Application Received | The Chinese Language Institute

Basic Information

*First Name

*Last Name

*Date of Birth

*Sex MaleFemale

*Nationality

*Are you currently in China?

Contact Information

*Email

Phone (optional; only items with * required)

Academic Information

*Academic Standing (highest level completed)

*Most Recent Academic Institution

Primary study

Approx. how many simplified characters can you recognize?

*Rate your current Chinese level(0 is absolute beginner, 6 is highly advanced)

Program Information

*Program Type

*Desired Term

*Program Start Date (All coursework begins on Monday)

*Housing Accommodation

*CLI Meal Plan (Home-cooked lunch at CLI M-F, $19 per week, amount will be added to program fee)

*CLI Pengyou Program(Please reference the Pengyou Program section for more info; link opens in new window)

*How did you hear about CLI?

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 (link opens in new tab).

Electronic Signature of Applicant I agree with all declarations stated above.

Application Form