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Chang Jung Christian University Checklist for International Applicants Name of Applicant: Please submit the following forms, along with the required supporting documents, and submit before July 1 . Required Documents for Application Check No. Forms to be completed 1 Application for International Degree Program (2 copies) 2 Autobiography and Study Plan 3 Scholarship Application (optional) Check No. Required supporting documents 1 Three identical photos (2”), 1 photo needs to be attached to the application form; other 2 photos need to be provided with the application. 2 Verification of Nationality or Copy of Valid Passport 3 Certification of highest degree, along with transcripts notarized by an overseas representative office of the ROC. (For documents in languages other than Chinese or English, a Chinese or English translation should also be included.) 4 One original copy of a medical examination report, which must include a test for the HIV antibody. 5 Document of financial support issued by bank (savings account) showing minimum available funds of NT$ 200,000 . (If the account belongs to applicant’s parents, please provide proof of kinship.) 6 Two letters of recommendation 7 Any other documents required by the department or institute to which you are applying. 1

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Chang Jung Christian University

Checklist for International Applicants

Name of Applicant:

Please submit the following forms, along with the required supporting documents, and submit before July 1.

Required Documents for Application

Check

No.

Forms to be completed

1

Application for International Degree Program (2 copies)

2

Autobiography and Study Plan

3

Scholarship Application (optional)

Check

No.

Required supporting documents

1

Three identical photos (2”), 1 photo needs to be attached to the application form;

other 2 photos need to be provided with the application.

2

Verification of Nationality or Copy of Valid Passport

3

Certification of highest degree, along with transcripts notarized by an overseas representative office of the ROC. (For documents in languages other than Chinese or English, a Chinese or English translation should also be included.)

4

One original copy of a medical examination report, which must include a test for the HIV antibody.

5

Document of financial support issued by bank (savings account) showing minimum available funds of NT$ 200,000. (If the account belongs to applicant’s parents, please provide proof of kinship.)

6

Two letters of recommendation

7

Any other documents required by the department or institute to which you are applying.

*Remarks:

For Vietnamese applicants, Please be reminded that the certificate of the TOCFL Chinese proficiency test record (at least Level 2/ or above) has to be submitted when applying for visa.

Chang Jung Christian University

Application Form for International Students

(Degree Programs)

TO THE APPLICANT: Read carefully and type or print in capital letters.

Full name (in Chinese)

(on passport)

(Last) (First) (Middle)

Home address;

Mailing address

Telephone

email:

lace of birth

Date of birth / /

(day) (month) (year)

Nationality:

Sex:

Passport No.:

Marital Status:

Spouse name:

No. of Children

Information legal guardian/ Emergency Contact

Name_____________________________________ Cell Phone___________________________________

Mailing address of

Father's name

Mother's name

Address

Address

Place of birth

Place of birth

Occupation

Occupation

High school

(School name)

Date of graduation

Undergraduate program

Degree

Date

Masters program

(Department)(School name)

Degree

Date

Ph.D. program

(Department)(School name)

Degree

Date

Which department and program do you wish to enroll?

When do you intend to begin your studies?

What degree do you plan to pursue?

Are you a citizen of the Republic of China?(Yes or No)

If no, have you relinquished ROC citizenship in the past 8 years ago? (Yes or No)

Have you previously withdrawn from or been expelled from a university-level program in Taiwan?

(If yes, you must apply to CJCU according to the same regulations as local students.)

Plans for financing your education.

Are you in good physical health?

If not, describe your health problems or disabilities.

How do you rate your Chinese ability?

(Please check in the appropriate box.)

Listening

good

average

poor

not at all

Speaking

good

average

poor

not at all

Reading

good

average

poor

not at all

Writing

good

average

poo

not at all

Applicant's signature

Date of application / /

(day) (month) (year)

Applicant’s Declaration for International Degree Student Application, Chang Jung Christian University

1.I meet the requirements for international student status as set forth in Article 2 of the Regulations for International Students, promulgated on December 18, 2014, by the Ministry of Education of the Republic of China: (http://law.moj.gov.tw/Eng/LawClass/LawContent.aspx?PCODE=H0110001)

2. I have never applied to any college or university in Taiwan (Republic of China) under the provisions of the Regulations Regarding Study and Counseling Assistance for Overseas Chinese Students in Taiwan.

