2015斯坦福大学国际青年计划申请表SIYPApplication and Evaluation Form

请学生自行认真完整填写以下内容,谢谢。

1. Students Information

Name in Pinyin
First Name    ____________
Last Name    ____________
Name in Chinese
    ____________
Date of Birth
日期    ____________
Gender
Male
Female
Current Grade
    ____________
School Attended
    ____________
School City and Province
City    ____________
Province    ____________
Teaching Language (Is English the key teaching language?
YES
NO
English Test (if applicant) 
TOEFL    ____________
IELTS    ____________
Others    ____________
Email address
    ____________
Mobile
    ____________
Wechat/QQ (if available)
    ____________

2. Guardian/Parent Information (Either parent)

Name
    ____________
Company & Title
    ____________
Relationship
Father
Mother
Mobile
    ____________
Email
    ____________
Wechat / QQ (if available)
    ____________

3. Profile Questions

Please answer all of the questions below:

What do you hope to gain by participating in the Stanford International  Youth Program? What aspects of the program appeal to you the most?
    ____________
What do you like, or dislike, about school? Feel free to use examples from your personal experience to help with your description.
    ____________
Please list any extra-curricular academic activities in which you have participated during the last three years, in order of their importance to you.
    ____________
Have you attended any international summer program before?
YES
NO
If YES, which one and when?
    ____________

4. English Writing Test

PleasepickONEofthepromptsbelowandwriteanessay(around500words).

1. Recount a specific time or incident when you experienced failure. How did it affect you, and what lessons did you learn? 

2. Describe an accomplishment or a specific time that you feel very proud of. Why is it important to you? How did it affect you? 

3. Reflect on a trip or project that you have recently completed. Why did you do it? What have you learnt from the entire process.

Essay Writing
    ____________

5. Project Assignment

A famous Stanford Math professor is visiting China, and he has kindlyreserved a day to meet with interested students. You have been chosen asthe student representative to organize the event. 

How would you structure the event to make the most impact at your school orthe community? What are the objectives? Format?

 (*Note: When you plan for this event, you can make up some assumptions asnecessary and just state clearly in your plan.)

Project Assignment Writing Area
    ____________

6. Honor Code

I have truthfully represented myself on this application in my answers to the questions and in the work that I am submitting. I attest that all responses to the questions on this application are my own. I understand that any misrepresentation in my application materials is grounds for the Stanford International Youth Program to revoke an offer of admission.

YES, I agree.
NO, I don't agree.
是否持有有效护照(至少有3页空白页;自入境美国之日计算护照有6个月以上有效期)

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