:5 .来华学习计划/ProposedStudyinChinaa) .申请来华学习类另/LevelofStudyinChina博士研究生/DocioralDegreeStudent:b) .申请来华学习专业或研究专题/SubjectorFieldofStudyinChina:c) .申请专业学习时间/DurationoftheMajorStudy:自/From:年/Year月/Month至/To：年/Year月/Monlh6 .拟在华学习或研究的详细内容(可另附纸)/PleaseDescribetheDetailsofyourStud
6、yorResearchPlaninChina(anextrapapercanbeattachedifthisspaceisnotenough):7 .曾发表的主要学术论文、著作及作品/AcademicPapers,Writing&ArtWorksPublished:8 .推荐您申请郑州大学校长奖学金的机构或个人/PleaseSpecifytheOrganizationorPersonRecommendingyouforthisScholarship:9 .申请人在华事务联系人或机构/TheGuarantorChargingYourCaseinChina:名称/Name:电话/Tel:传真/Fa
7、x:地址/Address:10 .申请人是否曾在华学习或任职/HaveyoueverStudiedorWorkedinChina?是/Yes:口学习或任职单位/InstitutionorEmployer:在华时间/TimeinChina:自/From:年/Year月/Month至/To:年/Year月/Month否/No:口11 .申请人亲属情况/FamilyMembersoftheApplicants:姓名年龄职业NameAgeEmployment酉己J禺/SPOUSe:父亲/Father:母亲/Mother:*所附材料情况（请在所附附件前划X标明）/MaterialsAttached（Pl
8、easeIndicatewith注：每份申请材料最多不超过20页，请全部使用A4纸。Each set of the complete materials should not exceed 20 pages. Please use DIN A4.无论申请人是否被录取，上述申请材料恕不退还。Whether the candidates are accepted or not, all the application materials will not be returned.申请人保证/I Hereby Affirm That:1.申请表中所填写的内容和提供的材料真实无误；All inform
9、ation and materials given in this form are true and correct.2.在华期间，遵守中国的法律、法规，不从事任何危害中国社会秩序的、与本人来华学习身份不符合的活 动；During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in any activities in China which are deemed to be adverse to the social ord
10、er of China and are inappropriate to the capacity as a student.3.来华后服从学校安排，不得无故要求变更学校和所学专业；I will agree to the arrangements of my institution and specialty of study in Beijing made by the University, and will not apply for any changes in these two fields without valid reasons.4.在学期间，遵守学校的校纪、校规，全力投入学
11、习和研究工作。尊重学校的教学安排；During my study in China, I shall abide the rules and regulations of the host university, and concentrate on my studies and researches, and follow the teaching programs arranged by the university.5.按规定期限修完学业，按期回国，不无故在华滞留； shall return to my home country as soon as I complete my sche
12、duled program in China, and will not extend my stay without valid reasons.6.如违反上述保证而受到中国法律、法规或校纪、校规的惩处，我愿意接受中止或取消奖学金及其它相应 的处罚。If I am judged by the Chinese laws and decrees and the rules and regulations of the university as having violated any of the above, I will no lodge any appeal against the dec
13、ision , or withdrawing my scholarship, or other penalties.申请人签字/Signature of the Applicant: 日期/Date: （无此签名，申请无效/The application is invalid without the applicants signature）X,intheBracket.）: 两击十推荐信/TwoLettersofRecommendation. 本人最后学历成绩单复印件（须公证）/TranscriptsoftheMostAdvancedStudies（NotarizedPhotocopy）.