3. The certificates provided document my highest level of education and have been recognized by the Ministry of Education and have been authenticated by a ROC overseas representative office. I agree to submit the original documents upon my arrival at university.

4. I have never withdrawn from a program of study from any college or university in Taiwan. If a student is found to be in violation of this regulation, his or her eligibility for admission will be canceled and his or her student status will be revoked.

5. I have read and understood these instructions, and I certify that the information on this application is complete and correct.

6. I understand that Chang Jung Christian University reserves the right to withdraw any offer it may make, should any statement in this application prove to be false. The university reserves the right, without exception, to cancel eligibility for admission and revoke student status.

7. I confirm that, if admitted to Chang Jung Christian University, I will follow university regulations.

Signature ___________________________ Date _______ / _____ /_____ (yyyy/mm/dd)

Autobiography and Study Plan

Applicant: Department/Institute: Proposed Degree: _____________

In the following space, please write a statement of approximately 500 words, describing your personal background, your motivation for studying at CJCU, your plan of study, and your career plans after completion of study.

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5

Hospital’s Logo

Health Certificate for Residence Visa

Date of Examination

YYYY / MM / DD

(Hospital’s Name, Address, Tel, Fax)

Basic Data

Name

:□ M □ F

Gender

Photo

ID No.

Passport No.

:YYYY / MM / DD

Date of Birth

Nationality

Age

Phone No.

Laboratory Examinations

A.Chest X-ray for Tuberculosis:

Findings:

Result:

□ Passed □ TB suspect □ Pending □ Failed

□ Not required for pregnant women or children under 12 years of age

B. Stool Examination for Parasites:

□ Positive, Species □ Negative

□ Other parasites that do not require treatment

□ Not required for applicants from countries/areas listed in Appendix 3

C. Serological Tests for Syphilis:

Tests:

a. □ RPR □ VDRL

□ Positive, Titers □ Negative, Titers

b. □ TPHA □ TPPA □ FTA-abs □ TPLA □ EIA □ CIA

□ Positive,Titers □ Negative,Titers

c. □ other □ Positive,Titers

□ Negative,Titers

Result:□ Passed □ Failed

□ Not required for children under 15 years of age

D. Proof of Positive Measles and Rubella

Antibody or Measles and Rubella Vaccination Certificates:

a. Antibody Tests

Measles Antibody □ Positive □ Negative □ Equivocal

Rubella Antibody □ Positive □ Negative □ Equivocal

b. Vaccination Certificates ( The certificate should include the date of vaccination, the name of

administering hospital or clinic and the batch no. of vaccine; the date of vaccination should be at least two

weeks prior to traveling overseas.)

□ Measles Vaccination Certificate

□ Rubella Vaccination Certificate

c. □ Having contraindications, not suitable for vaccination

Examinations for Hansen’s Disease

Skin Examination

□ Normal

□ Abnormal:○ Not related to Hansen’s disease:

○ Hansen’s disease suspect who needs further

examinations

a. Skin Biopsy:

b. Skin Smear:○ Positive ○ Negative

c. Skin lesions combined with sensory

loss or enlargement of peripheral nerves:○ Yes ○ No

Result:

□ Passed □ Needs further examinations □ Failed

□ Not required for applicants from countries/areas listed in Appendix 4

The final result of health examination:

□ Passed □ Need further examinations □ Failed

Signature of Chief Medical Technologist:

Signature of Chief Physician:

Signature of Superintendent:

Date:YYYY / MM / DD

Note: The certificate is valid for three months.

Appendix 1 Notice for HIV Screening and Treatment Costs

(Health examination hospitals shall issue this notice and health certificate to the examinee)

1. The government of the Republic of China (Taiwan) has revised its laws to lift restrictions on entry, stay and residence of non-ROC nationals infected with human immunodeficiency virus (HIV) in addition to removing this item from the health examination.

2. The government of the Republic of China (Taiwan) does not offer subsidies to non-ROC nationals infected with HIV infection for treatment in Taiwan. The annual treatment costs for HIV is NTD$300,000 (approximately USD$10,000). It is strongly advised that non-ROC nationals undergo HIV screening in their home country prior to arriving in Taiwan. Persons infected with HIV are strongly advised to seek treatment in their home country Persons intending to work in Taiwan are advised to purchase medical health insurance in advance.

