東海大學雙聯學位計畫線上報名表 THU Dual Degree Program Online Application Form

中文姓名 Chinese Name

外籍生可不填寫
Optional for foreign students
英文姓名 English Name *

需與護照相同(全部字母大寫)
Should be identical to the passport (All in capital letters)
學號 Student ID *
手機號碼 Cell Phone Number *

請依照以下格式填寫 Please follow this format 09XXXXXXXX
Email *

請提供最常用Email以免遺漏訊息 Please provide the most often used email to prevent missing message
性別 Gender *

性別 Gender 男 Male 女 Female
出生年月日 Date of Birth *

請依照以下格式填寫 Please follow this format YYYY-MM-DD
學制 Type of Degree *

學制 Type of Degree 日間學士班 Regular Bachelor 進修學士班 Bachelor of Continuing Education 碩士班 Master 博士班 PhD
學系/學位學程 Department/Program *
就讀年級 Year of Study *
身分別 Enrollment Status *
母語為中文
Native language is Chinese/Mandarin *

母語為中文
Native language is Chinese/Mandarin 是 Yes 否 No
在學期間已完成的交換學習
Completed Outbound Exchange Study *

在學期間已完成的交換學習
Completed Outbound Exchange Study 從未交換 None 一學期 One Semester
申請學程 Program of Applying *
入學第一學期至前學期各學期班排名百分比
Class Ranking Percentile from First Semester to Previous Semester
第一學期班排名百分比 (不用填"%")
1st Semester Class Ranking Percentile (Do not add "%") *
第二學期班排名百分比 (不用填"%")
2nd Semester Class Ranking Percentile (Do not add "%")
第三學期班排名百分比 (不用填"%")
3rd Semester Class Ranking Percentile (Do not add "%")
第四學期班排名百分比 (不用填"%")
4th Semester Class Ranking Percentile (Do not add "%")
第五學期班排名百分比 (不用填"%")
5th Semester Class Ranking Percentile (Do not add "%")
第六學期班排名百分比 (不用填"%")
6th Semester Class Ranking Percentile (Do not add "%")
第七學期班排名百分比 (不用填"%")
7th Semester Class Ranking Percentile (Do not add "%")
第八學期班排名百分比 (不用填"%")
8th Semester Class Ranking Percentile (Do not add "%")
第九學期班排名百分比 (不用填"%")
9th Semester Class Ranking Percentile (Do not add "%")
第十學期班排名百分比 (不用填"%")
10th Semester Class Ranking Percentile (Do not add "%")
入學第一學期至前學期各學期GPA
GPA from First Semester to Previous Semester
第一學期 1st Semester GPA *
第二學期 2nd Semester GPA
第三學期 3rd Semester GPA
第四學期 4th Semester GPA
第五學期 5th Semester GPA
第六學期 6th Semester GPA
第七學期 7th Semester GPA
第八學期 8th Semester GPA
第九學期 9th Semester GPA
第十學期 10th Semester GPA
已取得勞作成績
Labor Education Grade(s) Earned
第一學期
1st Semester
第二學期
2nd Semester
依據下表選填一項最優等級英語能力檢定成績
Optional Highest-Level English Proficiency Score by Table Below

Minimum Score | Level A | Level B | Level C | Level D
TOEFL ＩTP | 630 | 560 | 527 | X
TOEFL iBT | 100 | 95 | 71 | X
IELTS | 8.5 | 7.0 | 5.5 | X
TOEIC | 950 | 880 | 750 | 550
TOEFL ITP
TOEFL iBT
IELTS
TOEIC
緊急聯絡人姓名
Emergency Contact Person Name *
緊急聯絡人關係
Relation with Emergency Contact Person *
緊急連絡電話
Emergency Contact Phone Number *
本人同意報名所填各項資料，由貴校依據「個人資料保護法」等相關法令規定，為必要之資訊應用，處理相關事宜。
I hereby confirm all registration information to be used for handling the relevant matters as the required application information by the school according to the pertinent regulation of the “Personal Information Protection Act”.
是 YES
本人同意以上所填各項資料若有不實，國際暨兩岸合作處得取消本人申請本次赴全球姊妹校就讀雙聯學程資格。
I hereby confirm that the Office of International Relations reserves the right to decline my outbound dual degree program application if any information provided is incorrect.
是 YES

東海大學雙聯學位計畫線上報名表 THU Dual Degree Program Online Application Form

東海大學雙聯學位計畫線上報名表 THU Dual Degree Program Online Application Form

入學第一學期至前學期各學期班排名百分比 Class Ranking Percentile from First Semester to Previous Semester

入學第一學期至前學期各學期GPA GPA from First Semester to Previous Semester

已取得勞作成績 Labor Education Grade(s) Earned

依據下表選填一項最優等級英語能力檢定成績 Optional Highest-Level English Proficiency Score by Table Below

入學第一學期至前學期各學期班排名百分比
Class Ranking Percentile from First Semester to Previous Semester

入學第一學期至前學期各學期GPA
GPA from First Semester to Previous Semester

已取得勞作成績
Labor Education Grade(s) Earned

依據下表選填一項最優等級英語能力檢定成績
Optional Highest-Level English Proficiency Score by Table Below