CAMP-Nano Application Form

Apply for Masters Degree

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Family Name
Chinese
name:
Given Name (blank if you dont have)

Photograph
Nationality Gender

Date of birth

Place of birth

Highest Education Occupation

Level
Current employer Native
or school affiliated language
Address
Tel: Fax: E-mail:
Curriculum vitae(Starting from high school)
/years attendedFrom/to /University or company /Position
In this section you will have the opportunity to tell us about the activities you have participated in
and the awards you have received. We will be collecting information on these five categories (no
length limit)
Educational Preparation Programs
Volunteer & Community Service
Work Experience
Awards & Honors
Extracurricular Activities
Personal Statement 1 (no length limit)
What is your intended major? Discuss how your interest in the subject developed and describe any
experience you have had in the field such as volunteer work, internships and employment,
participation in student organizations and activities and what you have gained from your
involvement.

Personal Statement 2 (no length limit)

Tell us about a personal quality, talent, accomplishment, contribution or experience that is
important to you. What about this quality or accomplishment makes you proud, and how does it
relate to the person you are?
Additional Comments (optional) (no length limit)
If you wish, you may use this space to tell us anything else you want us to know about you that you
have not had the opportunity to describe elsewhere in the application.

I am willing to study at CAMP-Nano, School of Materials Science and Engineering, Xian Jiaotong
University. I will follow the terms during my study:
1. I will abide by the laws of the Peoples Republic of China.
2. I will study industriously and observe all rules and regulations of the University.
3. I will pay all expenses on time.
4. All the information in this form is true and correct.

Applicants signature:
Date:
Address:
CAMP-Nano,School of Materials Science and Engineering, Xian Jiaotong University
Xian, Shaanxi province P.R.China 710049
Tel:86-29-82664764
Fax:86-29-82665923
E-mail: campnano@mail.xjtu.edu.cn
Website: http://www.campnano.org/web/