National Kaohsiung University of Applied Sciences

Application form for Foreign Student Admission

1. Personal information English name
(as shown in passport) ( Family Given ) Attach recent bust photograph here

Date of birth Place of birth Children Telephone Fax

(MM / DD/ YY)

Nationality Martial status married single Home address E-mail address Occupation Employment name and address
Name: Legal guardian or emergency contact Relationship: person Address:

Sex

female male

Phone:

2. Educational background College /university

(Name)/(Address)

Date of graduation

Major and Special topic

GPA TOEFL(IELTS)/Others

Major Professional Certification (Date granted)

Minor

Degree

3. Working experiences(If any)

Name of Company Job Title Working Period

4. Health condition
Health condition Describe any physical defect or health problem (e.g. allergy, heart disease, high blood pressure) Excellence Good Average Poor

5. Other information
Extracurricular activities Publications (may attach a paper list) Date

6. English proficiency
Excellence Good Average Poor Excellence Good Average Poor Excellence Good Average Poor Excellence Good Average Poor

Speaking

Listening

Reading

Writing

Applicants signature

Date of application

Statement: I affirm that the information I have provided on this application form and any other documents that I have submitted to National Kaohsiung University of Applied Sciences is complete and accurate.