云南省政府獎學金申請表Yunnanprovincialgovernmentscholarshipapplicationform云南省教育廳2009年4月監(jiān)制云南省教育廳2009年4月監(jiān)制云南省教育廳獎學金類別：以上僅由云南省教育廳填寫TheboxaboveisforYunnanProvincialDepartmentofEducationSCHOLARSHIPCOUNCILYUNNANPROVINCIALDEPARTMENTOFEDUCATION中國，云南省，昆明市，學府路2號；郵編：650223Add:No.2Xuefulu,6500223,Kunming,電話Tel：0086-871-5141238;傳真Fax：0086-871-5141355Http//:www.Y云南省政府獎學金申請表請申請人認真閱讀本表第四頁的填表說明。請用中文或英文填寫此表格。請用電腦打印或用藍色或黑色鋼筆認真書寫表格內容，請在所選項框內劃‘X’表示。不按規(guī)定填寫的表格將視作無效。Pleasereadcarefullytheimportantnotesonthelastpagebeforefillingouttheform.PleasecompletetheforminChineseorEnglish.IftheformisnotfilledinonPC,pleasewritelegiblyinblackorblueink.Pleaseindicatewith‘X’intheblankchosen.Anyformsthatdonotfollowthenoteswillbeinvalid.照片Photo1、申請人情況護照用名/PersonalInformation:姓/FamilyName:名/GivenName:國籍/Nationality:護照號碼/PassportNo.出生日期/DateofBirth:年/Year月/Month日/Day出生地點/PlaceofBirth:國家/Country：城市/City：男/Male□女/Female□已婚/Married□未婚/Single□其它/Other□母語/NativeLanguage：宗教/Religion：當前聯(lián)系地址/PresentAddress:電話/Tel:傳真/Fax:E-mail:永久通信地址/PermanentAddress:2、受教育情況/EducationBackground:學校在校時間主修專業(yè)畢業(yè)證書及學位證書InstitutionYearsAttended(from/to)FieldsofStudyCertificatesObtainedorToObtain3、工作經歷/EmploymentRecord:工作單位起止時間從事工作職務及職稱EmployerTime(from/to)WorkEngagedPostsHeld4、語言能力/LanguageProficiency)a)漢語/Chinese:很好/Excellent□好/Good□較好/Fair□差/Poor□不會/None□HSK考試等級或其他類型漢語考試成績/LevelofHSKtestorothercertificateswhichcanshowyourChineselevel:b)母語非英語/Non-nativeEnglish英語/English:很好/Excellent□好/Good□較好/Fair□差/Poor□不會/None□我的英語水平可以用英語學習/IcanbetaughtinEnglish:是/Yes□否/No□c)其他語言/OtherLanguages:5、來華學習計劃/ProposedStudyinChina:a)本科生/Bachelor’sDegreeCandidate:□碩士研究生/Master’sDegreeCandidate:□研究學者/ResearchScholar:□漢語進修生/ChineseLanguageStudent:□一學期/onesemester□一學年/oneacademicyear□普通進修生/GeneralScholar:□高級進修生SeniorScholar:□b)申請院校/InstitutionsofPreferenceinChina:北師大附中(年齡限制/AgeLimited:15-18)□TheHighSchoolAffiliatedtoBeij西南林學院人文學院(年齡限制/AgeLimited:18-40)□HumanitiesandScienceCollegeofSouthwest云南大學人文學院(年齡限制/AgeLimited:18-40)□HumanitiesandScienceCollegeofYunn是否服從調劑/CanyouaccepttheinstitutionssuggestedbytheInstituteHeadquarters?是Yes□否No□c)申請專業(yè)學習時間/DurationoftheMajorStudy:自/From:年/Year月/Month至/To:年/Year/Mothd)是否需要補習漢語/DoYouNeedElementaryChineseStudypriortotheMajorStudy?是/Yes:□請?zhí)顚懮暾垵h語補習時間（不計在專業(yè)學習時間）/If‘Yes’,pleaseindurationthedurationofyourelementaryChinesestudy(notincludedinthelengthofthemajorstudy).