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2019 ASDAN 伯克利夏校 报名表

ASDAN UC Berkeley Summer School Program•Application Form

项目信息:

证书项目:2019年7月14日—7月27日(14 天)

可选学科:人工智能发展课程/科研创新课程/商业战略课程/伯克利化学研究、学术和辅导计划

地点:加州大学伯克利分校校内

年龄:8 年级-12 年级(生日在2001 年7 月27 日至2005 年7 月14 日之间)

如您已提交过报名信息,您可以点击这里继续完善后续信息或修改已填写信息

If you have signed up, you can click here to update or complete your information

Personal Informaiton

Name in Pinyin(please write capital letter as on your passport)

Date of Birth

Gender    男/Male    女/Fale

Place of Birth (city)

Home Address

Mailing Address

E-mail *Please fill out your personal Email accurately

Family Information 

Father's Name

Father's Phone Number

Father’s E-mail

Mother's Name

Mother's Phone Number

Mother’s E-mail

Father/Mother ID Number* (For Insurance)

Passport Information

Own a passport

Nationality

Passport Number

Date of Issue

Date of Expiry 

Academic Information

GPA @ Current School and prepare the latest report card/transcript.

如果您的学校不在列表中,请电话与我们联系进行添加  010-84828942

Current School Address

Grade Year(9-12)

IB/AP/A-Level or Others (Please fill in NA if you do not enroll in any of these):

School Counselor's Name

School Counselor's Email

Applicants Backgroud

Please inform us if you have any special dietary requests or restrictions. Details of any specific allergies, illnesses and associated medication.

报名参加加州大学伯克利分校夏校且无英文成绩证明的同学,根据加州大学伯克利分校夏校政策需要在通过ASDAN初选过后参加官方举办的线上测评

 Test Score (Please lease it blank if you do not have test score)

Have your parents agreed to you attending this program?