ࡱ>  Rlbjbj< (kkkkk8\|")H(Y([([([([([([($j+.l(]k@(kk(BkkY(Y(rU%TU&b F%E((0")%.O/U&.|/$kU&((gB")/+ 1: Application for 2018 Hiroshima University Vietnamese Enterprise Internship ; This form must reach the Global Career Design Center by 17:00 June 29 (Fri.). Student ID No. Full Name (handwritten) Sexcircle one %  M  FDate of Birth (Age as of date of application) (Age:00 ) Affiliation (School / Graduate School) Department / Major etc.Hiroshima UniversityGraduate School 0Grade0 Year Graduate School M0D 0Year 0ContactPresent Address000 Telephone 00000 000 Mobile phone E-mail addressEmergency ContactPhone numbers of parents or relatives 0 0Reason for ApplicationPlease turn over and fill out your  Specific Goal and Plans for the Internship Training  Specific Goal and Plans for the Internship TrainingEnglish Proficiency Score/Grade for TOEICTOEFL,Eiken or any other experiences that can attest your language abilityDates you wish to participate Circle one % Anytime within HU Summer VacationAug. 1^Sept. 30 Anytime between (date) to (date), 2018Specific dates1st preference10 days from (date) , 20182nd preference10 days from (date) , 20183rd preference10 days from (date) , 2018 0Personal Accident Insurance for Students Pursuing Education and Research (PAS) 00Purchased0 (Circle if applicable) 0Liability Insurance coupled with PAS0Purchased / Policy Holder with CO-OP (Circle if applicable) Buying the two insurances stated above is necessary for applicants of this internship. Please make sure to buy these insurances before application. 0In addition t&( " 0 2 4 P T V \ rk^QKQ^Q>h}>*CJOJQJo( h}CJhoh}CJOJQJhohuICJOJQJ hQCJo(hO5B*\aJo(phhZ5B*\aJo(phhi5B*\aJo(phhuI5B*\aJo(ph"h0oh0o5B*\aJo(ph"hah}5B*CJ\o(phhZ5B*CJ\o(phhahuI5B*CJ\phhi5B*CJ\o(ph4 R T V F6$ &`#$/Ifgdakd$$Ifc@0 +#i % 6` 064 caytQdh$ &`#$/IfgdQ$ &`#$/IfWDd`gduIdpgduIdpgd.)h xd8$ &`#$/IfVD9WDd^x`gdQd8$ &`#$/IfgdQx$ &`#$/If^xgdQ$ &`#$/IfgdQdh$ &`#$/IfgdQ * , . 2 4 6 > B F L N T ׽佷䪛}rer佷ZhcCJOJQJo(hohVCJOJQJhVCJOJQJo(hohaCJOJQJaJhohCJOJQJaJhoh}CJOJQJaJhohoCJOJQJ h}CJhoh}CJOJQJhohCJOJQJhoh}CJOJQJhohCJOJQJhohCAk>*CJOJQJ . 0 iP7'$ &`#$/Ifgd$$ &`#$/IfWDd`a$gdo$$ &`#$/IfWDd`a$gdokd$$Ifc4uF +#i `b 6` 06    4 caf4ytQ0 2 J L N P Ikd$$Ifc4]F +#i  b 6` 06    4 caf4ytQ$ &`#$/IfgdQ$ &`#$/Ifgd     " D J L N V ` b d r t  . 2 4 6 X Z Ϳڬ甇zmhoh}CJOJQJhohICJOJQJhoh0oCJOJQJhohCJOJQJhoCJOJQJo(hohdCJOJQJ h}CJhoh}>*CJOJQJhoh0oCJOJQJhohCJOJQJhoh}CJOJQJhOCJOJQJo(*   UE$ &`#$/IfgdOkd$$Ifc0 +#i % 6` 064 caytQ$ &`#$/IfgdQx$ &`#$/IfWD^x`gd ` b t okd4$$IfcL0 +#i % 6` 064 caytQ$ &`#$/Ifgd  2 |lll\$ &`#$/Ifgd$ &`#$/IfgdQkd$$Ifc40 +#i % 6` 064 caf4ytQ2 4 6 |lVF$ &`#$/Ifgdo$ &`#$/IfWDd`gdQ$ &`#$/IfgdQkd$$Ifc40 +# i % 6` 064 caf4ytQ |b$ &`#$/IfWD^`gdIkd$$Ifc40 +# i % 6` 064 caf4ytQ Bwh}OJ\o( h CJhoh CJOJQJ hQCJhohQCJOJQJhoh}CJOJQJ h0oCJhoh0oCJOJQJhohIOJPJQJhoh OJPJQJhohICJOJQJhoh}CJOJQJ h}CJ+$ &`#$/IfgdQokd$$Ifc4+## 6` 064 caf4ytQ$ &`#$/IfgdQokdD$$Ifc4f+## 6` 064 caf4ytQ$ &`#$/IfgdQokd$$Ifc4f+## 6` 064 caf4ytQ$ &`#$/IfgdQokd$$Ifc4f+## 6` 064 caf4ytQ$ &`#$/IfgdQokdu $$Ifc4f+## 6` 064 caf4ytQ$ &`#$/IfgdQokd0 $$Ifc49+## 6` 064 caf4ytQ$ &`#$/IfgdQokd $$Ifc4l+## 6` 064 caf4ytQ$ &`#$/IfgdQokd $$Ifc4+## 6` 064 caf4ytQ$ &`#$/IfgdQokdS $$Ifc4h+## 6` 064 caf4ytQ$ &`#$/IfgdQokd $$Ifc4h+## 6` 064 caf4ytQ$ &`#$/IfgdQokd $$Ifc4+## 6` 064 caf4ytlA$ &`#$/IfgdQokd$$Ifc4h+## 6` 064 caf4ytQ$ &`#$/IfgdQokd?$$Ifc4Y+## 6` 064 caf4ytQ$ &`#$/IfgdQokd$$Ifc4h+## 6` 064 caf4ytQ$ &`#$/IfgdQokd$$Ifc4+## 6` 064 caf4yt $ &`#$/IfgdQokdp$$Ifc4+## 6` 064 caf4yt $ &`#$/IfgdQokd+$$Ifc4+## 6` 064 caf4yt D d$Ifdokd$$Ifc4+##  6` 064 caf4ytQDFHJL,ekdR$$Ifcap#p#064 cacyt_F d$Ifekd$$Ifcp#p#064 cacyt_FLNPRT,ekd$$Ifchp#p#064 cacyt_F d$Ifekd$$Ifclp#p#064 cacyt_FTVXZ\,ekd$$IfcJp#p#064 cacyt_F d$Ifekd)$$IfcIp#p#064 cacyt_F\^`bd,ekd$$Ifc[p#p#064 cacyt_F d$Ifekdq$$Ifczp#p#064 cacyt_Fdfhjl,ekdr$$IfcTp#p#064 cacyt_F d$Ifekd$$Ifchp#p#064 cacyt_Flnprt,ekd$$Ifc[p#p#064 cacyt_F d$Ifekd$$Ifc_p#p#064 cacyt_Ftvxz|,ekd$$Ifcdp#p#064 cacyt_F d$Ifekds$$IfcJp#p#064 cacyt_F|~,ekdt$$Ifc{p#p#064 cacyt_F d$Ifekd$$IfcSp#p#064 cacyt_F,ekd$$Ifc_p#p#064 cacyt; p d$Ifekd$$Ifc\p#p#064 cacyt_FB~"$02BĴxj\L@RXZrt|hjǼǼǼǼǼǨǼǝyoe[hP,5CJ\o(h_F5CJ\o(hvQ5CJ\o(hTS5CJ\o(huo5CJ\o(hohQ5CJOJQJ\hoh}OJQJhcOJQJo(hohdOJQJhohAOJQJhoh-}OJQJhoh-}OJQJmH sH hoh_FOJQJ&hoh}5CJOJQJ\nHtH!z $&*,02d$a$gd_Fgd*(dVDdWDd^`gd6dVDdWDd^`gdTdgdLOdgd_F dWDd`gdP,„ĄȄx| ,48HJZfnˆ<FZnʖʊʖvhTS5CJ\o(hb75CJ\o(hh5CJ\h5CJ\o(h^5CJ\o(hShS5CJ\hS5CJ\o(hD5CJ\o(hi5CJ\o(hvQhvQ5CJ\hvQ5CJ\UhvQ5CJ\o(hLO5CJ\o(.o the insurances stated above, applicants are required to purchase the  Overseas Travel Insurance (designated by HU) for their travel duration. Please make sure to purchase this insurance before departure. 0For more details of the two insurances stated above, please contact the Student Support Group on the 3rd floor of the Student Plaza. As for  Overseas Travel Insurance , please contact the International Exchange Group on the same floor. 0Instead of the two insurances stated above, you may purchase personal accident insurance or liability insurance from the University CO-OP or other insurance offices. In such a case, please bring a certifying document to show that you have purchased such insurance. Note that you can NOT buy other similar insurance instead of  Overseas Travel Insurance because it is designated by HU.  Your personal information written in this form will only be used by the HU Global Career Design Center and the host company of this internship for administrative processing (selection of participants, notification of the results, emergency contact, etc.), and will not be released to third parties without your permission. Submitted forms will be carefully managed and stored by the HU Global Career Design Center and the host company of this internship.     PAGE3 / NUMPAGES3  >\|~ƍ̍ "&(,.246>@ylel hD5\jhD5CJU\hDmHsHhtjhtUhZhT5\hZ5\o(hLhT5\hLh_F5CJ\h_F5CJOJ\o((jhT5CJOJU\mHnHuhD5CJ\o(hb7hb75CJ\hb75CJ\hb75CJ\o(&@BDJL\^`bhjlhZhT5\hthD hD5\hDmHsHjhD5CJU\ho5\mHnHu dfhjldVDdWDd^`gd6:&P 1h2P:p_F. 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