Τμήμα Ιστορίας και Φιλοσοφίας της Επιστήμης

CHINA ENERGY TRIP 2013

  

CHINA ENERGY TRIP 2013

APPLICATION FORM

 

I.       Personal Particulars

    Name in English (in block letters, surname first, leave a box between names):

 

Surname:

Given Names (in full):

Name in Chinese Characters  (漢字/ if applicable):

 

 

 

 

    

 

Date of Birth:

1

9

D

D

M

M

Y

Y

Place of Origin:

Nationality:

 

 

 

 

 

 

 

 

 

 

Mobile Tel. No.:			Chinese Mobile Tel. No. ( if applicable)
E-Mail Address:				Skype :

 

 

 

 

 

 

 

 

 

     University, Major and Graduation Year:                                                                     

 

    

     Energy Club/Organization if applicable:                          Position:                 

                                             

 

Which size of T-shirt do you wear ( L for example),we will provide a memorial T-shirt for participant:               

Male		Female
Size	Height/ Chest Circumference	Size	Height/ Chest Circumference
S	165/88A	XS	155/76A
M	170/92A	S	160/80A
L	175/96A	M	165/84A
XL	180/100A	L	170/88A
XXL	186/104A	XL	175/92A
XXXL	190/108B	----	----

Photo

 

         

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Correspondence Address (in English, leave a box between numbers and words):

 

 

     Language Proficiency: Please fill ▲ in the blank

 

     Which modules do you want to participate? Please fill ▲ in the blank. You can choose both Module A and Module B

 

	Module A: Green Innovation	Module B: The Silk Road Safari
Participate

 

 

II.  Have you ever been to China? What is your impression of China?

 

 

III.  Please briefly state the reasons for applying.       

 

IV.    Do you have any experiences in energy fields?

 

 

V.             How do you know China Energy Trip?

 

 

VI.    What do you want to get from this program? Which kind of role do you want to act in this international team?

 

 

 

 

 

 

VII.  What do you want to say or tell us about this summer project? (some suggestion ,expectations, etc)

 

 

 

 

 

                                                                                                                                                                                                                        

                          Signature of Applicant                                                                                                                      Date

 

 

 

 

 

 

 

               

 

 

 

 

 

 

 

 

 

Please sent this application form to chinaenergytrip[at]gmail[dot]com Thank you!

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