Get in2 China - Internships and Language Programs

Application Form for Intensive Chinese Language Program:

First name:
Last Name:
Nationality:
Gender:
Date of Birth:
Language program: Choose one -----> (Normal 2 hours/day, Intensive 4 hours/day,
1 on 1 2/4 hours/day)
Duration of program(how many months):
Preferred starting date:

Remarks:

Contact information

Country:
City & Province:
Zip Code:
Address 1:
Address 2:
Home Phone:
Mobile Phone:
Your Email:

SKYPE id:
MSN id:

Passport Information

Passport number:

Other Information

Degree:

Your Skills

Chinese language Level:

Please provide more details about your previous Chinese language experiences
(institution, location, number of hours):

Other languages skills:

Additional Information

Health Conditions:
* Any medical conditions (Allergies, asthma, illness, disabilities)

Medication:

Emergency Contact

Full Name:
Relationship:
Tel. No.:

Taken any programs with Get in2 China before?

Specify here:

How did you hear about us?

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