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Clinical English Fellowship contact form

Welcome and thank you for participating in the Clinical English Fllowship! Please take some time and fill out the following questionnaire so we may better contact you in the future.
What is your Chinese Name?
    ____________
What is your English Name?
    ____________
What is the name shown on your wechat?
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What is your telephon/mobile number?
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What is your email?
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What do you consider to be your best quality?
    ____________
What is your highest level of education obtained? Please include name of institute and diploma.
    ____________
What are your hobbies?
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What do you wish to achieve or obtain from this fellowship?
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What would you like to see happen in the future for this fellowship?
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English Proficiency
I am a native speaker I can understand 80% of the time I can understand 50% of the time I can understand 30% of the time我只能明白30% I have no clue what you are taling about我不清楚在说什么
Listening
Speaking
Reading
Writing
中文水平
我是本地人 我懂80% 我懂50% 我懂30% 我不清楚在说什么
听力
口语
阅读
举报