否/No:□6、擬在華學習或研究的詳細內容（可另附紙）/PleaseDescribetheDetailsofyourStudyorResearchPlaninChina(anextrapapercanbeattachedifthisnotenough):7、曾發(fā)表的主要學術論文、著作及作品/AcademicPapers,Writing&ArtWorksPublished:8、推薦您申請中國政府獎學金的機構或個人/PleaseSpecifytheOrganizationorPersonRecommendingyouforthisScholarship:9、申請人在華事務聯(lián)系人或機構/TheGuarantorChargingYourCaseinChina:名稱/Name:電話/Tel:傳真/Fax地址/Address:10、申請人是否曾在華學習或任職/HaveyoueverStudiedorWorkedinChina?是/Yes□學習或任職單位/InstitutionorEmployer在華時間/TimeinChina:自/From:年/Yeas月/Moth至/To:年/Year月/Moth否/No□11、申請人親屬情況/FamilyMemberoftheApplicants:姓名年齡職業(yè)NameAgeEmployment配偶/Spouse:父親/Father:母親/Mother:************************************************◆所附材料情況（請在所附附件前‘X’ 標明）/materialsattached(PleaseIndicatewith‘X’intheBracket.):兩封推薦信/TwoLetterofRecommendation.有關中國院校接受函或錄取通知書/AdmissionLetterorAdmissionNoticeofChinaUniversities.本人最后學歷成績單復印件（須公證）/TranscriptsoftheMostAdvancedstudies（Notarizedphotocopy）本人最后學歷證書復印件（須公證）/DiplomaoftheMostAdvancedStudied(Notarizedphotocopy)本科/Bachelor’s碩士/Master’s博士/Doctor’s其它/Others外國人體格檢查記錄（復印件）ForeignerphysicalExaminationFrom(photocopy)來華學習計劃/studyPlaninChina所發(fā)表的文章等/ArticleorPaperswriterorpublished美術作品（本人作品彩照六張）、音樂作品（本人音樂作品盒式錄音帶一盤）（只限申請美術和音樂專業(yè)的申請人）/ExamplesofArt(6colorpictures)andMusic(Iaudiotape)Work(OnlyfortheapplicantsapplyingforFineArtsandMusic)其它附件（請列出）/OtherAttachments(Listtape):注：每份申請材料最多不超過20頁，請全部用A4紙Eachsetofthecompletematerialsshouldnotexceed20pages.PleaseuseDINA4.無論申請人是否被錄取，上述申請材料恕不退還。Whetherthecandidatesareacceptedornot,alltheapplicationmaterialswillnotbereturned.申請人保證/IHerebyAffirmThat:.申請表中所填寫的內容和提供的材料真實無誤：Allinformationandmaterialsgiveninthisformaretrueandcorrect在華期間，遵守中國的法律、法規(guī)，不從事任何危害中國社會秩序的、與本人來華學習身份不符合的活動；DuringmystayinChina,IshallabidebythelawsanddecreesoftheChinesegovernment,andwillnotparticipateinactivitiesinChinawhicharedeemedtobeadversetothesocialorderofChinaandareinappropriatetothecapacityasastudent.3.來華后服從云南省教育廳所安排的就讀院校和學習專業(yè)，不得無故要求變更學校和所學專業(yè)；IwillagreetothearrangementofmyinstitutionandspecialtyofstudyinChinamadebyYunnanProvincialDepartmentofEducation,andwillnotapplyforanychangesinthesetwofieldswithoutvalidreasons.在學期間，遵守學校的校紀、校規(guī)，全力投入學習和研究工作。尊重學校的教學安排；DuringmystudyinChina,Ishallabidetherulesandregulationsofthehostuniversity,andconcentrateonmystudyandresearches,andfollowtheteachingprogramsarrangedbytheuniversity.按照規(guī)定參加云南省政府獎學金年度評審；IwillgothroughtheproceduresoftheAnnualReviewofYunnanProvincialGovernmentScholarshipasrequired.按規(guī)定期限修完學業(yè)，按期回國，不無故在華滯留；IshallreturntomyhomecountryassoonasIcompletemyscheduledprograminChina,andwillnotextendmystaywithoutvalidreasons.我保證，未同時接受其它任何渠道的獎學金或資助。IdeclarethatthisistheonlyScholarshipIamapplyingforatpresent.