2025 易三倉大學薩瓦迪泰暑期營報名表 | 2025 Assumption Sawadee Thai Summer Camp 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 非二元 Non-binary
出生年月日 Date of Birth * / 月 / 日西元年
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 *

身分別 Enrollment Status 本地生 Local Student 外國學生 Foreign Student 僑生 Overseas Chinese Student 陸生 Mainland Chinese Student
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 一學年 One Year
請上傳規定之申請文件 Please upload the following documents tocomplete the application

這是您的區域分隔說明文字
護照影本 Photocopy of Passport

附加檔案附加檔案
歷年成績單影本 Official Transcript for allsemesters

附加檔案附加檔案
本暑期營課程以全英文授課，無需提供英語能力證明文件即可報名。然而，為確保能順利理解課程內容，建議參與者具備至少 B1 等級的英語能力。

This summer camp program is conducted entirely in English, and no English proficiency certificate is required for registration. However, participants are recommended to have at least a B1 level of English proficiency to ensure they can follow the course effectively. *
我明白了 I understand
緊急聯絡人資訊及相關法規
Emergency contact information and related regulations
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參加短期研習活動之資格。
I hereby confirm that the Office ofInternational Relations reserves the rightto decline my outbound short-termprogram application if any informationprovided is incorrect.
是 YES

2025 易三倉大學薩瓦迪泰暑期營報名表 | 2025 Assumption Sawadee Thai Summer Camp Application Form

2025 易三倉大學薩瓦迪泰暑期營報名表 | 2025 Assumption Sawadee Thai Summer Camp Application Form

請上傳規定之申請文件 Please upload the following documents tocomplete the application

緊急聯絡人資訊及相關法規 Emergency contact information and related regulations

緊急聯絡人資訊及相關法規
Emergency contact information and related regulations