3. Upon entry into the Republic of China (Taiwan), foreigners may undergo HIV screening at a hospital. The consultation hotline for infectious diseases is 0800-001922.

Appendix 2 Additional instructions of health examination for residence application

1. Children under 6 years of age are exempt from health examination,

but vaccination certificates are required. (Child age one and above should have at least

one measles and rubella vaccines).

2. Pregnant women and children under 12 years of age are exempt from chest X-ray examination;

Pregnant women should undergo chest X-ray examination after giving birth.

3. Qualifications for applying exemption from chest X-ray examination: People from countries with a tuberculosis prevalence rate of under 30/100,000 and received physical examination certificate that determining individual’s unsuitability to undergo chest X-ray, verified by Taiwan’s CDC.

4. Stool examination for parasites with centrifugal concentration.

5. Children under 15 years of age are exempt from serological test for syphilis.

6. Hansen disease exam should be conducted in accordance with patient privacy rights; patient can be accompanied by friend during examination and undergarments should remain on.

Appendix 3 List of countries/areas not required to undergo stool examination for parasites

Western Pacific Region

Australia

Brunei Darussalam

Hong Kong

Japan

Macao

New Zealand

Republic of Korea

Singapore

nationals without registered permanent residence in Taiwan

Eastern Mediterranean Region

Bahrain

Kuwait

Qatar

Saudi Arabia

United Arab Emirates

Region of the Americas

Argentina

Canada

Chile

United States of America

European Region

Albania

Andorra

Armenia

Austria

Belarus

Belgium

Bosnia and Herzegovina

Bulgaria

Croatia

Cyprus

Czech Republic

Denmark

Estonia

Finland

France

Georgia

Germany

Greece

Hungary

Iceland

Ireland

Israel

Italy

Kazakhstan

Latvia

Lithuania

Luxembourg

Malta

Monaco

Montenegro

Netherlands

Norway

Poland

Portugal

Republic of Moldova

Romania

Russian Federation

San Marino

Serbia

Slovakia

Slovenia

Spain

Sweden

Switzerland

The former Yugoslav Republic of Macedonia

Turkey

Turkmenistan

Ukraine

United Kingdom

Appendix 4 List of countries/areas not required to undergo examination for Hansen’s disease

Western Pacific Region

Australia

Brunei Darussalam

Hong Kong

Japan

Macao

New Zealand

Republic of Korea

Singapore

nationals without registered permanent residence in Taiwan

Region of the Americas

Canada

Chile

United States of America

European Region

Albania

Andorra

Armenia

Austria

Belarus

Belgium

Bosnia and Herzegovina

Bulgaria

Croatia

Cyprus

Czech Republic

Denmark

Estonia

Finland

France

Georgia

Germany

Greece

Hungary

Iceland

Ireland

Israel

Italy

Kazakhstan

Latvia

Lithuania

Luxembourg

Malta

Monaco

Montenegro

Netherlands

Norway

Poland

Portugal

Republic of Moldova

Romania

Russian Federation

San Marino

Serbia

Slovakia

Slovenia

Spain

Sweden

Switzerland

The former Yugoslav Republic of Macedonia

Turkey

Turkmenistan

Ukraine

United Kingdom

Appendix 5: Determining Factors for Health Exam Failure and Follow Up Procedures

Test

Chest X-ray for

Tuberculosis

1. Active pulmonary tuberculosis or tuberculous pleurisy denotes failure

2. Non-active pulmonary tuberculosis including calcified pulmonary tuberculosis, calcified foci and enlargement of pleura denotes healthy status.

3. Those who are determined to be TB suspect or whose results are diagnosed as pending by designated hospital in Taiwan must take the report and X-ray films to the referred institution for re-examination; those living in cities/counties without a referred institution are requested to go to the department of chest medicine at a nearby hospital.

4. People with failed results are allowed to stay for re-examination after receiving treatment, but the duration of stay must be in accordance with visitor visa entry/exit permit.

