姓(Last Name) 名(First Name) 生日(Date of Birth) dd/mm/yyyy 国籍(Nationality) 性别(Gender) 女(Female) 男(Male) 婚姻状况(Marital Status): 通讯地址(Address) 城市(City) 省/州(Province/State) 邮编(Postal code) 国家 电话(Phone) 传真(Fax) 电子邮件(E-Mail) 身份证号(I.D. Residence): 户口所在地(Residency): 学历(Last Degree/Diploma/Certificate): 学校名称(Institution): 毕业时间(Date Received): 年(yy)月(mm) 专业名称(Special Focus of Academic Study): 目前工作单位(Current Employer): 职称名称(Job Title): 工作起始日期(Start Date): 年(yy)月(mm)日(dd) 其它工作经验(Other Work Experience): 如果是学生,现在所在的年级(If you are a student now, your current year of study) 您希望前往哪个国家留学(Which country you want to go: ) 你希望接受哪种教育(You are interested in): 高中(High School) 本科教育(Bachelor's) 硕士研究生(Master's) 博士研究生(Doctor's) 英语作为第二语言(English as a Second Language) 希望攻读的专业名称(Field of Study) 1. 2. 3.
第一年您个人可以负担的费用(How much money is available from you for the first year?) A. 小于$10,000/ 年(Less than $10,000/year) B. $10,001 - $15,000 C. $15,001 - $20,000 D. $20,001+
您的父母去年收入总计为(Total income of your parents last year ): 您期望的学校(Universities you desire): 标准化考试(Standardized Testing): Please specify the score in each section TOFEL Score: Total: Section I: Section II: Section III: TWE: TSE: Last Test Date:
GRE: Total: Verbal: Quantitative: Analytical: Last Test Date:
GMAT:
其它考试及成绩(Other): 您的百分制平均分(GPAs in 100 scale): 您在班级中的排名(Rank in class): 入学时间(Enrollment Date): 秋季(Autumn) 春季(Spring) 你是否收到过I-20表(Has an I-20 already been issued to you?): 否(No) 是(Yes) 你有有效的护照吗(Do you currently have a valid passport?): 否(No) 是(Yes) 你有没有约好签证面试的时间(Have you set an appointment for a visa interview?) 否(No) 是(Yes), 日期定于(Date):年(yy)月(mm)日(dd)
你过去有没有申请过美国签证(Have you ever applied for a US visa before?): 否(No)是(Yes), 何时(When?)年(yy)月(mm)日(dd)
经济来源,请列明你的经济来源是何人及数额,可用美元或人民币表示(Financial Resource: Please list all resources you plan to use to support your academic studies in the US. Provide approximate amounts in either RMB or US dollars.):