東海大學華語教學中心

2025年夏季班線上報名表 (報名完成請來信確認)

※請於送出報名表單後來信CLC (clc@thu.edu.tw) 確認報名是否成功

姓名

中文姓名 Preferable Chinese Name

英文姓名(與護照一致) Foreign Name (As shown on passport)

聯絡電話 Contact Phone Number

行動電話 Mobile Number

聯絡住址(中) Address in Chinese

聯絡住址(英) Address in English

信箱 Email

備註 Notes

申請期別及上課時間 Select your study semester

請問你想參加何種班級？Which class you would like to participate in

希望上課的時間 Preferred Class Time

已了解與同意最終班級上課時間(早上或下午)與班級大小將以中心安排為主 I Understand and Agree that the Final Class Schedule (Morning or Afternoon) and Class Size will be Primarily Arranged by the Center.

護照號碼 Passport Number

生日(年/月/日) Date of Birth(YYYY/MM/DD)

性別 Gender

國籍 Nationality

預計/已持有的簽證種類 What Kind of Visa Would You Like to Apply/ Do You Have?

緊急聯絡人 Emergency Contact Person

緊急聯絡人姓名 Name of the Emergency Contact Person

與緊急連絡人的關係 Your Relationship with the Emergency Contact Person

緊急聯絡人的聯絡電話 Contact number of the Emergency Contact Person

緊急聯絡人聯絡電子郵件 Email Address of the Emergency Contact Person

請問你想學習中文的動機、或原因是？Your motivation of studying Chinese

請問你是否曾經學習過中文，若有的話，請問你的學習經歷為？ Have you studied Chinese before?

學習時數 Total Learning Hours

在哪裡學習的 Where Did You Learn Chinese Before

請問你是從哪裡得知本中心課程資訊的呢？ How Did You Know about Our Chinese Course Information?

如果是親友介紹，且該親戚/朋友目前仍就讀於華語中心，請輸入其學號。If referred by a current Chinese Language Center student, please enter their student ID.

是否有任何特殊學習需求 (例如：注意力缺陷過動症、自閉症、情緒障礙等) Any Special Educational Needs (Ex: ADHD, ASD, Emotional or Behavior Disorders etc.)?

我已確認且願意遵守就讀後簽證、退費等相關規定與流程 I have confirmed and agree to comply with the relevant regulations and procedures regarding visas, refunds, and other matters after enrollment.

大頭照Headshot

護照Passport

最高學歷證明Certificate of the highest education diploma

財力證明A financial evidence document