<%= javascript_include_tag "lib/bootstrap-datetimepicker" %> <%= javascript_include_tag "lib/datetimepicker/datetimepicker.js" %> <% data = action_data application = data["application"] %> <% if data["member"].nil? %> <% end %>

Course Signup Form

<%= form_for application, :url => "/xhr/international_recruits/submitapplication" do |f| %>
*<%= f.radio_button :student_type, "新生(New students)" %> 新生(New students)          <%= f.radio_button :student_type, "轉學生(Transferring)" %>轉學生(Transferring)
*姓名(中文)
Name(Chinese)
<%= f.text_field :chinese_name, :size => 20 %> 姓名(英文)
Name(English)
First Middle Last
<%= f.text_field :english_first_name, :size => 8 %> <%= f.text_field :english_middle_name, :size => 8 %> <%= f.text_field :english_last_name, :size => 8 %>
出生地點
Place of Birth
<%= f.text_field :place_of_birth, :size => 20 %> 出生年月日
Birth Day
<%= f.datetime_picker :birth_date, :no_label => true, :new_record => application.new_record? %>
性別
Gender
<%= f.radio_button :gender, "男性(Male)" %>男性(Male)      <%= f.radio_button :gender, "女性(Female)" %>女性(Female) 國籍
Nationality
<%= f.select :nationality, data["countries"] %>

