泰強(qiáng)數(shù)碼游戲科技研究院深圳大學(xué)傳播學(xué)院

1、泰強(qiáng)數(shù)碼游戲科技研究院/深圳大學(xué)傳播學(xué)院專業(yè)培訓(xùn)獎學(xué)金申請表IDGT/SZU Scholarship Application Form for Professional Training Program照 片Photo4cm*5cm該欄由本研究院填寫/Office Use Only.申請人編碼請在所選項目方框內(nèi)劃表示Please indicate with in the blank chosen. 1. 基本情況Personal Information中文姓名Name in Chinese性別Sex 男Male 女Female國籍Nationality出生地Birthplace城市City：國

2、家Country：出生日期Date of Birth 年yy 月mm 日dd婚姻狀況Marital Status 單身Single 已婚Married職業(yè)Occupation單位Employer/ Institution電話Telephone傳真Fax課程選擇Choose a Specialty 技術(shù)美工專業(yè)課程 Technical Artist Course 高級游戲開發(fā)課程 Advanced Game Programming Course電子郵件E-mail通信地址 Post Address2.教育經(jīng)歷Education Background學(xué)校名稱Institutions在校時間Year

3、s attended (from/to)專業(yè)Major學(xué)歷/文憑Diploma received - - -3. 語言能力（評價等級：好，一般，不會）Language Proficiency (Good/Average/None)英語English 好Good 一般Average 不會None漢語Chinese 好Good 一般Average 不會None4. 家庭成員Family Member Listing姓名 Full Name年齡 Age關(guān)系 Relationship to you工作單位Institution職位Position電話Telephone5. 請說明截止至申請日你所擁有的

4、資產(chǎn)。如果已婚，請將配偶擁有的資產(chǎn)一并計算在內(nèi)。 Please enter the amounts of your assets, where applicable, as of the date of this application. If you are married, please include your spouses assets also.資產(chǎn)數(shù)額Amount in RMB所欠金額Amount Owed in RMB 1:現(xiàn)金，儲蓄Cash，Savings2：股票/債券/其他證券Stocks/Bonds/Other Securities3：住宅（如租房請寫“0”）Home（R

5、enters Enter“0”）4：其他不動產(chǎn)/投資Other Real Estate/Investments5：其他資產(chǎn)Other Assets總計Total6. 請說明截止至申請日您父母擁有的資產(chǎn)。Please enter the amounts of your parental assets, where applicable, as of the date of this application. 資產(chǎn)數(shù)額Amount in RMB所欠金額Amount Owed in RMB 1:現(xiàn)金，儲蓄Cash，Savings2：股票/債券/其他證券Stocks/Bonds/Other Secur

6、ities3：住宅（如租房請寫“0”）Home（Renters Enter“0”）4：其他不動產(chǎn)/投資Other Real Estate/Investments5：其他資產(chǎn)Other Assets總計Total7.請描述可用于2009-2010學(xué)年的其他經(jīng)濟(jì)來源Please describe any other resources that could be used to fund your expense during the 2009/2010 academic year. 數(shù)額 Amount父母的資助Expected Contribution From Parents其他收入（請說明）Other Incomes(Please Specify)8申請人自薦Self-recommendation： 9.聲明 Declaration我保證在申請表中所提供的信息屬實，并已明確知曉，虛假信息將會導(dǎo)致喪失申請獎學(xué)金資格I hereby declare that the information provided in this application form is true. I am aware that the inclusion of false information will lead to the