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大學資料蒐集表格 UNDERGRADUATE’S INTAKE FORM

大學資料蒐集表格 UNDERGRADUATE’S INTAKE FORM

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1. STUDENT'S FAMILY NAME (LAST NAME) 學生姓氏:

2. STUDENT'S FIRST NAME 學生名字(同護照):

3. DATE OF BIRTH 出生日期

4. TESS USA ASSOCIATE'S NAME (IF ANY) 代辦公司名稱(如果有):

5. IF NO RECRUITER, HOW DID YOU HEAR ABOUT US? 如果沒有代辦公司，您如何得知我們？

6. BEST TIME TO TALK TO YOU 最佳的面談時間:

STUDENTS INFORMATION 學生資訊

7. WHERE WOULD YOU LIKE TO GO TO SCHOOL? 您想申請哪裡的學校？

USA美國
CANADA加拿大
AUSTRALIA澳洲
OTHER其他

8. WHEN WOULD YOU LIKE TO BEGIN? 您何時想要開始就讀？

OTHER
FALL 秋季2018
SPRING春季2018
SUMMER夏季2018

9. WHAT WOULD YOU LIKE TO STUDY? 什麼是您想要就讀的？

10. DO YOU PREFER ANY SPECIFIC UNIVERSITIES? IF SO, PLEASE NAME THEM: 請問有喜歡任何特定的大學嗎？如果有，請提供名稱

11. DO YOU HAVE A PREFERENCE FOR GEOGRAPHICAL LOCATION? (WHERE) 請問有地理位置的偏好嗎？（地點）

12. PLEASE STATE ANY OTHER PREFERENCES, SUCH AS A TYPE OF RELIGIOUS- ORIENTED SCHOOL, ETC 請說明任何其他偏好，例如一個宗教導向學校之類的

ACADEMIC RECORDS 學術紀錄

13. NAME OF HIGH SCHOOL 高中學校名稱:

14. LOCATION OF HIGH SCHOOL 高中學校地點:

15. HIGH SCHOOL GRADUATION YEAR 高中畢業年份:

16. HIGH SCHOOL GPA 高中的平均成績:

17. HAVE YOU TAKEN ANY OF THE FOLLOWING TESTS? IF YES, PLEASE PUT SCORE NEXT TO TEST. IF NONE, PLEASE PUT DATE TEST WAS SCHEDULED 有沒有參加過以下任何測試？如果有，請填入該分數。如果還沒有，請填入預計測試日期

IELTS雅思

TOEFL托福

ACT

SAT

18. HOW MANY YEARS HAVE YOU STUDIED IN AN ENGLISH- SPEAKING COUNTRY? IF YES, NAMES AND DATES: 請問您曾在英語系國家讀書幾年？如果有，請提供名稱與日期時間

19. PLEASE LIST ALL AWARDS 請列出所有的獲獎:

20. IF YOU HAVE PERFORMED COMMUNITY SERVICE, PLEASE DESCRIBE IT AND GIVE DATES 如果您有執行社區服務，請描述並提供日期

21. WHAT ARE THE MOST IMPORTANT CRITERIA FOR YOU TO CHOOSE A UNIVERSITY? (NUMBER FROM HIGHEST [1] TO LOWEST) 什麼是您選擇大學最重要的標準？（數字排列由高[1]而低)

22. NATIONAL RANKING OF THE UNIVERSITY 國家排名大學

23. RANK OF THE PROGRAM YOU WANT TO STUDY 您想要的科系排名

24. VARIETY OF PROGRAMS AVAILABLE 可選擇的科系種類

25. BELIEF THAT YOU WILL BE ACCEPTED BY THAT SCHOOL 相信您會被這所學校接受

26. SCHOLARSHIP AVAILABILITY 有無獎學金

27. TOTAL COST 總支出成本

28. LOCATION 地點

29. "OTHER" 其他

FAMILY INFORMATION 家人資訊

30. STUDENT EMAIL ADDRESS 學生電子郵件信箱

FAMILY INFORMATION 家人資訊

31. SKYPE

32. WE CHAT

33. WHATS APP

34. FACETIME

35. FACEBOOK

36. LINE

37. FATHER'S FIRST AND LAST NAME 父親姓名

38. MOTHER'S FIRST AND LAST NAME 母親姓名

MAILING ADDRESS FOR STUDENT AND PARENTS
學生與家長的郵寄地址

39. COMPLETE STREET ADDRESS 完整街道地址

40. CITY 城市

41. PROVINCE OR STATE 省份或州:

42. COUNTRY 國家:

43. POSTAL CODE 郵遞區號

44. FATHER or MOTHER'S EMAIL ADDRESS 父親或母親的電子郵件信箱

45. PARENT'S SOCIAL MEDIA ADDRESS( FACEBOOK, WHATS APP, LINE) 家長的社交媒體地址(臉書，WHATS APP，LINE)

46. FATHER or MOTHER'S MAIN PHONE NUMBER 父母或母親的主要電話號碼:

47. BASED ON APPLICATION DEADLINE DATES, WHEN WILL YOUR PARENTS EXPECT TO TELL US THEY WILL HAVE MADE A DECISION? 基於申請截止日期，請告訴我們，您的父母想要做出決定的時間？

TRANSFER STUDENTS ONLY 轉學生專用

48. YOUR CURRENT COLLEGE OR UNIVERSITY NAME 您目前就讀的學院或大學名稱:

49. NUMBER OF SEMESTERS COMPLETED 完成了多少學期:

50. ATTACH A COPY OF YOUR I-20 請附上您的I-20的副本

51. CURRENT GPA 目前平均成績

52. LATEST SCORES 最近的分數(TOEFL托福 / IELTS雅思 / SAT'S):

53. WHERE WOULD YOU LIKE TO TRANSFER TO? 您想要轉學到哪間學校？

54. WHAT IS YOUR CURRENT MAJOR? 您目前的科系是？

55. IF YOU WANT TO MAKE A CHANGE, WHAT WILL IT BE? 如果您想改變，那將是什麼？

WITH PESOL... YOU KNOW YOUR ENGLISH IS PERFECT!

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