1、1孔子学院总部/国家汉办Confucius Institute Headquarters / HanbanNo. 129, Deshengmenwai Street, Xicheng DistrictBeijing P.R. China, 100088 http：/www.hanban.org孔子学院本土汉语教师报名表Application Form for Local Chinese Teacher Position in Confucius Institute请用中（英）文填写表格。Please complete this form in Chinese or English.1.申请人信
2、息 Information of Applicant姓 Family Name 名 First, Middle Name 性别 Gender男 Male女 Female国籍 Nationality 联系地址 Address毕业学校 Graduate School 学历 Degree电话 Tel 电子邮件 E-mail获得奖学金类别 Scholarship category 孔子学院奖学金 Confucius Institute Scholarship 中国政府奖学金 Chinese Government Scholarship其他奖学金 Other Scholarship 自费 self-pa
3、id获得奖学金额度 Scholarship funded全额 Full Scholarship 半额 1/2 Scholarship汉语教学年限 Years of Chinese Teaching汉语水平（HSK，HSKK）(请注明级别和分数)Chinese Level（HSK,HSKK）(specify the grade and score)编号 No：2教育背景Educational Background包括就读学校、起止时间、专业、所获学位证书,可另附纸。Including: school, duration, major, diploma, supplement sheet is a
4、llowed. 工作经历Working Experience包括工作单位、起止时间、内容,可另附纸。Including: employer, duration, content, supplement sheet is allowed.2.志愿孔子学院信息 Information of Confucius Institute国家 Country 志愿 1 First choice 志愿意 2 Second choice3.推荐意见 Recommendation学校意见Recommendation校长签字： 年 月 日President of University (signature) Year Month Day
