WORD

National Yang-Ming University 2009 Fall

National Yang-Ming University

International Degree Programs Prospectus

2009 Fall Semester

Faculty of Medicine

Institute of Traditional Medicine

Institute of Health and Welfare Policy

Institute of Biomedical Informatics

Institute of Emergency and Critical Care Medicine

Institute of Physiology

International Health Program (Institute of Public Health)

Department of Dentistry

Institute of Oral Biology

Department and Institute of Nursing

Institute of Biomedical Engineering

Institute of Biophotonics

Department of Physical Therapy and Assistive Technology

Institute of Biochemistry and Molecular Biology

Institute of Microbiology and Immunology


Degree Offered To Foreign Students

Dept./Inst. Bachelor Master Ph.D Page

Faculty. of Medicine ● P.4

Inst. of Traditional

Medicine● P.5

Inst. of Health and ● ● P.6

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Welfare policy

Inst. of Biomedical

Informatics● P.7

Inst. of Emergency

and Critical Care

Medicine

● P.8

Inst. of Physiology ● ● P.9

International Health

Program(Inst. of

● ● P.10

2


Public Health)

Dept. of Dentistry ● ● P.11-12

Inst. of Oral Biology ● ● P.13

Dept. & Inst. of

nursing● P.14

Inst. of Biomedical

Engineering● ● P.15

Inst. of Biophotonics ● ● P.16

3


Dept. of physical

Therapy and assistive

technology

● ● P.17

Inst. of Biochemistry

and Molecular

Biology

● P.18

Inst. of Microbiology

and Immunology ● P.19

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Article I.

The Admission Timetable for Fall Semester 2009

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Date Schedule of Events

Dec.1, 2008 Application opens

January 31, 2009 Early applications ends

February1~16, 2009 Review Applicants’ documents by individual institutes

March 31, 2009 Application ends

April 1 ~ 31, 2009 Review Applicants’ documents by individual institutes

Early May, 2009 Oral exam by individual institutes

June 19, 2009 Notification of Admission

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All documents must be received by the National Yang-Ming University from December 1, 2008 to March 31, 2009. Whether

admitted or not, application documents will not be returned to the candidates. Late submission of application s will not be

accepted. Incomplete Application or application with out necessary attachments and articles will not be accepted. Please

submit the application materials to the follow ing address :

The Admission Office

Center of International Affairs


No.155, Sec. 2, Linong St., Beitou District, Taipei City 11221, Taiwan (R.O.C.)

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Article II. Notification of Admissiona. Academic achievement of the potential candidates must also fulfill the regulations for the foreign

students admission set by the National Yang-Ming University. (For details, please refer to the

Attachment І )

b. All applicants must have equivalent graduation

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Undergraduate Program applicants: high school diploma

Master Program applicants: Bachelor’s degree diploma

PhD program applicants: Master’s degree diploma

Graduating students admitted to NYMU must submit their diploma at the time of

registration, or

admission will be cancelled.

c. The graduation certificate of foreign educational institution and transcripts shall be subjected to

validation

by the R.O.C. (Taiwan) embassy /representative office (in applicant’s country) in accordance with

requirements of the Ministry of Education, R.O.C..

d. For the financial statement , if the applicant has applied or is going to apply for any scholarship, you

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don’t need to enclose the financial statement. But you have to state the scholarship you applied clearly.

Also, the verification will be hand in at the time of registration.

e. After the preliminary screening, qualified applicants will be informed to attend either an oral interview

or phone interview by some institutes, which will be held in early May, 2009. Applications from

absentees will be considered withdrawn. The criteria for selection will be solely determined by the

committee for student Recruitment of the Institute. All applications will be submitted to the committee

of Foreign Student Admission for the final approval.

f. The ways of paying the application fee (required by some institutes)

Pay by US dollars: please enclose a cheque in US dollars with the application

Pay by NT dollars: please remit the application fees directly to the university account and

enclose a

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copy of telegram transfer receipt either from post office or bank with the application.

Post Office ID: 700

Account: 0002475-0016487

The Admission Office


Address: No.155, Sec. 2, Linong St., Beitou District, Taipei City 11221, Taiwan

(R.O.C.)

g. If any information provided by the students is found to be false, the student shall be denied admission or

discontinued from the program in the future.

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Article III. Admission Procedures

School of Medicine

Faculty of MedicineBachelor ●

Notification:

General Information: please refer to the website: http://www.ym.edu.tw/md/ym2_1_1.htm

The language for most of the courses will be Chinese.

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http://www.ym.edu.tw/md/new_page_5.htm


Program Duration: The undergraduate program covers seven years, including three years of

internship training.

