1、2015“未来领袖”计划报名表姓名： Name性别： Gender出生年月： Birth Date籍贯： Nationality学校： School学院： Faculty国内居住地： Domestic Residence学历： Education Degree专业： Major 婚姻状态： Marital status政治面貌： Political status邮箱：Email手机：TelQQ： 微信：WeChat照片photo是否已毕业：是 否Graduated or not: Yes / No基本信息Basic Information毕业时间：Graduation time 他国或港澳台居
2、留权：Right of sanctuaryof other countries, HK, Macao or Taiwan是否曾参加该计选拔：是 否Have participated in this program before: Yes/No时间（年/ 月）Time(Year/month)学校名称School专业Major获得学历 Education Degree注：“博士后”为工作经历，不在学历之列Note: “post doctoral“ is regarded as a working experience.至(From Y/M to Y/M)教育背景EducationalBackgro
3、und语言Language计算机能力Computer个人能力Ability驾驶执照Driving License专业资格Professional Qualifications爱好Hobby可回国时间（针对海外学生）成绩/排名Score/Rank论文（篇数、题目等量化、简要内容）Thesis (number, subject, etc.)博士Doctorate硕士Master学习成果Educational Background本科Bachelor（如有其它游学、交换经历，可在此简短填写）If you have exchange experience, please summarize here.
4、时间（年/ 月）Time(Year/month)组织名称Organization Name担任职务Position经历简述Experiences Summary至(From Y/M to Y/M)校园经历Campus Experiences时间（年/ 月）Time(Year/month)状态State单位Company职务Position主要任务Job Content实习Internship工作work实习Internship工作work工作实习经历Work/Internship Experiences实习Internship工作work获得奖励Awards请简述在校期间所获得的重要奖项（请按
5、照国家级-省级-市级的顺序，罗列出最重要的五项即可）：Please list the top 5 important awards you have received at school.自我评价Self Evaluation请用三个关键词评价一下自己（限三个短语）Please use 3 key words to evaluate yourself.获知渠道Channels请简要列出得知碧桂园“全球未来领袖计划”的渠道：Please list the channels that you receive the information of future leader program.诚信协议：我承诺，以上内容均为真实有效信息，若有任何信息存在造假、夸大成分，我将自愿放弃“未来领袖计划”的甄选资格。Agreement: I promise the above content is true and effective information. If there is any information that is false, exaggerated, I will voluntarily give up the selection qualification of global future leaders program.承诺人 Sign here： 推荐人 Referee：
