Summer Program  (9 weeks)
* fields are compulsory

 Group A Group B *  
  Internship Only Study Only Intern/Study Combination *
  Beijing
 Shanghai  No Preference *
Personal Information
NAME: First * Middle: Last: *
Date Of Birth: day month year *
Sex: M F *
Contact e-mail: *
Home Phone: ( ) - *
Work Phone: ( ) -
Fax Number: ( ) -
Home Address  
Street: *
City: *
State: *
Postal code: *
Country:
Contact Address(If different from the home address above)
Street:
City:
State:
Postal code:
Country:
   
Nationality: *
Ethnicity: *
If non-U.S. Citizen, Visa Type:
Personal Information:
Departure and return airport: City Country
Internship Choices
Field: 1st Choice *
2nd Choice *
3rd Choice *
  ★ No Pay
★★★ Pay Depends On Qualification
If other, please describe:
Language Ability
Native Language: *
Chinese Level: *
Other Languages   
Other Languages   
Other Languages   
Any other additional language qualifications:
Undergraduate Qualification
University or College: *
 Status: *
Major 1: *
Major 2:
Minor 1:
Minor 2:
Year of graduation
GPA:
Post graduate Qualifications
University or College:
Subject 1:
Subject 2:
Subject 3:
Subject 4:
Year of graduation
GPA:

Status

If other please describe
Additional Required Information
Emergency Contact Information  
Name:                   *
Phone: ( ) - *
Address:
Relation:
  
Have you ever been to China? Yes No *     
Describe
If yes, how much total time have you spent in China?    
Do you have a valid passport? Yes No *
Do you have health insurance 
for international travel?		 Yes No *  (You must have international travel    insurance to participate on Abroad China's programs)
Do you have any pre-existing 
medical conditions or disabilities?		 Yes No *
 If yes, please explain 
How did you hear of us?*
Internet Monstertrak.com
Goabroad.com Studyabroad.com
Career center Study abroad office
Business school Chinese class
Faculty Study abroad fair
Past participant Friends
Other     ,  please specify 

Please write a brief statement of your aims. Please include the following points:*
General goals for your experience in China
Internship expectations and Industry interests
Consideration of language exchange
Have you ever lived abroad before? If so, what did you gain from the experience? If not, what do think you will gain from this experience?
Other requirements


Copy and paste your resume in the space below.*
 
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