14、本人最后学历证书复印件（须公证）/DiplomaoftheMostAdvancedStudies（NotarizedPhotocopy）:高中/HighSchool学士/Bachelor硕士/Master博士/Doctor其它/Others 外国人体格检查记录（复印件）/ForeignerPhysicalExaminationForm（Photocopy）. 来华学习计划/SludyPlaninChina. 所发表的文章等/ArticlesorPapersWrittenorPublished. 其它附件（请列出）/OtherAttachments（ListNeeded）:填表说明(每一项数字与
15、申请表中每一项序号相对应)：GUIDELINESFORFILLINGINTHISFORM(NUMBERSREFERRINGTOTHEVARIOUSBLOCKS):1. 本项所有内容申请人必须如实填写。Personalinlbrmationabouttheapplicantmustbefilledintrulyandcorrectly.2. 请列出申请人已经完成或即将完成的各级教育，包括中学、职业教育及高等教育各项。请随材料附上经公证的最高级教育的学历证明、毕业证书或学位证书的原件复印件和英文翻译件。Pleaseprovidethefollowinginformationforallcomple
16、tedsecondary,vocational,technical,undergraduateorpostgraduatetrainingandqualifications.Anyincompletecoursesshouldalsobelisted.OnenotarizedcopyofyourofficialtranscriptscertificatesandnotarizedcopiesofEnglishtranslationsofyourhighesteducationmustbeincludedwitheachapplicationform.3. 请列出申请人曾经从事和现在从事的工作。
17、Pleaseclarifyyourworkexperiencesandyoucurrentpost.4. 本项将表明申请人的语言情况，对申请人来华后的课程安排及授课语言非常重要。请随材料附上有关证明材料。Pleasestateyourknowledgeoflanguages,especiallyChineseandEnglish.Ifyouhavepassedalanguagetest,pleaseincludeacopyoftheresultsinyourapplicationmaterials.Thisisveryimportantbecauseitwilldecideyourteachi
18、nglanguageinChina.5. 请申请人按本项提示选择来华后的学习计划，学校有权作相应调整。TheapplicantwillchooseIhedetailedinformationconcerninghisstudyinBeijingaccordingtothecluesgivenin(hiscell.Theinstitutionisentitledtomakeanynecessaryadjustmentaccordingtotheapplicantspreferences.a.请选择你申请来华学习的类别。Pleasechoosewhatlevelofstudyyouwanttobe
19、engagedinChina.b.请详细写出你申请来华学习的专业或从事研究的专题。PleasespecifyyoursubjectorfieldofstudyinChina.c.请标明你所申请的来华学习时间。DurationofthemajorstudyappliedinChina.d.由于中国高校的主要授课语言为汉语，所以来华后的汉语补习非常重要。请在该项标明你是否需要汉语补习及所希望的汉语补习时间。SincetheteachinglanguageofChineseuniversitiesisChinese,itsveryimportantforyoutotellusinthiscellwh
20、etheryouneedelementaryChinesestudypriortoyourmajorstudyornot.If“Yes”，pleaseindicatethedurationOftheChinesestudy(notincludedinthelengthofmajorstudy).6. 请认真填写此项，它对于学校确定申请人的学习专业及授课教师非常重要。请说明你从事研究的题目或基本内容，亦可以列出你希望的一些课程。可另附纸。Pleaseillustratethesubjectofyourresearchorthemaincontentofyourstudy,youcanalsogi
21、vesomecoursesyouwanttoattendinChina.Itiscrucialfortheuniversitytodecideyourmajorandarrangetheprofessorforyou.7. 请列出申请人曾经发表的或曾写过的论文、著作、作品。Pleaselisthereyouracademicpapers,writingandartworkpublishedorwritten,ifany.8. 你的推荐人和推荐机构。Thepersonororganizationthatrecommendyouforthisscholarship.9. 在华联系人或联系机构，关于申请人在华的有关事务，我们将与其联系。TheguarantorschargingyourcaseinChina,wewillcontactthemforyourcasewhennecessary.10. 如果你曾在中国学习或工作过，请告知你在华的学习院校或工作单位。IfyouhadeverbeentoChinaforstudyorwork,pleasespecifyyourinstitution,employerandtimeinChinaIL申请人亲属的基本情况。Generalinformationabouttheapplicantsfamilymembers.
