出国留学申请表

出国留学申请表

出国留学申请表

REQUEST FOR APPLICATION MATERIAL FROM THE UNIVERSITY OF ××× (Please print in ink or typewrite. Complete all spaces.) Name in Full (Mr., Ms.) Address Citizen of Date of Birth

SECONDARY SCHOOL RECORD (List secondary school attended.) Name of School Location Major field of study Dates attended

Objective Test Taken ( indicate date each test taken. ) TOEFL□ □ GRE□ □ GMAT□ □ IELTS□ □ OTHER□ □

FINANCIAL SUPPORT Indicate the amount of funds in U.S. dollars available for education in the U.S. and their sources. ( Note: See insert for cost estimates. ) Will you be requesting No□ ) o financial assistance from the

University?( Yes□ s

( No aid is available for undergraduates ). If your request for financial assistance is not granted, will you want your application of admission considered? ( Yes□ No□ ) □ s

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出国留学申请表

EDUCATIONAL PLAN I wish to apply for admission as a candidate for the degree of ( Bachelor’s/Master’s/Doctor’s ) in term beginning ( September/January/April ) 200 ENGLISH PROFICIENCY I plan to take TOEFL (Yes□ No□). I’ll be enrolled in an English □ s Language Program (Yes□ No□). □ s HOUSING I wish to apply for University housing. (Yes□ No□) □ s Date Signature for the

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出国留学申请表

出国留学申请表

REQUEST FOR APPLICATION MATERIAL FROM THE UNIVERSITY OF ××× (Please print in ink or typewrite. Complete all spaces.) Name in Full (Mr., Ms.) Address Citizen of Date of Birth

SECONDARY SCHOOL RECORD (List secondary school attended.) Name of School Location Major field of study Dates attended

Objective Test Taken ( indicate date each test taken. ) TOEFL□ □ GRE□ □ GMAT□ □ IELTS□ □ OTHER□ □

FINANCIAL SUPPORT Indicate the amount of funds in U.S. dollars available for education in the U.S. and their sources. ( Note: See insert for cost estimates. ) Will you be requesting No□ ) o financial assistance from the

University?( Yes□ s

( No aid is available for undergraduates ). If your request for financial assistance is not granted, will you want your application of admission considered? ( Yes□ No□ ) □ s

第 1 页 共 1 页

1

出国留学申请表

EDUCATIONAL PLAN I wish to apply for admission as a candidate for the degree of ( Bachelor’s/Master’s/Doctor’s ) in term beginning ( September/January/April ) 200 ENGLISH PROFICIENCY I plan to take TOEFL (Yes□ No□). I’ll be enrolled in an English □ s Language Program (Yes□ No□). □ s HOUSING I wish to apply for University housing. (Yes□ No□) □ s Date Signature for the

第 2 页 共 2 页

2