汉语言生专用 For Chinese Language Students 浙江工商大学外国留学生奖学金申请表 Application Form for Scholarship

请用电脑打印或用蓝色或黑色钢笔认真书写表格内容。请在所选项框内划‘√’表示。Please complete the form in Chinese or English. If the form is not printed, please write in black or blue ink. Please indicate with‘√’ in the blan chosen.

申请人基本信息/Personal Information:

护照用名/Passport Name:

姓/Family Name: _________________ 名/Given Name: __________________

国籍/Nationality: _____________护照号码/Passport No.: __________________

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：□

当前联系地址/Present Address:_____________________________________

电话/Tel: _____________________ E-mail: ________________________

永久通信地址/Permanent Address: ________________________________

2. 受教育情况/Education Background（List from High School）

Institutions 学校	Country 国家	Enrolled学习时间	Degree Received 获得学位	主修专业 Fields of Study
From从	To至
Mo.月	Yr.年	Mo.月	Yr.年

a)来校学习计划/ Proposed Study Plan in ZJGSU

初级汉语一班/Essential Chinese Level one：□

初级汉语二班/Essential Chinese Level two：□

中级汉语一班/Intermediate Chinese Level one：□

中级汉语二班/Intermediate Chinese Level two：□

商务汉语/Business Chinese: □

b)在校学习情况/ Current Study Situation in ZJGSU

初级汉语一班/Essential Chinese Level one：□

初级汉语二班/Essential Chinese Level two：□

中级汉语一班/Intermediate Chinese Level one：□

中级汉语二班/Intermediate Chinese Level two：□

商务汉语/Business Chinese: □

c) 申请学习时间/Duration of Study:

自/From：年/Year_________月/Month _________ 至/To：年/Year_________月/Month _________

4. 语言能力/Language Proficiency

a).汉语/Chinese:

①HSK考试等级/Level of HSK test____________________

②其他类型汉语考试成绩/Other certificates which can show your Chinese level:______________________________________________________

b).英语/English:

很好/Excellent：□ 好/Good：□ 较好/Fair：□ 差/Poor：□ 不会/None：□

5．附最后学历成绩单/ Transcripts of Your Most Advanced Studies

6. 在校学习的计划（可另附纸）/ Your Study Plan at ZJGSU (an extra paper can be attached if this space is not sufficient):

_______________________________________________________________________________

_______________________________________________________________________________

7．申请奖学金类别/Scholarship Applied:

A. 一等奖学金/First Prize Scholarship: □

B. 二等奖学金/Second Prize Scholarship: □

C. 三等奖学金/Third Prize Scholarship: □

﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡ ﹡

申请材料恕不退还。

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. 如违反中国法律、法规或校纪、校规，我愿意接受中止奖学金的处罚。

I agree that if I violate Chinese laws and regulations of the university, that the scholarship will be terminated.

申请人签字/Signature of the Applicant:_________________________________

日期/Date:______________________