北京农学院外国留学生奖学金申请表-Application+Form+for+Scholarship.doc

奖学金NO. 学习类别： 学习专业： （The table above is for BUA only.） 外 国 留 学 生 奖 学 金 申 请 表 Application Form for Scholarship 申请人须用中文或英文填写此表格。请用电脑打印或用蓝色/黑色钢笔认真填写表格内容；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。 Please complete the Form in Chinese or English. If the form is not filled in on PC, please write legibly in black or blue ink. Please indicate with ‘X’ in the blank chosen. Any forms that do not follow the notes will be invalid. 1. 申请人情况/Personal Information： 护照用名/Passport Name: 姓/Family Name： ________________________________________ __ 名/Given Name: __________________________________________ _ 照片 护照号码/Passport No.：__________ ___ 国籍/Nationality：___________ 出生日期/Date of Birth：年/year ________月/Month______日Day_______ 出生地点/Place of Birth：国家/Country： ____________城市/City： ___________ 男/Male：□ 女/Female: □ 已婚/Married：□ 未婚/Single: □ 母语/Native Language：_______________________ 其它/Other: □ 宗教/Religion：____________________________ 当前联系地址/Present Address：_______________________________________________________________ _____________________________________________________________________________________________ 电话/Tel：__________________ 传真/Fax： _____________________ E-mail: _______________________ 永久通信地址/Permanent Address：______________________________________ ________ ____________________________________________________________________________________________ 2. 受教育情况/Education Background 学校/Institutions: 在校时间/Years Attended: from to 主修专业/ Fields of Study: 已获获即将获得的毕业证书及学位证书/Certificates Obtained or to Obtain: 3. 工作经历/Employment Record 工作单位/Employer: 1/3 起止时间/Time: from to 从事工作/Work Engaged: 职务及职称/Posts Held: 4. 语言能力/Language Proficiency 1) 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/ Level of HSK test or other certificates which can show your Chinese level: 2) 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/I can be taught in English: 是/Yes □ 否/No □ 3) 其他语言/Other Languages: 5. 来华学习计划/Proposed Study in China 1) 本科生/Bachelor’s Degree Candidate: □ 汉语进修生/Chinese Language Student: □ 硕士研究生/Master’s Degree Candidate: □ 其它/Other: □ 2) 申请来华学习专业或研究专题/Subject or Field of Study in China: 3) 申请专业学习时间/Duration of the Major Study: 自/From: 年/Year 月/Month 至/To: 年/Year 月/Month 6. 曾发表的主要学术著作、论文及作品（请写明发表在哪类刊物上）/Academic Papers, Writing & Art Works Published： _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 7. 申请奖学金类别/Scholarship Applied A. 全额奖学金/Full Tuition: □ B. 部分奖学金/Half Tuition: □ 8. 推荐您申请奖学金的机构或个人/Please Specify the Organization or Person Recommending you for this Scholarship 9. 申请人是否曾在华学习或任职/Have you ever Studied or Worked in China? 是/Yes: □ 学习或任职单位/Institution or Employer: ____________________ ______ 在华时间/Time in China: 年/Year_______月/Month_______至 To:年/Year_______月/Month_______ 10. 申请人亲属情况/Family Members of the Applicants: 姓 名 Name 年 龄 Age 职 业 Employment 配偶/Spouse: ______________________ _______________ ______________________ ___ 父亲/Father: ______________________ _______________ ______________________ __ 2/3 母亲/Mother: ____________________ _______________ _____________________________ 11. 申请人在华事务联系人或机构/The Guarantor Charging Your Case in China： 名称/ Name:_____________________ __ 电话/Tel:____________________ 传真/Fax:___________________ 地址/Address:_______ ________________________________  所附材料情况（请在所附附件前划‘X’标明）/Materials Attached(Please Indicate with ‘X’ in the Bracket.)： □ 已获得的最高学历证明（毕业证书和学位证书）的复印件/Diploma of the Most Advanced Studies ； □ 已获得的最高学历学习期间的成绩单复印件/Transcripts of the Most Advanced Studies; □ 硕士研究生：两名副教授以上的专家推荐信/Two letter of recommendation(associate professors’)； □ 外国人体格检查记录（复印件）/Foreigner Physical Examination Form(Photocopy); □ 学习计划/Study Plan in China（须写明对所学专业的认识及继续就读的学习计划；申请硕士不少于 1000 字。）； □ 其他材料（所发表的文章或学术成果等），请列出/Other Materials, List Needed _____________________________________________________ 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 information 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 the rules and decrees of the Chinese government, and will not participate in any activities in China which are deemed to be adverse to the social order of China and are inappropriate to the capacity as a student. 3. 不得无故要求变更学校和所学专业； I will not apply for any changes about my specialty at CAU without valid reasons. 4. 在学期间，遵守学校的校纪、校规，全力投入学习和研究工作。尊重学校的教学安排； During my study at CAU,I shall abide the rules and regulations of the CAU, and concentrate on my studies and researches, and follow the teaching programs arranged by the university. 5. 按照规定参加外国外国留学生奖学金（北京农学院）年度评审； I shall go through the procedures for Annual Review of Foreign Student Status as required; 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，我愿意接受北京农学院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 rules and regulations of the university as having violated any of the above, I will not lodge any appeal against the decision of BUA on suspending, 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 applicant’s signature） 3/3