(CBNU) Baekjedaero 567, Jeonju, Jeollabuk-do, 561-756, Republic of Korea Tel: +82-63-270-2248 Fax: +82-63-270-2099 E-mail:Feelingkorea@chonbuk.ac.kr Website: APPLICATION FOR THE FEELING KOREA PROGRAM ____________ ___________ Name First Name / Family Name Nationality Passport NO _______ _______ _____ □ □ Date of Birth Gender Male Female yyyy / mm / dd E-mail Cell Phone University □ □ □ Course Undergraduate Master Doctor Major Grade Date of □ □ □ 1st : 1.11~1.22 2nd : 1.25~2.5 3rd : 2.15~2.26 Participation □ □ □ Field Trip Temple Stay Amusement park I don’t attend any field trip. 1st choice_________ 2nd choice__________ 3rd choice_________ Special Culture special cultural experience: Taekwondo, Korean dance, Korean paper art, Traditional ※ Experience program Korean Music, history exploration (For 2nd The number of students for each program is limited to 30. If it exceeds 30, students who ※ participants only) late will be allocated to Second choice or Third choice program. After participating the brief class sessions, you are able to change your application. ※ □ □ □ □ Parents participation No Yes(Mother) Yes(Father) Yes(Mother & Father) □ □ Advanced Advanced Language □ □ English Korean Intermediate Intermediate Proficiency □ □ Beginner Beginner I hereby certify not only that the information provided above is complete and accurate but also that if accepted by Feeling Korea Program I shall abide by the regulations of CBNU and laws of Korea. Date : ________________ ______________ Signature :
(CBNU) Baekjedaero 567, Jeonju, Jeollabuk-do, 561-756, Republic of Korea Tel: +82-63-270-2248 Fax: +82-63-270-2099 E-mail:Feelingkorea@chonbuk.ac.kr Website: APPLICATION FOR THE FEELING KOREA PROGRAM Name ____________ ___________ First Name / Family Name Nationality Passport NO Date of Birth _______ _______ _____ yyyy / mm / dd Gender □ Male □ Female E-mail Cell Phone University Course □ Undergraduate □ Master □ Doctor Major Grade Date of Participation □ 1st : 1.11~1.22 □ 2nd : 1.25~2.5 □ 3rd : 2.15~2.26 Field Trip □ Temple Stay □ Amusement park □ I don’t attend any field trip. Special Culture Experience program (For 2nd participants only) 1st choice_________ 2nd choice__________ 3rd choice_________ ※ special cultural experience: Taekwondo, Korean dance, Korean paper art, Traditional Korean Music, history exploration ※ The number of students for each program is limited to 30. If it exceeds 30, students who late will be allocated to Second choice or Third choice program. ※ After participating the brief class sessions, you are able to change your application. Parents participation □ No □ Yes(Mother) □ Yes(Father) □ Yes(Mother & Father) Language Proficiency English □ Advanced □ Intermediate □ Beginner Korean □ Advanced □ Intermediate □ Beginner I hereby certify not only that the information provided above is complete and accurate but also that if accepted by Feeling Korea Program I shall abide by the regulations of CBNU and laws of Korea. Date : ________________ Signature : ______________
APPLICATION_KOREA_PROGRAM.docx