第十五届汉语桥世界大学生中文比赛.doc

第十五届“汉语桥”世界大学生中文比赛 2016美国北加州地区预赛选手报名表 Application Form for the 15th Chinese Bridge Chinese Proficiency Competition for College Students-Preliminary Contest in Northern California Learning Chinese Language, Experiencing Chinese Culture “学中文 品文化” 中文姓名/Name in Chinese, if applicable : _ 护照用名（英文）/Name as on Passport in English ： 姓/Surname: 名/First Name: 出生日期/Date of Birth: 日/Day 月/Month 年/Year 出生地点/Place of Birth: 国家/Country: 城市/City: 国籍/Nationality: 证件号码/ID No.: 男/Male: □ 女/Female: □ 第一语言/First Language: 第二语言/Second Language: 家庭成员中文背景/Chinese Background of Family Members: 电话/Tel: 传真/Fax: 手机/Mobile: 电子邮件/E-mail: 通信地址/Mailing Address: 受教育情况/Educational Background: 学校 在校时间 主修专业 副修专业 Name of College/University From/To Major Minor 学习汉语时间/How long have you been learning Chinese?: 是否曾经在中国学习/生活Have you studied/lived in China before？ 是Yes □ 否No □ 如果是，多长时间/If yes, for how long?: ____________________________________________ 是否参加过其他汉语比赛/Have you participated in other Mandarin Chinese Competition s 是Yes □ 否No □ 如果是，请列出比赛名称/If yes, please list the names of the Competition s : ________________ _______________________________________________________________________________ 是否在其他汉语比赛中获奖/Have you won any prizes in the other Mandarin Chinese Competition s ? 是Yes □ 否No □ 如果是，请列出奖项名称/If yes, please list the names of the prizes: _______________________ _______________________________________________________________________________ 关于本次比赛/About the Chinese Bridge Competition 2016 演讲题目/Topic of the Speech: 中华才艺表演/Talent Performance: 表演所带设备/ Performance Equipment brought in: 其他报名材料/Other documents required Please make sure the following documents are submitted and ticked ? □ 学生证复印件/Copy of the Student ID ? □ 护照复印件/Copy of the Passport Photo Page ? □ 个人生活照一张/One Photo 声明/Declaration 本人自愿报名参加第十五届“汉语桥”世界大学生中文比赛美国北加州地区预赛，并郑重作出声明，承诺遵守如下规则: I am willing to participate in the 15th ‘Chinese Bridge’-Chinese Proficiency Competition for College Students-Preliminary Contest in Northern Californi