【2020AB FLD App】Keru Programs Application Form (Students Only)

Welcome! 欢迎! 

Thank you for the interest in Keru FIELD programs. Before filling out the form, please make sure you have thoroughly read the program brochure. 感谢您申请Keru实地项目。在填写申请表之前,请确保您已经认真读完项目手册。

*1.
English Name 英文姓名
*2.
Chinese Name in Chinese Characters 中文姓名,汉字填写
If you don't have one, just put down NONE
*3.
Date of Birth 出生日期
yyyy/mm/dd e.g. 2002/6/23
*4.
Gender 性别
*5.
Nationality 国籍
*6.
Hometown 家乡所在地
*7.
Current School of Attendance 在读学校
*8.
Current Grade or the one you just graduated from 目前所在年级或刚刚毕业年级
*9.
Which program are you applying for?  您希望申请哪个项目? 【请选择1-2项】
*10.
Where did you hear about Keru? 请问哪里得知Keru?
*11.
Are you a Keru alumni? 请问您是 Keru的校友吗?
has attended Keru Program before 曾经参加过Keru项目
*12.
Participant Phone 参与者手机号码
*13.
Participant WeChat Account 参与者微信账号
Please note that Keru Service will friend you on WeChat for the next step
请注意Keru小助手将添加您微信来继续申请流程

(If you don't have WeChat, just put down NONE, we will follow up through Email)
*14.
Guardian Name & Relationship to Participant 监护人姓名 & 与参与者关系
*15.
Guardian Phone 监护人手机号
*16.
Participating Student's Email 参与学生的邮箱
Thank you for applying for Keru for FIELD programs. We will contact you within 3 ~ working days.
感谢您申请Keru实地项目。我们会在3个工作日左右联系您。
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