AC Internship Program

City preference: Beijing     Shanghai    No Preference *
Personal Information
NAME: First * Middle: Last: *
Date Of Birth: day month year *
Sex: M F *
Contact e-mail: *
Home Phone: ( ) - *
Work Phone: ( ) -

Mobile Telephone
(Chinese Phone Number ):

( )
Home Address  
City: *
Country:
Contact Address(If different from the home address above)
City:
Country:
   
Nationality
country of citizenship:
*
Ethnicity
cultural background:
*
Visa Type:
Internship Choices
Field: choices1: *
choices2: *
choices3: *
  ¡ï No Pay
¡ï¡ï¡ï Pay Depends On Qualification
If other, please describe:
Estimated InternshipStarting Date : day month year *
Estimated InternshipFinishing Date : day month year *
Language Ability
Native Language: *
Chinese Level: *
Other Languages   
Other Languages   
Other Languages   
TESL certificate or equivalent:
Any other additional language qualifications:
 International English Language Testing System[IELTS]Certificate.
Undergraduate Qualification
University or College: *
 Status: *
Major 1: *
Major 2:
Minor 1:
Minor 2:
Year of graduation
GPA:
Post graduate Qualifications
University or College:
Subject 1:
Subject 2:
Subject 3:
Subject 4:
Year of graduation
GPA:

Status

If other please describe
Work Experience
Current Position:
Company Name:
Current Salary:
Additional Required Information
Have you ever been to China? Yes No *     
Describe
If yes, how much total time have you spent in China before?    
Do you have a valid passport? Yes No *
Do you have health insurance 
for international travel?
Yes No *  (You must have international travel    insurance to participate on Abroad China's programs)
Do you have any pre-existing 
medical conditions or disabilities?
Yes No *
 If yes, please explain 
How did you hear of us?*
Internet Monstertrak.com
Goabroad.com Studyabroad.com
Career center Study abroad office
Business school Chinese class
Faculty Study abroad fair
Past participant Friends
Other     ,  please specify 

Please write a brief statement of your aims. Please include the following points: *
General goals for your experience in China
Internship expectations and Industry interests
Consideration of language exchange
Have you ever lived abroad before? If so, what did you gain from the experience? If not, what do think you will gain from this experience?
Other requirements

Copy and paste your resume in the space below.*
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