1. www.cycu.edu.tw oia@cycu.edu.tw
CYCU Application for Admission Attach photo here
Page 1: Application Form
Information of Applicant
Full Name（in English）_______ ______________________________________(First/Middle/Last) (in Chinese）______________
E-mail: _______________________________ Cell Phone:_______________________ Telephone:.______________________
Home
Address__________________________________________________________________________________________
Mailing Address_________________________________________________________________________________________
Place of Birth ____________________ Date of Birth __________ _______ (mm/dd/yyyy)
Country of Citizenship ___________________ Passport No.______________________ Passport Expiration Date___________
Sex: □Male □Female Marital Status ___________________ No. of Children ___________________
Information of Legal Guardian (If age is under 20 years old)：
Full Name（in English）_______ ______________________________________(First/Middle/Last) (in Chinese）______________
Relationship:___________ E-mail:_____________________ Cell Phone:_________________ Telephone:_________________
Father’s name:_______________________________ Country of citizenship______________________
Mother’s name:______________________________ Country of citizenship_______________________
Educational Background
Previous Education Name of School City & Country Degree Granted Graduation Date Major
Secondary School
Undergraduate School
Graduate School
Intended Degree of Study:
Degree level and term applying for □Bachelor □Master □Ph.D. in □Fall □Spring semester of year □2007 □2008 □2009
Which Department/Program do you intend to apply for? _______
Advisor at Chung Yuan Christian University, if known: ___________________________________
English Language
Is English the instructional language in your last level of education? □Yes □No.
How many years have you formally studied English?
Where did you learn English (high school, college, language institute, etc.)?
Have you taken any test of English language? □Yes □No Name the test? ______________Test score ___
Chinese Language
How many years have you formally studied Chinese?
Where did you learn Chinese (high school, college, language institute, etc.)?
Have you taken any test of Chinese language? □Yes □No Name the test? ______________Test score ___
*In order to demonstrate the English or Chinese language capability of the applicant, for those who have not taken any
language proficiency test, evidence (such as a letter of recommendation indicating their language ability) should be provided to
help evaluate the application for admission to Chung Yuan Christian University.
Other Information
Are you physically sound and well？_________ If not, describe any physical handicap and/or health problem
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2. www.cycu.edu.tw oia@cycu.edu.tw
CYCU Application for Admission
Financial Supports：
State your plans for financing your education while you study at CYCU?
□Personal Savings □Parental Support □Scholarship: □Others (Please specify)：
(Continue on the next page)
Page 2: Check list of application documents to be submitted
(Please scan and submit the following application documents through email)
□ The completed and signed application form
□ The original graduation diploma/certificate of undergraduate and graduate education received (if applying for
undergraduate program, send the high school diploma/certificate)
□ English or Chinese translated version of the diploma/certificate (if the original is not in English or Chinese)
□ Official transcripts of academic records (undergraduate and graduate) from the university Registrar’s office (if
applying for undergraduate program, send the high school transcripts)
□ English or Chinese translated version of the transcripts (if the original is not in English/Chinese)
□ Report of English language capacity test scores (e.g., TOEFL 500 or equivalent)
□ Two letters of recommendation
□ Study Plan (including motivation, education & career goals, research interests, course-taking plan, etc.)
□ Resume (including education, research activities/publications, employment history, extra-curricular activities, and
references)
□ Autobiography
□ Financial statement (A statement from the bank stating the fund available in the account. If using a sponsor account, a
letter of sponsorship should be provided.)
□ Photocopy of the passport (identification page)
□ Additional documents required by individual department/program (for example: Portfolio)
□ Other supplementary materials (optional)
(Please scan and submit the above application documents through email to oia@cycu.edu.tw.)
Affidavit:
□ I, the undersigned applicant, guarantee that I am neither an overseas Chinese nor a R.O.C. national.
□ The diploma which I present is valid and was legally granted by the educational institution of the country where
I studied. The certificate of my educational level is equivalent to the one granted by accredited institution of
education in the Republic of China.
□ I agree to authorize Chung Yuan Christian University to verify the information provided above. After admission,
if any thereof is found to be false, I will accept revocation of my status as a student of Chung Yuan Christian
University.
□ I understand that if I have already gotten the scholarship from the Taiwan Scholarship Program, I am not
eligible to apply for the CYCU scholarships.
Applicant’s Signature ________________________________________ Date __________________________
Application procedures:
Stage Action Status
1 Application Applicant submits application documents Applicant
2 Review Program Committee reviews applicant documents
3 Preliminary Admission OIA sends Preliminary Admission to successful applicant Pre-admitted
4 Certification Taiwan Embassy/Representative Office certifies degree
documents
5. Official Admittance Letter Enrollment Services issues Official Admittance Letter Admitted
6. Visa Admitted student applies for Visa
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3. www.cycu.edu.tw oia@cycu.edu.tw
CYCU Application for Admission
7. Registration Students submits the certified degree documents Student
For information and questions, please contact: Rebecca (chchiu@cycu.edu.tw)
Office of International Affairs Julia Tsai (juliashu@cycu.edu.tw)
Chung Yuan Christian University Telephone: +886-3-265-1703 /1725
200 Chung Pei Rd., Chungli 32023 Fax: +886-3-265-1729
Taiwan, R.O.C. E-mail: oia@cycu.edu.tw
Website: www.cycu.edu.tw
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