護照號碼
Passport No.
<%= f.text_field :passport_no, :size => 20 %>
住址(臺灣地區請以中文)
Home Address in English
<%= f.select :address_nationality, data["countries"] %>
<%= f.text_field :home_address, :size => 60 %>
聯絡電話
Telephone
國碼 Country code +<%= f.text_field :country_code, :size => 3 %>    <%= f.text_field :tel_part1, :size => 3 %> - <%= f.text_field :tel_part2, :size => 6 %> 手機
Cell Phone
<%= f.text_field :mobile, :size => 25 %>
在台聯絡人
Contact Person in the R.O.C
<%= f.text_field :taiwan_contact_person, :size => 25 %> 聯絡人手機
Contact Person
Cell Phone
<%= f.text_field :taiwan_contact_person_phone, :size => 25 %>
在台通訊處
Mailing Address in the R.O.C
<%= f.text_field :taiwan_mailing_address, :size => 60 %>
監護人姓名
Name of parten/legal guardian
<%= f.text_field :legal_guardian_name, :size => 60 %>
監護人住址
Address of parten/legal guardian
<%= f.text_field :legal_guardian_address, :size => 60 %>
父親曾為臺灣籍
Father have Taiwanese citizenship
<%= f.radio_button :taiwanese_father, "1" %>是 Yes <%= f.radio_button :taiwanese_father, "2" %>否 No
父親姓名
Father's Name
<%= f.text_field :father_name, :size => 20 %> 出生年月日
Birth Day
<%= f.datetime_picker :father_birthdate, :no_label => true, :new_record => application.new_record? %>
出生地點
Place of Birth
<%= f.text_field :father_place_of_birth, :size => 30 %> 聯絡電話
Telephone
國碼 Country code +<%= f.text_field :father_country_code, :size => 3 %>    <%= f.text_field :father_tel_part1, :size => 3 %> - <%= f.text_field :father_tel_part2, :size => 6 %>
住址
Home Address
<%= f.text_field :father_home_address, :size => 60 %>
國籍
Nationality
<%= f.select :father_nationality, data["countries"] %>
母親曾為臺灣籍
Mother have Taiwanese citizenship
<%= f.radio_button :taiwanese_father, "1" %>是 Yes <%= f.radio_button :taiwanese_father, "2" %>否 No
母親姓名
Mother's Name
<%= f.text_field :mother_name, :size => 20 %> 出生年月日
Birth Day
<%= f.datetime_picker :mother_birthdate, :no_label => true, :new_record => application.new_record? %>
出生地點
Place of Birth
<%= f.text_field :mother_place_of_birth, :size => 30 %> 聯絡電話
Telephone
國碼 Country code +<%= f.text_field :mother_country_code, :size => 3 %>    <%= f.text_field :mother_tel_part1, :size => 3 %> - <%= f.text_field :mother_tel_part2, :size => 6 %>
住址
Home Address
<%= f.text_field :mother_home_address, :size => 60 %>
國籍
Nationality
<%= f.select :mother_nationality, data["countries"] %>
擬申請就讀之系(所)組及擬攻讀何種學位
Department or graduate program do you expect to enroll in at TKU? And What program do you plan pursue
<%= f.select :course_choice_one, data["courses"] %>
擬申請就讀之系(所)組及擬攻讀何種學位(第二志願)
Department or graduate program do you expect to enroll in at TKU? And What program do you plan pursue
<%= f.select :course_choice_two, data["courses"] %>
擬申請就讀之系(所)組及擬攻讀何種學位(第三志願)
Department or graduate program do you expect to enroll in at TKU? And What program do you plan pursue
<%= f.select :course_choice_three, data["courses"] %>
在台研習期間各項費用來源
What are your major financial
resources during your study at TKU?
個人儲蓄 Personal Saving 獎助學金 Scholarship
父母供給 Parental Support 其他 Other <%= f.text_field :financial_other_financial, :size => 20 %>
健康情形
Health Condition
<%= f.radio_button :health_condition, "佳 (Good)" %>佳 (Good) <%= f.radio_button :health_condition, "尚可 (Average)" %>尚可 (Average) <%= f.radio_button :health_condition, "差 (Poor)" %>差 (Poor)
如有疾病或缺陷請敘明之 (Any major health problem or physical disability?)
<%= f.text_field :major_health_condition, :size => 60 %>
曾學習中文幾年?
How long have you studied Chinese?
<%= f.select :chinese_studying_years, data["years"] %>年 (Year)
受何人指導(講授)?
Where and under whose guidance have you studied Chinese?
<%= f.text_field :chinese_tutor, :size => 20 %>
中國語文程度
Chinese proficiency level
聽 (Listening) <%= f.radio_button :chinese_proficiency_level_listening, "優 (Excellent)" %>優 (Excellent) <%= f.radio_button :chinese_proficiency_level_listening, "佳 (Good)" %>佳 (Good) <%= f.radio_button :chinese_proficiency_level_listening, "尚可 (Average)" %>尚可 (Average) <%= f.radio_button :chinese_proficiency_level_listening, "差 (Poor)" %>差 (Poor)
說 (Speaking) <%= f.radio_button :chinese_proficiency_level_speaking, "優 (Excellent)" %>優 (Excellent) <%= f.radio_button :chinese_proficiency_level_speaking, "佳 (Good)" %>佳 (Good) <%= f.radio_button :chinese_proficiency_level_speaking, "尚可 (Average)" %>尚可 (Average) <%= f.radio_button :chinese_proficiency_level_speaking, "差 (Poor)" %>差 (Poor)
讀 (Reading) <%= f.radio_button :chinese_proficiency_level_reading, "優 (Excellent)" %>優 (Excellent) <%= f.radio_button :chinese_proficiency_level_reading, "佳 (Good)" %>佳 (Good) <%= f.radio_button :chinese_proficiency_level_reading, "尚可 (Average)" %>尚可 (Average) <%= f.radio_button :chinese_proficiency_level_reading, "差 (Poor)" %>差 (Poor)
寫 (Writing) <%= f.radio_button :chinese_proficiency_level_writing, "優 (Excellent)" %>優 (Excellent) <%= f.radio_button :chinese_proficiency_level_writing, "佳 (Good)" %>佳 (Good) <%= f.radio_button :chinese_proficiency_level_writing, "尚可 (Average)" %>尚可 (Average) <%= f.radio_button :chinese_proficiency_level_writing, "差 (Poor)" %>差 (Poor)
是否參加過中文語文能力測驗?
Have you taken any Chinese language test?
<%= f.radio_button :taken_chinese_test, "是 (Yes)" %>是 (Yes) <%= f.radio_button :taken_chinese_test, "否 (No)" %>否 (No)
何種測驗? What kind of test? <%= f.text_field :chinese_test_name %>
級數? Grade/Level? <%= f.text_field :chinese_test_level %>
課外活動 Extra-Curricular Activities
活動名稱 (Subject) 參加年月 <% years = Time.now.year..Time.now.year - 50 %> 年 (Year) 月 (Month)
著作 Publications
著作名稱 (Title) 參加年月 <% years = Time.now.year..Time.now.year - 50 %> 年 (Year) 月 (Month)
經歷 Previous Employment
公司名稱
(Company Name)
職稱 (Title)
起訖日
(Attendance Period)
起 (From) <% years = Time.now.year..Time.now.year - 50 %> 年 (Year) 月 (Month) 訖 (To)<% years = Time.now.year..Time.now.year - 50 %> 年 (Year) 月 (Month)
學歷 Applicant’s previous educational background
學程 (Degree) <%= f.radio_button :degree_type, "中等學校 Secondary Education" %>中等學校
Secondary Education
<%= f.radio_button :degree_type, "專科或大學 College or University" %>專科或大學
College or University
<%= f.radio_button :degree_type, "國民型中學五年級 Form 5 graduates" %>國民型中學五年級
Form 5 graduates
學校名稱 (Name of school) <%= f.text_field :school_name %>
學校所在地 (City and country) <%= f.text_field :school_city %>
學位 (Degree granted) <%= f.text_field :school_degree %>
起迄日 (Attendance period) <%= f.datetime_picker :school_start, :label => "起 (From) ", :new_record => application.new_record?, :data=>{"picker-type" => "range", "range" => "start"} %> <%= f.datetime_picker :school_end, :label => "訖 (To) ", :new_record => application.new_record?, :data=>{"picker-type" => "range", "range" => "end"} %>
畢業日期 (Date of Graduation) <%= f.datetime_picker :graduation_date, :no_label => true, :new_record => application.new_record? %>
主修 (Major) <%= f.text_field :course_major, :size => 40 %>
副修 (Minor) <%= f.text_field :course_minor, :size => 40 %>
<%= f.hidden_field :member_id, :value => data["member"] %>
Email
Email <%= f.text_field :email, :size => 40 %>
<%= f.submit "Apply", :class => "btn btn-primary" %>
<% end %>