APPLICATION FORM

China Programs: Chinese Language, China Business and Martial Arts

First Name

Last Name

Mr / Mrs / Miss / Ms / Dr / Professor

E-mail

Date of Birth                                       Age

Male / Female

Address                                                                                                                    

City

State

Zip code

Country

Place of Birth

Phone (H) (          ) (           )

                  country     city

Phone (W) (          ) (         )

                  country     city

Fax  (          )  (         )

         country     city

Nationality

Passport No

Native language

Occupation                          

Academic Institution / Employer

Program options (circle one):    Total Program (Tuition, Accommodation, Insurance, Activities etc)    /   Tuition Only    /   Tuition Plus   /    Accommodation Only with TO/TP   /   Direct Entry

Program Title

Location

Duration (weeks)

Program Code (if available)

Program Start (e.g. Wed, Apr 10)

Program End (e.g. Wed, Jul 3)

For Martial Arts only. List preference of form/s or style/s:

Previous China Language or Martial Arts Studies

Dates (e.g. Jan, 2000 to Jan, 2001)

Where (name of institution)

Hours per week

Level (for Martial Arts, state the forms)

Circle the most appropriate number of Chinese words you know: None (Total Beginner) / Approx. 300 / Approx. 800 / Approx. 1500 / Approx. 2500 / Approx. 3500

Are you receiving a credit transfer for this Program from your college or university?    Yes   /    No        If yes, how many credits?

How did you hear about this China language program?

What other languages have you studied?

Have you participated in another WorldLink Language Program (e.g. Spain, France, Italy)

Accommodation

Double Share / Individual

Extra accommodation               nights

Accommodation Start (day before start of program)

Accommodation End (day after the last day of program)

For shared accommodation:  Do you smoke?   Yes  /   No

Do you prefer to live in a smoke-free room?     Yes  /   No

Remarks

(e.g. Joint Application – state name of joint applicant / Re-enrollment)

Person to contact in case of emergency

Name

Relationship (e.g. father)

E-mail

Phone (H) (          ) (           )

                  country     city

Phone (W) (          ) (         )

                  country     city

Fax  (          )  (         )

         country     city

Address

Date Application Fee (US$ 100) was paid

(e.g. Feb 4)

Paid by:   Bank transfer / Certified Bank Check / Money Order

Name of Bank

Program Fee

Any Deductions:    WLE Alumni  / Joint Application / Other   $

Any extras

Total Program Fee              

(Bank charges must be paid by the applicant)     

Enrollment Deadline

I agree that:

1) The above information is true and documents given in support of my Application are complete and correct.

2) I will abide by the laws of the People's Republic of China and will not engage in activities that bear no relation to my academic pursuit in China.

  Signature of Applicant / Parent or Guardian if under 18 years old                                                                Date

Comprehensive information on WorldLink Education's China Program, Fees, Features and How To Apply guide is available at www.worldlinkedu.com.

For general questions, e-mail info@worldlinkedu.com.  For questions regarding application, e-mail admission@worldlinkedu.com.

OR contact your nearest WorldLink Education Office.