1、1Application Form for Shandong University of Traditional Chinese Medicine International Student Scholarship 1. 申请人情况/Personal Information护照姓名/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/
2、City: 男/Male: 女/Female: 已婚/Married: 未婚/Single: 其他/Other: 母语/Native Language: 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. 教育背景/Education Background学校Institutions在校时间Years Attended(from/to)主修专业Fields of Study毕业证书及学位证书Certificates Obtained or To Obtain 3
3、. 工作经历/Employment Record工作单位Employer起止时间Time (from/to)从事工作Work Engaged职务及职称Posts Held照 片Photo24. 语言能力/Language Proficiencya)汉语/Chinese: 很好/Excellent： 好/Good： 较好/Fair： 差/A Little: 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:_ _ _ b)英语/Englis
4、h: 很好/Excellent： 好/Good： 较好/Fair： 差/A Little: 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 托福或雅思成绩 TOEFL IELTS Score: _c)其他语言 /Other Languages:_水平/Proficiency：_ 5. 在我校学习计划/Proposed Study in Shandong University of TCM1) 申请学习类别/Student Category 本科(学士)/Undergraduate Program 硕士学位/Master
5、 Degree Program 博士学位/Doctor Degree Program 汉语进修生/ Chinese language study 进修生/Advanced Study: 其他/ others. 请说明/Please Specify: 2) 申请学习专业/ Major of Study: 3) 申请入学日期/Enrollment Time：_ 年/Year_月/Month4) 学习时间/ Duriation of Study：自/From _年 /Year_月/Month 至/To _年/Year _月/Month 6. 申请人是否曾在华学习或任职/Have you ever s
6、tudied or worked in China?是/Yes: 学习或任职单位/Institution or Employer: _ _在华时间/Time in China: 自/From:_年/Year_月/Month 至/To:_年/Year_ 月/Month 否/No: 7. 申请人亲属情况/Family Members of the Applicants:姓 名/Name 年 龄/Age 职 业/ Occupation 配偶/Spouse _ 父亲/Father _ 3母亲/Mother _ _8. 申请奖学金类别/Category of Scholarship Applied全 额
7、 奖 学 金 / Full scholarship 优 秀 留 学 生 奖 学 金 / Excellent student scholarship 9. 以往学习成绩/Please state your past academic achievements briefly_10. 拟在我校学习或研究的详细内容（可另附纸）/Please Describe the Details of your Study or Research Plan (an extra paper can be attached if this space is not enough)_11. 以下内容由学校填写/For
8、university officials use only获得奖学金级别/Scholarship to be awarded: 全额奖学金/ Full scholarship (30000/year) 优秀留学生奖学金/ Excellent student scholarship(5000/student)附件/Attachment 总评成绩单/Transcript 考勤报告单/Attendance report奖学金评审小组意见/Result from the scholarship evaluation council山东中医药大学 Shandong University of TCM年/
9、YY 月/MM 日/DD4申请人保证书Letter of Guarantee1. 我保证申请表中所填写的所有内容和提供的材料真实无误；I hereby affirm that all the information and materials given in this form are true and correct.2. 我保证除山东省外国留学生政府奖学金外未申请同一时间的其他中国政府奖学金；I ensure that besides the Shandong Government Scholarship, I have not applied for any other Chinese
10、 government scholarships within the period I study in Shandong.3. 在华期间，我将遵守中国的法律、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 by the laws and decrees of the Chinese government, and will not participate in any activities which are deemed to be adverse to the social order o
11、f China and are inappropriate to my capacity as a student.4. 我在享受奖学金期间不无故要求变更学校和所学专业；During the period of my enjoying Shandong Government Scholarship, I shall not apply for any changes of institution and specialty of study without valid reasons.5. 在学期间，我将遵守学校的校纪、校规，全力投入学习和研究工作。尊重学校的教学安排；During my st
12、udy in China, I shall abide by the rules and regulations of the host university, concentrate on my studies and researches, and follow the teaching programs arranged by the university.6. 我将按照规定参加山东省外国留学生政府奖学金年度评审；I shall go through the procedures of the annual assessment of Shandong Government Schola
13、rship status as required.7. 我将按规定期限修完学业，按期回国，不无故在华滞留；I shall return to my home country as soon as I complete my scheduled study program in China, and will not extend my stay in China without valid reasons.8. 如违反上述保证而受到中国法律、法规或校纪、校规的惩处，我愿意接受山东省外国留学生政府奖学金管理委员会中止或取消奖学金及其它相应的处罚。If I am judged by the Chi
14、nese 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 the decision of Shandong Government Scholarship administration on suspending, or withdrawing my scholarship, or other corresponding penalties.申请人签字/Signature
15、 of the Applicant: 日期/Date:_ _（无此签名，申请无效/The application is invalid without the applicants signature）5所附材料情况（请在所附附件前划X标明）Materials Attached (Please Indicate with Xin the Bracket.) 本人护照复印件/A Copy of the Passport. 两封推荐信/Two Letters of Recommendation. 本人最后学历成绩单复印件/Transcript of the Most Advanced Studie
16、s. 本人最后学历证书复印件/Certificate of the Most Advanced Studies 本科/Bachelors Degree 硕士/Masters Degree 博士/Doctors Degree 其它/Others 来华学习计划/ Study Plan in China. 所发表的文章等/ Articles or Papers Published. 其它附件（请列出）/Other Attachments (A List Is Needed)._注：(1) 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 A4 size paper.(2) 无论本奖学金申请是否被批准，所有申请材料恕不退还。Whether the application is approved or not, all the application materials will not be returned.6材料粘贴处/Attach your Materials Here:
