新西兰梅西大学(中国)创新中心

新西兰梅西大学(中国)创新中心

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申请表

备注:
1. 带*号的为必填项;
2. 必须用英文填写,注意开头字母需大写。
PART A: Personal details of applicant
申请者个人信息
Student ID: (if known)
Surname/Family name (as shown in passport):姓(与护照一致):

Given names (as shown in passport):名(与护照一致)

Preferred name:
Date of birth
出生日期:

Gender性别:

Male男 Female女

Citizenship
(as shown on passport):
国籍(与护照一致)

Ethnic group民族:
PART B: When do you intend to begin study?
预计入学时间

Year年:

Intake/Semester 1 (February) 学期1(2月)
Intake/Semester 2 (July) 学期2(7月)
Intake 3 (August/September) 学期3(8/9月)
Intake 4/Summer School (November) 学期4/暑期学校(11月)

PREFERRED CAMPUS意向校区:

Albany (Auckland) 奥克兰校区
Palmerston North (Manawatū) 北帕默斯顿校区
Wellington 惠灵顿校区

Do you want to study full-time or part-time?全日制学习还是在职学习?

Full-time Part-time

PART C: English language programmes
Complete this section only if you intend to study English Language. How long will you study (four weeks minimum):

Which month do you intend to start your English programme?
PART D: Diplomas, degrees, doctoral study
LEVEL OF STUDY 意向学位 (可多选)

Foundation Studies 预科
Undergraduate 本科
Postgraduate 研究生
Pre-degree
Graduate Diploma 其他文凭
Postgraduate 研究生
PhD 博士

List programmes in order of preference.意向专业
1st choice第一选择:

Major:
2nd choice 第二选择:
Major:
PART E: Senior High School/NZ Secondary School or Foundation Study 最高学历
NSI number (if you have previously studied in New Zealand):
HIGH SCHOOL QUALIFICATIONS 毕业院校
SCHOOL院校:

Country国家:

Qualification学历:

Year started 起始年份:

Year finished 结束年份:

PART F: English language proficiency英语语言能力

Applicants who have completed an academic qualification in a country where English is the first language can be considered for an exemption from providing English language test results.

What was the language used for your overseas schooling?:
所读学校使用的教学语言是什么?

I will take/have taken an English language proficiency test (Academic IELTS or TOEFL with TWE or ER):你是否参加过英语水平考试(如IELTS,TOEFL等)

Date to be taken:
Name of test:
Result (if known):
Have you studied English language in New Zealand?你是否在新西兰学过英语课程?

Yes No

If ‘Yes’, please complete the following and include evidence of this study.如果回答“是”,请继续回答:

Name of School学校:
Date started起始日期:
Date finished结束日期:
PART G: Tertiary education 高等教育
Have you studied at any New Zealand tertiary institution? 你曾在新西兰接受高等教育么?

Yes No

Have you studied at a tertiary institution other than Massey University since leaving high school? 中学后你是否在梅西之外的高等教育机构学习过?

Yes No

HIGHER EDUCATION/NEW ZEALAND INSTITUTION

INSTITUTION:
Country:
Qualification:
Year started:
Year finished:

Please provide verified official documentation of academic transcripts for all qualifications and study (including any study previously undertaken within New Zealand).

CREDIT (FOR UNDERGRADUATE PROGRAMMES ONLY)

Do you wish to have previous study assessed for recognition of credit towards a Massey University degree?
Yes No

Your application must include an official outline and course descriptions of all study.

PART H: Contact details
CURRENT ADDRESS现住址(中英文对照):
Line 1:

Line 2:
Line 3:
Postcode邮编:

Country国家:

Phone (day)电话(白天):
Phone (night)电话(夜晚):
Cellphone手机:

Email邮箱:

EMERGENCY CONTACT紧急联系人

Please advise the person you would like us to contact in an emergency.

Name姓名:

What is this person’s relationship to you? (eg parent, husband, brother)
Relationship关系:

Phone (day)电话(白天):
Phone (night)电话(夜晚):
Cellphone手机:

Email邮箱:

ALTERNATIVE ADDRESS 其他住址

An alternative address that Massey can use to contact you (eg home, family member, or employer)

Line 1:
Line 2:
Line 3:
Postcode:
Country:
PART I: Additional questions
PLEASE SELECT YOUR MAIN ACTIVITY AS AT 1 OCTOBER

Not in paid employment

Student

Overseas

In paid employment

HEALTH AND DISABILITY 健康状况

Do you have any disability, impairment (including learning disabilities), long-term injury, or chronic medical condition(s) that may impact on your ability to study and/or participate in university activities? 您是否有任何可能影响您学习和/或参加大学活动的能力的残疾、障碍(包括学习障碍)、长期伤害或慢性疾病?
Yes No

If ‘Yes’, please provide a report from a registered health professional so we can assess our ability to support you during your study in New Zealand.如果回答“是”,请提供一份在册健康专家的报告,以便我们对支持您在新西兰学习的能力进行评估。

CONTACT WITH OTHER STUDENTS

For study purposes, do you consent to your name, email address and phone number being shared with other students studying the same papers?
Yes No

Name of Massey University academic staff contact (where applicable):

Name of Institutional Agreement/Cohort (if applicable)

What is you intended career?你的意向职业?

Will your chosen Massey University programme help you achieve your career goals?你会选择梅西大学来实现你的职业目标么?
Yes No

Do you intend to complete a Massey qualification? 你打算完成梅西的课程么?
Yes No
FINANCING YOUR STUDY 学费来源

How will your study be financed?如何资助你的学习?
Personal funds 个人资金
US Federal loan 美国联邦贷款
Home government scholarship 本国政府奖学金
NZAID 新西兰国际开发署
Other其他:

PART J: Agent stamp
Only relevant if applying through an agent
Agency name:
Agent’s email address:
PART K: Checklist

Please ensure you have attached the following documents (as required for your chosen programme):

Verified evidence of citizenship (birth certificate or identity page of current passport)

CV and research proposal for PhD applicants

Verified copies of academic transcripts with a grading scale

Portfolio for Creative Arts applications

Verified copies of graduation certificate (where applicable)

Formal evidence of any scholarships awarded

Course outlines if applying for credit assessment

Evidence of loan application/approval (where applicable)

English language test results (where applicable)

A report from a registered health professional (where applicable) Please ensure you have attached all relevant documents
Please note: Massey University does not retain hard copies of documents supplied as part of the Admissions process.

PART L: Declaration

The submission of false information or forged documentation in support of this application will automatically disqualify a student from enrolment. Massey University reserves the right to inform all other New Zealand Universities of such cases, including the student’s name and date of birth. Immigration New Zealand and the New Zealand Police will also be informed. The submission of this Application for Admission will be deemed to be acceptance of these terms and constitutes consent to disclosure for the purposes of Privacy Principle 11 of the Privacy Act 1993.
学生如提交虚假资料或伪造文件,将自动丧失入学资格。梅西大学保留通知新西兰所有其他大学此类情况的权利,包括学生的姓名和出生日期。新西兰移民局和新西兰警方也将得到通知。提交本入学申请将被视为接受本条款,并可根据《1993年隐私法》第11条隐私原则披露信息。


Date:

Please print, sign, and send this form and all supporting documentation to:

By email: International@massey.ac.nz

By courier

International Office

Massey University

Tennent Drive (off Courtyard Car Park)

Palmerston North 4442

NEW ZEALAND

By airmail

International Office

Massey University

Private Bag 11 222

Palmerston North 4442

NEW ZEALAND