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

(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):