Language Exchange Activity will end on May 31, 2017. If your total hours for Language Exchange Activity are more than 20 hours, you can apply Certificate. Please fill out the application form

Language Exchange Activity- Apply for Certificate
Language Exchange Activity will end on May 31, 2017. If your total hours for Language Exchange Activity are more than 20 hours, you can apply Certificate. Please fill out the application form (attachment) and send to Language Center in Lantan, Xinmin or Minxiong campus. Please note that actual activity hours calculation is based on the sign-up sheet you have turned in.
Applying time for Certificate: 2017/6/7-2017/6/15 12:00 noon

Application Form for Certificate of Language Exchange Activity

Chinese Name		Cell phone Number
English Name (Full Name)
Department (Full Name)
Language you learned from Language Exchange Activity	□Mandarin □Other
E-mail
Campus you want to get Certificate (Language Center)	□Lantan campus □Xinmin campus □Minxiong campus
Total hours for Language Exchange Activity： hours （Attention: Activity hours will depend on the sign-up sheet you turn in.）

Attention:

1. 
   Language Exchange Activity will finish at 2017/5/31.
   
2. 
   Applying time for Certificate: 2017/6/7-2017/6/15.
   
3. 
   Certificate of Language Exchange Activity will send to Language Center of every campus after 2017/6/21.
   

Receiver: _______________________ Date: ___________________