上海音乐学院来华留学生申请表（非学历生）
Application Form for International Students
Shanghai Conservatory of Music（Non-degree Program）
护照姓 Passport Surname
| 护照名 Passport Given Name
| 中文姓名 Chinese Name | 照片 Photo | |||||||
性别 Sex | 出生日期Date of Birth | |||||||||
国籍 Nationality | 出生地点Place of Birth | |||||||||
护照号码： Passport No. | 护照有效期： Valid Until | |||||||||
宗教信仰 Religion | 婚姻状况 Marital Status | 手机号码 Mobile phone No. | ||||||||
本国联系方式 Address in Your Home Country 电话Tel 邮编Zip code | ||||||||||
录取材料邮寄地址 Address of Receiving Admission Documents 电话Tel 邮编Zip code | 紧急联络人姓名 Person for Emergency Contact 电话Tel
| |||||||||
最后学历 Highest Academic Degree | 电子邮箱Email | |||||||||
现工作或学习单位 Employer or Institution 所在年级 Current Grade | 职业 Current Occupation
| |||||||||
申请专业和主修科目 Field of Study & Subjects | □汉语 Chinese Language □音乐进修 (请在下面选择填写) Music Major (Please Select from below) | 入学时间Intake time： 年Yr. 月Mo. 学习时间Study Duration: □1学期1 Semester ; □2学期2 Semesters; □1年以上More than One year | ||||||||
□作曲Composition. □指挥Conducting □中国民族乐器演奏Chinese Traditional Instruments Performance □音乐学 Musicology □钢琴Piano □声乐歌剧Voice& Opera □管弦乐器演奏Orchestral Instruments Performance □音乐教育Music Education □艺术管理Arts Administration □音乐工程Music Engineering □现代器乐与打击乐Modern Instruments and Percussion □音乐戏剧Music Theatre 拟主修科目Major to Apply | ||||||||||
汉语能力Chinese Proficiency HSK证书HSK Certificate，Level 在何处学习（study from） □ 在本国（Home） □ 在中国（China） □ 其他地方（Other place） 学习时间（study hours） □<100 hours □100～300 hours □300～600 hours □ 600～900 hours □900～1200 hours □>1200 hours | ||||||||||
推荐人/机构： Recommended by
| 经费来源Source of Funding □ 奖学金(Scholarship) □ 自费(Self-supporting) □ 校际交流（Exchange Student） □ 其他（Other） | |||||||||
备注：未满18岁申请者请填写以下监护人信息 Note: Applicant under 18 should fill in the part of Guardian’s information | ||||||||||
监护人姓名Guardian’s name： 国籍Nationality： | 与被监护人关系Relation to the applicant： | 电话： Telephone No. | ||||||||
监护人保证Guardian hereby affirms that （1） 监督该生不从事学习目的以外的活动并保证遵守本地法律To supervise the applicant not to do anything not applicable for an exchange student; and assure him/her will abide by the local laws. （2） 督促该生努力学习并遵守上海音乐学院的各项规章制度To urge the applicant to exert to study industriously and observe the pertinent rules and regulations of Shanghai Conservatory of Music. （3） 督促该生按时交纳各项费用，该生不能支付有关费用时，由我负责支付To urge the applicant to pay the necessary fees on time; and will be liable to him/her for the payment which in case he/she is not able to afford to pay. （4） 负责该生在上海音乐学院学习期间发生意外事故的处理工作To handle the accident that the applicant meets during his/her study period at Shanghai Conservatory of Music. 监护人签字： 日期： Signature of Guardian Date | ||||||||||
申请人在提交本申请表时，需要同时提交下列材料： 1) 护照复印件 2) 最高学历证书 3) 报名费500元（人民币） 4) 报名照片三张 5) 与音乐专业有关的音响资料 6) 其他相关资料(如音乐老师推荐信等) | Applicant must submit the following documents with this form when applying a) The copy of passport b) The copy of your highest academic degree c) Application fee：RMB500 d)Three passport-size photos e）Music recordings(CD or DVD) about the major study f）Other documents(recommendation letter, etc) | |||||||||
□无需通过学校安排住宿No need for accommodation arrangement by SCM □申请留学生宿舍Applying for International Student Dormitory 需要预定宿舍，学校将根据实际情况调配/Book a dormitory(if needed), the arrangement will be made according to the actual situation. 双人间/ Double-room(day/person)□RMB40；单人间/ Single-room(day/person)□RMB80 | ||||||||||
申请人保证/I hereby affirm that （1） 上述各项申请中填写的情况是真实无误的/All the information in this form is true and correct； （2） 因提供信息错误、不清晰或不完整而造成的任何后果由我本人承担/I will take all the responsibilities for any result caused by wrong, incomplete or unclear information in this form; （3） 在上海音乐学院学习期间，遵守本地法律以及学校的规章制度。/ I shall abide by the local laws and the regulations of Shanghai Conservatory of Music.
申请人签字: 申请日期： Applicant’s signature Application Date | ||||||||||