个人信息Personal Information | ||||||
姓 名 Name | 性 别 Gender | 出生日期 Date of Birth | ||||
证件类型 ID Type | □身份证ID Card□护照Passport | 证件号码 Passport/ID Number | ||||
手 机 Mobile | 微 信 号 | 电子邮件 | ||||
地 址 Address | 邮政编码 Postal Code/Zip | |||||
职 务 Academic Position | □青年教师 Faculty □博士后Postdoc □博士生 Ph.D. Candidate □正在硕博连读Doctoral Student □高年级硕士生 Senior Master Student □其他(请说明)Other (please specify) | |||||
所在高校 Institution | 所在院系、专业 Department/Major | |||||
教育信息Education Background | ||||||
起止时间 Start & End Date | 院校名称 Institution | 院系名称 Department | 专 业 Major | 学 历 Degree | ||
工作经历(若无则不填)Employment (if applicable) | ||||||
起止时间 Start & End Date | 单位名称 Organization | 地 址 Address | 职 务 Title | 研究方向 Research Fields | ||
语言能力Language Skills | ||||||
语言 Language | 能力 Proficiency | 资格/证书 Certification (if any) | 获得时间 Date Attained | |||
英语 English | □非常好native □好fluent □勉强 basic □不足 beginner | |||||
汉语 Chinese | □非常好native □好 fluent □勉强 basic □不足 beginner | |||||
□非常好 native □好 fluent □勉强basic □不足 beginner | ||||||
□非常好 native □好 fluent □勉强 basic □不足 beginner | ||||||
学员对本期暑期项目课程内容的要求与设想Requirements and Expectations towards this Summer Training Workshop | ||||||
(可附页) (Please attach additional pages if necessary) | ||||||
学员与本期暑期项目有关研究计划或课题研究Research plan or topic of study relevant to this Summer Training Workshop | ||||||
(请在此处填写摘要,并请单独提供一份研究讲划) (Please fill in this box with the abstract AND provide a separate sheet to include your research plan) | ||||||
紧急联系人Emergency Contact | ||||||
姓 名 Name | 地 址 Address | 关 系 Relationship | 联系方式 Phone Number | |||
个人声明Declaration | ||||||
本人在此保证以上信息真实,并保证有足够的健康条件来完成这次暑期项目。 I hereby declare that the details given above are true and accurate, and that my health condition is proper enough to carry out my academic activities during this summer program. 本人一经录取,即默许北京大学佛学教育研究中心保存本人以上信息。 In case the application is approved, the CBER-PKU has my permission to electronically keep my personal data as above. | ||||||
签 字 Signature | 日 期 Date | |||||
承办方审核意见Examination Report | ||||||
签 字 Signature | 日 期 Date |
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