Accueil / L’AFPC / Stages de formation adhérents / Taiwan / Inscription stage Taiwan 2018

Inscription stage Taiwan 2018

L’inscription débutera le 09 février pour clôturer le 2 mars.

*The information given below is for internal study. It should be completed by the applicant in English or Chinese.

1. Personnal data 個人基本資料

Name 姓名 (As shown on Passport )

Title 稱謂
Surname（Last name）姓 (required)
Given Name(s) 名 (required)
Chinese Name 中文姓名
Please upload a photograph taken within the last 3 months.
最近三個月相片 (required - formats : jpg, png, gif)
Please upload your passport information page copy (required - formats : jpg, png, gif)
Please upload your Employment Certificate in English or in French (Carte professionnelle ou attestation professionnelle) (required - formats : jpg, png, gif)
City and Country of birth 出生.城市及國別 (required)
Nationality 國籍 (required)
Passport Number (required)
Expiry Date (required)

Contact Information 聯絡地址、電話、電子郵件

Permanent Address 永久地址 (required)
Mailing Address (If different from above) 郵寄地址
Telephone 電話
Cell phone 手機
E-mail 電子郵件 (required)

Sex 性別

Male 男

Female 女

Marital Status 婚姻狀況

Single 單身

Married 已婚

Date of birth 生日

Past residence in Taiwan 居住臺灣

Never 否

Yes
From to .是，起迄日期

Reason for residence 居住事由

History of Scholarships / Grant / Subsidies by Taiwan 曾獲臺灣提供之獎補助紀錄

None 無

Yes
From to .是，起迄日期

Type(s) of Scholarship / Grant / Subsidy Awarded
Health condition 健康狀況

Excellent

Good

Fair

Chronic diseases 慢性病

None

Yes
Please specify 請指明

Contact person, in case of an emergency 緊急事件聯絡人

Name姓名
Relationship 關係
Address 地址
Telephone 電話
Cell phone 手機
E-mail 電子郵件

2. Educational background 教育背景

Level 程度	Name of Institution 校名	Country &City 地點	Period of Enrollment 修業年限
Secondary Education 中學
Undergraduate Level Education 大學
Graduate Level Education 研究所

3. Present employment 現職狀況

Organization 機構名稱
Job title 職稱
Starting date 起始日期
End of Contract 截止日期

Contact information 聯絡資訊

Address 地址
Telephone 電話
Cell phone 手機
Fax 電傳
E-mail 電子郵件

Type of organization 機構種類

University / Institution 大學校院
Senior High School 高級中學
Junior High School 初級中學
Elementary School 小學
Other 其他
Please specify 請敘明

Present duties & years of employment 現任職務及資歷年限

4. Please briefly state your motivations in participating and expectations from this workshop

5. Possible contributions on taiwan’s chinese teaching

Encouraging exchanges with Taiwanese partner schools
Encouraging students to apply for scholarships to study in Taiwan in the future
Encouraging students to take Taiwan’s Chinese language competency tests TOCFL / CCCC
Promoting Taiwan’s teaching expertise and environment
Other - please specify

6. Declaration : I declare that

The information I have given on this application is complete and accurate to the best of my knowledge
I will participate in all the seminars and activities organized by the host institution while in Taiwan

7. Check list

Application form (required)
A copy of the applicant’s passport or other nationality certificates (required)
Employment certificate in English or in French (required)
Veuillez laisser ce champ vide

8. Agreement

I agree to receive information from Service Education, Bureau de Représentation de Taipei, Taiwan’s Ministry of Education’s coordinator in France of this workshop (required)