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Taiwan Hostfamily Program
in
Application Form
Name
- as shown on passport
Given Name (First name)
Middle Name
Surname (Last name)
Chinese Name
Nationality
School
Student Status Bachelor's Degree Master's Degree Ph.D. Degree Exchange Student
Chinese Language Student Other:
Level of
spoken
Chinese
fluent
average
a little
none
Passport or ARC Number
Cell Phone Number
Birthdate (YYYY/MM/DD) / /
Gender Female
Male
Other
Participants under 20 years old: Please provide your legal guardian’s name to assist us
to arrange your travel accident insurance:
Relationship: (e.g. father)
Religion
Do you receive Taiwan Scholarship or Huayu Enrichment Scholarship while studying in Taiwan? No Yes
Are you an overseas Chinese Student? No Yes
When do you expect to complete your course in Taiwan? / / (YYYY/MM/DD)
E-mail
Smoker No Yes
Allergies No If yes, please specify:
Dietary Restrictions No If yes, please specify:
Special Requests No If yes, please specify:
After completing this form, please click “Submit ” and download the application form. The system will also automatically send the registration form to your mailbox for filing.
Please print out the registration form and complete the paper form, including the seals of school organizing personnel and unit division. Scan or photograph the form then send via email to hostfamily@stust.edu.tw before th, to complete the application procedure.
To participant:
1. Complete the application form doesn’t mean you can participate in this activity. The final result will be sent to your email. Please make sure your email is correct and wait for the notification patiently.
2. You are responsible for your personal expenses and transportation costs to the meeting point.
3. Please participate in the activity entirely and do not leave your host family without notice.
4. I fully understand and agree to abide with all the requests. I promise that all the information I provide is correct, and I hereby agree that Taiwan Hostfamily Program can use my photos which are taken by Taiwan Hostfamily Program in the activity.
Applicant’s Signature: Date:
To school administrators/teachers:
We will match a host family with this student in this activity and we hope that they can build a good relationship and have further interactions though this experience. You are hereby requested to provide timely assistance if your foreign students have further contact with their host families or participate in host family’s activities in the future.
Thanks for your cooperation!
致貴校承辦人員:
計畫辦公室將於活動當天為境外學生與接待家庭舉辦相見歡,讓彼此認識及進一步相處,以利日後在臺研習期間持續與接待家庭互動,特此先行知會貴校,以方便日後了解學生狀況及未來協助境外學生參與各項接待家庭活動。請填寫以下資訊,並加蓋處室單位章,謝謝!
Office staff
Name:
Title:
Institution:
Signature: Date:
(Seal of the office)