國立中央大學外國學生面試基本資料表

Interviewee Information Form for International Students

National Central University
How do you know this □ My University Website □ My Lecturers/professors
Interview Session? □ Friends Facebook Page □ Others
□ Male
Gender
Name _______________________ □ Female
Nationality
□ Student
Diploma currently pursuing
□ Bachelor □ Master □ Doctor
University:
_________________________________________________
Department:
Current Study ________________________________________________
Status □ Non-Student
Highest diploma obtained
□ Bachelor □ Master □ Doctor
University:
_________________________________________________
Department:
________________________________________________
English 1. □ Advanced □ Intermediate □ Beginner
proficiency 2. English test name, score, date:
Email address:
Contact info
Cell phone no.:
1. Department/institute:
Proposed program
2. □ Bachelor (Chinese ability required) □ Master □ Doctor
to study at NCU
3. Fields/research topics:

Evaluation (GREY SECTION FOR NCU USE ONLY)

Issued early admissions already □ Spring 2023 □ Fall 2023 (choose one)
Can’t decide, but highly recommend to the pointed
Decision
department/institute
Not recommend

English proficiency (scale 1-10) □1 □2 □3 □4 □5 □6 □7 □8 □9 □10

Other comments:

NCU Professor’s Signature: _________________________________