Chinese Teacher Training Registration

达拉斯德州大学孔子学院中文教师培训注册表
Registration Form for Chinese Teacher Training Workshops
Confucius Institute at the University of Texas at Dallas
800 West Campbell Road, JO31, Richardson, TX 75080
Tel: 972-883-4860, Fax: 972-883-2989

This form may be downloaded and sent via email, mail or fax, or may be filled out and submitted below.

(Family Name)

(Given Name)

出生年月(D.O.B)

年(year) 月(month)

最后学历(Degree)

毕业学校(University)

专业(Major):

是否有德州教师资格证(Do You Have Texas Teacher’s Certificate)?

有(Yes)  
没有 (No)

工作单位(Information about Your Affiliation)

单位名称(Name of Affiliation):

单位地址(Address of Affiliation):

讲授课程(Course You Teach):

联系方式(Contact Information):

联系电话(Tel):

(Home)
(Office)
(Cell)

电子邮箱(Email):

通讯地址(Mailing Address):