Stool Examination

for Parasites

1. If intestinal helminthes eggs or other protozoa such as Entamoeba histolytica, flagellates, ciliates and sporozoans are detected, the exam is considered failed.

2. If Blastocystis hominis and Amoeba protozoa such as Entamoeba hartmanni, Entaboeba coli, Endolimax nana, Iodamoeba butschlii, Dientamoeba fragilis, Chilomastix mesnili are found, the exam is considered passed and no treatment is required.

3. People with failed results can undergo treatment, and negative re-examination results are considered passed.

4. Pregnant women who have positive result for parasites examination are considered passed, but are advised to seek treatment after giving birth.

Serological Test for Syphilis

1. Meeting one of the following criterion is considered failed:

(1) Without past history of syphilis therapy or with unknown history, the non-treponemal test and the treponemal tests are positive.

(2) With past history of syphilis therapy, the non-treponemal test titers are 4-fold rising.

2. Serological non-treponemal tests and treponemal tests:

(1) Non-treponemal tests:RPR or VDRL.

(2) Treponemal tests:TPHA, TPPA, TPLA, EIA, CIA, and FTA-abs.

3. Those who had failed serological test for syphilis but have accepted treatment are considered passed

Measles and

Rubella

Antibody test

It is considered failed if the measles or rubella antibody is negative (or equivocal) and no measles and rubella vaccination certificate is issued. Those who have contraindications, not suitable for vaccinations, are considered passed.

Examination for Hansen’s Disease

1. Patients in need of further examinations are required to go to designated hospitals; those living in a city or county without a designated hospital can visit a department of dermatology at a nearby hospital.

2. Patients with failed results are allowed to stay for re-examination after receiving treatment, but the duration of stay must be in accordance with visitor visa entry/exit permit.

International Student Scholarship Application Form

Chang Jung Christian University

Applicant’s Status

Current CJCU Student

Student ID Number:______________________

New Applicant to CJCU

Department /

Graduate program

Year of Admission

Degree Program

Bachelors

Masters

Ph.D.

Applicant’s Full

Name

Chinese

Nationality

Please Attach Your

Photo Here

English

Gender

Male

Female

Passport No.

Telephone

Date of Birth

Mobile Phone

Place of Birth

E-mail

Home Address

Mailing Address

Person for Contact in Taiwan

Name (Chinese)

Name (English)

Telephone

Mobile Phone

Other Funding Sources /

Scholarships

(Please List)

注意:若已領取教育部「台灣獎學金」,不得申請本獎學金。

Please note that applicants who have already received a Taiwan Scholarship from the Ministry of Education are not eligible to apply.

1.By signing below, I agree to accept all the regulations of CJCU related to the granting of scholarships.

2.By signing below, I agree that if I withdraw from the university, I shall return all scholarship funds ever received.

Signature

Date

Chang Jung Christian University

International Student Scholarships and Scholarship Applications Regulations

2009.07.02 Ratified by the 5th Meeting of the Executive Council, Second Semester, 2008 Academic Year

2009.12.03 Ratified by the 4th Meeting of the Executive Council, First Semester, 2009 Academic Year

2010.12.30 Ratified by the 5th Meeting of the Executive Council, First Semester, 2010 Academic Year

2011.12.01 Ratified by the 4th Meeting of the Executive Council, First Semester, 2011 Academic Year,

2012.10.02 Ratified by the 1st Meeting of the Executive Council, First Semester, 2012 Academic Year

2013.01.03 Ratified by the 5th Meeting of the Executive Council, First Semester, 2012 Academic Year

2013.05.30 Ratified by the 4th Meeting of the Executive Council, Second Semester, 2012 Academic Year

2014.08.25 Ratified by the Meeting of the Committee for Scholarships and Work-Study Awards, First Semester, 2014 Academic Year

2015.03.19 Ratified by the Meeting of the Committee for Scholarships and Work-Study Awards, Second Semester, 2014 Academic Year

2016.03.29 Ratified by the Meeting of the Committee for Scholarships and Work-Study Awards, Second Semester, 2015 Academic Year

Article 1 These regulations are established in order to encourage international students to study at Chang Jung Christian University (CJCU) and to reward outstanding international students who are already enrolled in a course of study at CJCU.

