REQUEST FOR APPLICATION MATERIAL

(Undergraduate)

Dear Admission Officer:

      I would like to apply for admission to your institution.  After reviewing the following, please send me the appropriate application forms and brochures.  Thank you!

1. Last Name: _________         First Name:__________ 2. Sex: _____

3. Address for reply:     

________________________________________________________________

4. Citizen of : _________                  5. Native Language: _______________

6. Expected Date of Entrance: ______________ 

7. Degree Desired: ___________

8. Intended Major: __________________  

9. Last Attended Secondary School and/or University

   _______________________________________________________

   ________________________________________________________

10. Overall Grade Average:

Secondary School: _________

Undergrad: ___60-69;  ____70-74; ___75-80; _____81-84; _____ 85-89; ___90-100

11. Exams Results & Date:

      TOEFL: _________________       SAT __________________

      Other: _____________________

12. I expect to have approximately ____________ in US dollars available each year for tuition and expenses in the US. ____I plan to apply( ______I do not plan to apply) for financial aid from your institution, but if the financial aid is not available I still have fund to go to your school.

13. Additional Comments or Question (Work Experience):

 ________________________________________________________

_________________________________________________________

Signature:________________                            Date: _________

Note1: if your application form and brochure is not available yet, please place me on the mailing waiting list. Thank you.

*Note to US Admissions Officer: Some students in Taiwan enter a 5-year junior college program immediately after graduating form junior middle school. These 5-year programs straddle high school and the first two years of college. ** A grade of less than 60 is failing.

(This form is designed and distributed by Foundation for Scholarly Exchange—Fulbright)

(詠瑞留學) 台北市新生南路一段108-1號2樓
TEL:(02)2393-8598　FAX:(02)2322-2770

研究所申請人請按這裡看範例 www.urwinner.net/ram.htm

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