International Student Application

Family Information

Fill in all family members information (Parents, siblings, spouse)

Input all immediate and relevant family members*

	Name	Relationship	Age	Occupation (Job title)	Workplace	Phone Number	Email
Family Member 1
Family Member 2
Family Member 3
Family Member 4

Emergency Contact

Fill in the information below as accurately as possible
Parent / Guardian Name*

PrefixFirst NameLast Name
Relationship*
Phone Number
Add the country code
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Financial Supporter
Name*

First NameLast Name
Relationship to Applicant*
Email*
example@example.com
Phone Number
Include the country code
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Education & Work Experience

Please list your education and work experience below
1. Education Background (fill in as accurately as possible starting from most recent studies and include the full date "day, month, year")*
2. Education Background (fill in as accurately as possible starting from Secondary or High School studies)*
3. Education Background (fill in as accurately as possible starting from Primary School studies)
If other educational background (include all the details below)
1. Work Experience (fill in as accurately as possible)*
2. Work Experience (fill in as accurately as possible)
If other work experience (include all the details below)

Supporting Documents
Click on which summer program you are applying for:

Harbin Summer Camp (requires passport; headshot photo)Hangzhou Summer Camp (requires passport; headshot photo; highest diploma; transcripts; non-criminal record; medical check)
Passport Main Page Scan (in color)

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Passport Sized Photo scan (in color with white background)

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Highest Diploma

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Transcripts from highest diploma

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Non-criminal record

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Health Check

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Declaration
By student applicant.*

I hereby declare that I have provided accurate information in this form myself, and all information and materials are true and correct.
By student applicant.*

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 order of China and are inappropriate to the capacity as a student.
By student applicant.*

During my study in China, I shall abide by the rules and regulations of the host university, and concentrate on my studies and research, and follow the teaching programs arranged by the university.
By student applicant.*

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 not lodge any appeal against my decision on suspending or withdrawing my scholarship or other penalties.
For an applicant applied through a ChiVision Ambassador

I, the ambassador of the applicant hereby consent to this application for study
Ambassador Unique ID Code:
You can ask your ambassador for this code or leave it blank if applying on your own without ambassador consultation
Signature

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Summer Program Application Form

Permanent Contact Details

Family Information

Emergency Contact

Financial Supporter

Education & Work Experience

Supporting Documents

Declaration