2017年北美兒童華語文能力測驗報名表   Children’s Chinese Competency Certification (CCCC)  Registration Form
凡選項中有" * ",代表此項目為必填項目
Test Date: Oct. 22, 2015   ; Check In Time: 1:30Pm
Place: 小狀元教育學苑(12226 Saratoga Sunnyvale Rd. , Saratoga, CA 95070)

報名費Registration Fee：正體字Traditional Character (US$20)；簡體字Simplified Character(US$30)

Please mail your registration fee with a copy of photo ID and  your name , test level information to "PO Box 362250, Milpitas, CA 95036-2250 (Check Payable to  ANCCS)
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測驗等級Test Level *
請選一項
測驗版本Character Version *
學生基本資料
Test Taker’s Personal information
中文姓名 Chinese Name
無者免填 Leave blank if you don’t have Chinese name
性  別 Sex *
外文姓名 English Name *
同護照 Write exactly as it appears on your passport or official ID, will show the name on certificate
生日 Birth Date *
mm/dd/yyyy
MM
/
DD
/
YYYY
國  籍Nationality *
母  語 Native Language *
就讀學校(所在城市)
School Name(in which city)
就讀年級  Grade *
Required
填表人之聯絡電話 *
Contact Phone
填表人之聯絡電郵 *
Contact Email Address
郵寄地址 *
Mailling Address
考生學習資料調查  
Survey of Test Taker’s Language Background
您的中文是在哪裡學習的 Where have you learned Chinese *
在台灣 in Taiwan, 在中國 in China, 在美國 in USA, or 其它 others(請填寫國名Please fill in the name of the country)
您學了多久的中文？How long have you been studying Mandarin? *
___ 年year___月month
平均每週學習多少小時 The average learning hours/per week *
您與家人使用中文交談嗎？ Do you speak Mandarin with your family？ *
你在哪間學校或單位學習中文？
Where do you attend your Chinese class?
你現在正在學習的教材？  
What kind of studying materials are you using right now?
你是否參加過「中小學生漢語考試」？ *
？ Have you ever participated in the Youth Chinese Test (YCT)?
你是哪一年參加「中小學生漢語考試」的？
In which year did you take the YCT test?
你參加哪個「中小學生漢語考試」級數？
Which level of YCT?
Clear selection
你有沒有通過「中小學生漢語考試」？
Have you passed the YCT test?
Clear selection
Submit
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