<%= javascript_include_tag "lib/bootstrap-datetimepicker" %> <%= javascript_include_tag "lib/datetimepicker/datetimepicker.js" %> <% data = action_data application = data["application"] %>

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 NKUHT? And What program do you plan pursue
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 NKUHT? And What program do you plan pursue
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 NKUHT? And What program do you plan pursue
在台研習期間各項費用來源
What are your major financial
resources during your study at NKUHT?
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 %>