Article 2 International students as referred to in these regulations must meet the criteria established by the ROC Ministry of Education and must have applied for admission to a program of study.

Article 3 The requirements for scholarship eligibility are as follows:

1. New students: Students who qualify as international students and who have applied for new admission to the university.

2. Returning students: International students who have completed at least one academic year of study with sufficient credits to qualify as full-time students, ranked in the top 50% of the class, had conduct grade in each semester higher than 80, and no record of disciplinary actions.

Students who are already recipients of the MOE’s Taiwan Scholarship are not eligible for scholarships established by these regulations.

Article 4 Scholarship terms are as follows:

1. Scholarship categories:

a. Reimbursement of tuition and fees, plus reimbursement of living expenses for the year of the scholarship not exceeding TWD$20,000.

b. Reimbursement of tuition and fees.

c. Reimbursement of tuition.

d. Reimbursement of living expenses for the year of the scholarship not exceeding TWD$20,000.

2. Scholarship Time Limits:

a. Bachelor program students: 4 years

b. Master’s program students: 2 years

c. Ph.D. program students: 3 years

3. Applications for scholarships should be made to the Office of International Affairs; scholarships are awarded following review by the Committee for International Academic Scholarships.

4. Scholarships are awarded once per academic year; application and review of applications are carried out on a yearly basis.

Article 5 Application deadlines:

1. New students: June 30 of the year in which the student enters the university

2. Returning students: July 15, in the academic year preceding the year for which the scholarship is to cover

Article 6 Materials required for application

1. Students who are applying for new admission should submit the following materials:

a. Completed application form

b. Two letters of recommendation (Chinese or English)

c. Study Plan (Chinese or English)

d. Autobiography: 300-500 words in length (Chinese or English)

e. New international students: an authenticated transcript from highest level of study completed at the time of application.

f. Proof of language proficiency in either Chinese or English.

2. International students who are already enrolled should submit the following materials:

a. Completed application form

b. Student ID (photocopy)]

c. CJCU Transcripts

d. Two letters of recommendation from the chair and another faculty member in the student’s department/ institute

e. Other relevant documents (documentation of academic achievement, participation in extracurricular activities, awards, publications)

Article 7 The number of scholarships to be awarded per year is flexible and is adjusted according to the university’s budget.

Article 8 Scholarship Application and Review Procedures:

1. Scholarship applications of incoming international students who have been officially accepted by the Office of Academic Affairs will be submitted to the International Academic Exchange Committee for review by the Office of International Affairs (OIA).

2. International students who are already enrolled in a course of study should submit materials to the Office of International Affairs; the OIA will pass the applications on to the International Academic Exchange Committee for review.

Article 9 The allocation of scholarships will be decided by the Committee for International Academic Exchange.

Article 10 If scholarship recipient takes academic leave, defers admission, or withdraws from the university, scholarship eligibility will be revoked. A scholarship recipient who withdraws from the university shall return all scholarship funds ever received before the withdrawal procedure is completed.

Article 11 If it is determined that a scholarship recipient has submitted falsified documents or supplied false information, scholarship eligibility will be revoked, and case will be dealt with through appropriate regulations.

Article 12 These regulations have been reviewed by the Committee for International Academic Exchange and approved by the Committee for Scholarships and Work-Study Awards; they go into effect following announcement of President. Amendments, which follow the same procedure.

Note: In case of differences between Chinese and English versions of this document, the Chinese version shall prevail.

17

FROM

長榮大學106學年度

外國學生

申請入學

(Full Name in Chinese)

(Full Name in English)

(Address)

TO:長榮大學入學服務處 收

71101 台南市歸仁區長大路1號

中華民國臺灣

Office of Admissions

Chang Jung Christian University

1,Changda Rd.

Gueiren District,

Tainan City 71101,

Taiwan(R.O.C.)

申請人請勿填寫

Please do not write in this space.

申請編號 收件日期

審查人員 審查日期

請將本表貼於報名信封袋上,以掛號郵寄。(海外地區建議使用DCS、DHL或FedEX等快遞服務)

Please attach this application cover sheet to the outside of the envelope

containing your application package, and send by registered mail or courier.

(DCS、DHL or FedEx service is recommended for application packages mailed from overseas.)

申請學系:

寄送日期/Date application submitted: