Application Form for Silk Road 2006

Application Form for Silk Road 2006

APPLICATION FORM FOR SILK ROAD 2006
Notice:Please fill in the blanks with the personal information required or mark the proper choice. Question answering is recommended to be brief. Applicants are supposed to fill out ALL the items. If you don’t have the information concerned, please fill in “N/A” instead. Thank you!
I: Personal information
Name: / (in Pin Yin) / (in Chinese Character)
Sex: / MALE
FEMALE / Date of Birth:
(yy/mm/dd) / Place of Birth:
Major: / Grade:
Department in SICA:
II: Contact Information
Email: / Address:
TEL(Dorm): / Mobile Phone:
III: Language Skills
  1. Do you speak French?
If yes, please preceed to 1.1; if no, please go to 2.
·Yes ·No
1.1 Please rate your French level by underscoring the choices below.
Listening / Speaking / Reading / Writing / Interpreting
Excellent
Good
A little / Excellent
Good
A little / Excellent
Good
A little / Excellent
Good
A little / Excellent
Good
A little
2. Please rate your English level by underscoring the choices below.
Listening / Speaking / Reading / Writing / Interpreting
Excellent
Good
A little / Excellent
Good
A little / Excellent
Good
A little / Excellent
Good
A little / Excellent
Good
A little
3. Do you speak any other foreign languages? If so, please specify.
IV: Question Answering:
  1. Please tell us your general expectation for attending program.

  1. Please write down three English words that can roughly represent yourself.

  1. What do you think make a qualified “silk roader”, and what qualities do you have to match the standards?

  1. Do you have any resource of sponsors or panel speakers to share with us?
·YES ·NO
If yes, please specify.
*Notes:
1. Privacy Policy: SICA is committed to protecting the privacy of the information submitted by applicants. The information concerning personal data will only be accessed by the interviewers for “Silk Roads”.
2. Applicants who have passed the first round selection will be informed to participate in the second round interview via email. It’s the applicant’s responsibility to frequently check e-mail for notification and updated information at SICA.bdwm.net.
3.Participants who are enrolled in the Silk Road Organizing Committee may have the opportunity to attend the Francesession 2007. Admission decision will be evaluated based on his/her devotion in the Chinasession 2006.
I agree with the notes listed above and hereby prove that all the information I submit is true and understand that providing false information will result in a cancellation of my program application.
Signature:______Place:______Date:______

All Rights Reserved

Students’ International Communication Association, PekingUniversity

Silk Road Communication Association, ParisTech

2006-02