如違反上述保證而受到中國法律、法規(guī)或校紀、校規(guī)的懲處，我愿意接受云南省教育廳中止或取消獎學金及其它相應的處罰。IfIamjudgedbytheChineselawsanddecreesandtherulesandregulationsoftheuniversityashavingviolatedanyoftheabove,IwillnotlodgeanyappealagainstthedecisionofYunnanProvincialDepartmentofEducationonsuspending,orwithdrawing,orotherpenalties.申請人簽字/SignatureofApplicant:日期/Date:(無此簽名，申請無效/Theapplicationisinvalidwithouttheapplicant’ssignature)填表說明（每一項數字與申請表中每一項序號相對應）：GUIDELINESFORFILLINGINTHISFORM(NUMBERSREFERRINGTOTHEVARIOUSBLOCKS):本項所有內容申請人必須如實填寫。Personalinformationabouttheapplicantmustbefilledintrulyandcorrectly.請列出申請人已經完成或即將完成的各級教育，包括中學、職業(yè)教育及高等教育各項。請材料附上經公證的最高級教育的學歷證明、畢業(yè)證書的原件復印件和英文翻譯件。Pleaseprovidethefollowinginformationforallcompletesecondary,vocational,technical,undergraduateorpostgraduatetrainingandqualifications.Anyincompletecoursesshouldalsobelisted.OnenotarizedcopyofyourofficialtranscriptscertificatesandnotarizedcopiesofEnglishtranslationsofyourhighesteducationmustbeincludedwitheachapplicationform.請列出申請人曾經從事和現在從事的工作。Pleaseclarifyyourworkexperiencesandyoucurrentpost.本項將表明申請人的語言情況，對申請人來華后的課程安排及授課語言非常重要。請隨材料附上有關材料。Pleasestateyourknowledgeoflanguages,especiallyChineseandEnglish.Ifyouhavepassedalanguagetest,pleaseincludeacopyoftheresultinyourapplicationmaterials.ThisisveryimportantbecauseitwilldecideyourteachinglanguageinChina.請申請人按本項提示選擇來華后的學習計劃，云南省教育廳有權作相應調整。TheapplicantwillchoosethedetailedinformationconcerninghisstudyinChinaaccordingtothecluesgiveninthiscell.YunnanProvincialDepartmentofEducationisentitledtomakeanynecessaryadjustmentaccordingtotheapplicant’spreferences.a.選擇你申請來華學習的類別。PleasechoosewhatlevelofstudyyouwanttobeengagedinChina.b.請詳細填寫出你申請來華學習的專業(yè)或從事研究的主題。PleasespecifyyoursubjectorfieldofstudyinChina.c.請從接受云南省政府獎學金生的高等學校中選擇2所并填寫在本欄中，你的選擇僅作為云南省教育廳安排學校時的參考。PleasechoosetwopreferenceofYunnanProvincialinstitutionamongtheuniversitieswhichcanacceptedYunnanProvincialGovernmentScholarshipstudentsandlistthemintheblankshere.ThefinalarrangementofinstitutionissubjecttotheadjustmentofYunnanProvincialDepartmentofEducationwithyourchoicesasreference.d.請標明你所申請的來華學習時間。DurationofthemajorstudyappliedYunnane.由于云南省的高校主要授課語言為漢語，所以來華后的漢語補習非常重要。請在該項標明你是否需要漢語補習及所希望的漢語補習時間。SincetheteachinglanguageofYunnanProvincialuniversitiesisChinese,it’sveryimportantforyoutotellusinthiscellwhetheryouneedelementaryChinesestudypriortoyourmajorstudyornot.IfYes,PleaseindicatethedurationoftheChinesestudy(notincludedinthelengthofmajorstudy).請認真填寫此項，它對于學校確定申請人的學習專業(yè)及授課教師非常重要。請說明你從事研究的題目或基本內容，亦可以列出你希望的一些課程?？闪砀郊垺leaseillustratethesubjectofyourresearchorthemaincontentofyourst