Application FormTo apply for CLI’s Immersion Program, Study Abroad, or Teach in China program, please complete the below application form. All starred fields are required. Accepted students will receive an email with enrollment steps within three days of submitting this form. We look forward to hopefully welcoming you to Guilin soon!Basic Information*First Name *Last Name *Date of Birth (enter as Month/Day/Year; e.g. 05/16/1986 for May 16, 1986)*Gender MaleFemale*Nationality AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe Contact Information*Email Phone (optional; only items with * required) Academic Information*Academic Standing Not ApplicableHigh SchoolUndergraduate 1st YearUndergraduate 2nd YearUndergraduate 3rd YearUndergraduate DegreeMaster’s DegreePhD (highest level completed)*Most Recent Academic Institution Primary study Approx. how many simplified characters can you recognize? *Rate your current Chinese level0123456 (0 is absolute beginner, 6 is highly advanced) Program Information*Program TypeImmersion ProgramCollege Study Abroad (Standard)College Study Abroad (Intensive)Teach in China *Desired Term1 week2 weeks3 weeks4 weeks5 weeks6 weeks7 weeks8 weeks9 weeks10 weeks3 months4 months5 months6 months7 months8 months9 months10 months11 months1 yearSpring Semester 2018Fall Semester 2018Spring Semester 2019Academic Year 2018-2019Fall Semester 2019Spring Semester 2020Academic Year 2019-2020Spring Semester 2018Summer Session 2018Fall Semester 2018Winter Session 2018-2019Spring Semester 2019Academic Year 2018-2019Summer Session 2019Fall Semester 2019Winter Session 2019-2020Spring Semester 2020Academic Year 2019-2020Spring 2018Fall 2018Spring 2019Academic Year 2018-2019Fall 2019Spring 2020Academic Year 2019-2020 *Desired LevelKindergartenPrimary SchoolMiddle SchoolHigh SchoolUniversity *Program Start Date (All coursework begins on Monday)*Housing AccommodationPrivate Room at CLIHomestayPrivate ApartmentApt. w/ Chinese Roommates (3br)Dorm Room (Single)Dorm Room (Double)HomestayApt. w/ Chinese Roommates (3br)Private Apartment *CLI Meal PlanSign me up!Decide later (Home-cooked lunch at CLI M-F, $15 per week, amount will be added to program fee) *CLI Pengyou ProgramSign me up!Decide later (Please reference the Pengyou Program section for more info; link opens in new window)*How did you hear about CLI?Word of mouthClass visitorReceived brochureFacebookTwitterInstagramRedditYouTubeGoogle searchGoogle image adYahoo/Bing searchAsiaoptions.orgChinese-forums.comDigmandarin.comFluentU.comGoAbroad.comGooverseas.comHackingChinese.comSaporedicina.comStudymorechinese.comTheChairmansBao.comOnline image adBlog postNews articleOther Offer Code (Offers run on limited basis) Emergency Contact Information*Name *Relationship *Email Address *Country of Residence *Home Phone Number (include country code) Cell Phone Number Applicant SignatureI declare that: The above information included in my application is accurate and correct to the best of my knowledge. I agree to abide by the laws of the People’s Republic of China and agree not to engage in any illegal activities during my academic pursuits in China. I have read and I accept The Chinese Language Institute’s Terms and Conditions Electronic Signature of Applicant I agree with all declarations stated above.