2017哈佛大學交流計畫 Experience Harvard University

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

2017/02/02~02/14

每梯次名額僅限20名
即日開始每周甄選一次，先報名先甄選，額滿為止。

活動費用：NTD 128,888

完成表單後，請耐心等候
主辦單位將於每周五晚間公布當周甄選結果。

20 slots each batch
Sign up is on a rolling basis

Price：NTD 128,888

Upon successful registration, we will notify the participants.
If you've signed up and not received notice from us, please contact us through email.

中文姓名 Chinese Name *

英文姓名 English Name *

必須與護照相同 Has to be the same as the one on your passport

手機號碼 Mobile Phone Number *

E-mail *

請填寫常用信箱，作為後續說明信件寄送地址

性別 Gender *

男 Male

女 Female

學校及系所 University & Major *

請填校系全名及年級（例. 台灣大學日文系三年級）Please fill in the whole name of your University EX. National Taiwan University Finance Major Junior

出生年月日 Birthday *

YYYY

Facebook *

請填寫個人頁面網址（例. https://www.facebook.com/asiaelitebusinessscholars）

個人病史 Medical History *

包含疾病、食物過敏等 Diseases and allergies

葷素 *

葷食 Non-vegetarian

素食 Vegetarian

社團經歷與榮譽事蹟 Extracurricular Activities & Honors *

將列入甄選考量標準

參加動機與對本活動期待 Expectations

將參酌列入甄選評量標準

優惠代碼 Promo Code

溫馨提醒：必須填寫代碼才能享有優惠喔！團體報名則填寫一起團報學員之姓名。優惠代碼及團報優惠不能同時使用，請擇一填寫

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms