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Application Form


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East Asian Student Leaders Forum 2014

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Application Form

We will use this information only for this program and connection with you. Please fill the table below and insert a picture of you. Some items have some choices, so please erase the remainder and answer the question. If you have any question, please ask us. Please write this in Word form and send it by email.

Creation Date:

Name

First

Last

Birth Date

 







^ The Name of University, university address

Gender




 Far Eastern Federal University (FEFU), Vladivostok

^ School Year




Major

 

Address




E-mail

 

^ Tel (Cell phone)

Skype Address




 

^ Do you live on campus?




Do you live in Vladivostok?




^ Do you have any allergy?




Do you have any chronic disease?







Language

^ CIRCLE ONE

A: No trouble discussing

B: Daily conversation

C: Difficult to have conversation

English

A B C

Chinese

A B C

Japanese

A B C

Korean

A B C

Please write about any international exchange program that you have enrolled before (if you have).

Name of the

Program:

When was the program held:

Your position:










Essay

Please write the reasons why you have interests in the student organization “SRT”, Student Association of East Asian Universities and how you want to apply your experience in EASLF 2014 to your future activities. (300-500words)

*If it doesn't fit here, you can type it in different file and you can attach a file when you will send this. (Attachment file name should be: Essay and your name)






Please complete and return this Application Sheet to the Student Liaison Bureau via email (easlf2014@gmail.com)

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