Phase І -- Required Documentation (The scores by weight: 20%)a. Application fee:

(1) Phase І screening fee

Domestic mailing address: NT$1500/US$50

Overseas mailing address: NT$2400/US$75

(2) Phase II test fee (for qualified applicants only)

NT$2500/US$80

b. Declaration Form ( please see Form І )

c. Two copies of Application form ( please see Form II )

d. Autobiography (written BOTH in Chinese & English Form III)

e. Short essay writing (The topic will be related with your personal experience and written both in English

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AND Chinese; NO more than 500words; if the essay is not your own handwriting, it will not be

evaluated; )

f. Two Letters of recommendation (please use Form V I )

g. Two photocopies of the graduation certificate from the highest educational institution (with translation

to

English, if in other languages), two official transcripts obtained from school (with translation to Chinese

or English, if in other languages), and other proofs of academic performance (ex. SAT,GRE,MCAT,etc.).

h. Certificate of health status within 6 months, which must include test for HIV as required by the

Department of Health, R.O.C (Submitting at the time of registration)

i. Financial statement shows your financial support during the study period. (see Article II, item d )

j. Evidence of English proficiency: TOFEL score 213 or above of the computer-based system (or 550 or

above of the paper-and-pencil test), IELTS test score of 6.5 or other appropriate proofs of English

proficiency provided by the R.O.C. embassies are also acceptable

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k. Study and research plan (written in English OR Chinese, please use Form IV )

Purpose of study: delineating the reasons for studying in Taiwan

Plan of study: stating specific area of interest, and proposed subject of current or future research

objectives

Anticipated results: stating how the intended study will help fulfill personal and scientific goals

l. Other supporting materials:

Volunteer Activities: Please use Form V II

Extracurricular Activities: Please use Form VIII

Contest Record: Please use Form I X

School Positions Held: Please use From X

m. Chinese Proficiency Test (CPT) : achieve TOP 5 or other appropriate proofs of Chinese proficiency

provided by the R.O.C. embassies are also acceptable

Website: http://www.sc-top.org.tw/english/eng_index.php

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http://www.sc-top.org.tw/english/eng_index.php


Phase II – Interview (The scores by weight: 80%)(a) Chinese written test: 10%

(b) Interview:70%

Inst. of Traditional MedicineMaster ●




17




No application fee



d. Autobiography (written BOTH in English & Chinese, if it is not your own handwriting, it will not be

evaluated Form III)

e. Two Letters of recommendation (please use Form V I )

f. Two photocopies of the graduation certificate from the highest educational institution (with translation

to



g. Certificate of health status within 6 months, which must include test for HIV as required by the

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h. Financial statement shows your financial support during the study period. (see Article II, item d )

i. Evidence of English proficiency

j. Study and research plan (written BOTH in English & Chinese, please use Form IV )



objectives


k. Other supporting materials required


Extracurricular Activities: please use Form VIII

Contest Record: please use Form I X

School Positions Held: please use From X

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l. A 10-minute DVD/ VCD record in Chinese OR English (If available)

Self introduction

Purpose of study

Plan of study

Phase II – Interview (The scores by weight: 100%) After the preliminary screening, qualified applicants will be informed to attend an interview.

If the

applicant is in Taiwan, it will be proceeded by an oral interview. If the applicant does not live in

Taiwan, it will be proceeded by a phone interview. All qualified Applicants need to prepare a 10-

minute oral report about relevant research topic (Chinese or English are acceptable)

20


Inst. of Health and Welfare PolicyMaster ●

PhD ●


No application fee



d. Autobiography (written in English Form III)



21


to






i. Evidence of English proficiency: TOFEL score 213 or above of the computer-based system (or 550 or

above of the paper-and-pencil test), IELTS test score of 6.5 or other appropriate proofs of English

proficiency provided by the R.O.C. embassies are also acceptable

j. Study and research plan (written in English, please use Form IV )



objectives

22








l. A 10-minute DVD/ VCD record in English OR Chinese (no more than 10 minutes)

Self introductions

Purpose of study

Plan of study

Phase II – Interview (The scores by weight: 60%) After the preliminary screening, qualified applicants will be informed to attend an

interview. At

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this stage, the interview is proceeded by either oral or phone

Inst. of Biomedical InformaticsPh.D ●


24


No application fee


c. Three copies of Application form ( please see Form II )

d. curriculum vitae


f. Research Proposal (Please download the format from the official website http://bmi.ym.edu.tw )


to


or English, if in other languages)

※ Notice: O fficial transcripts for the Degrees of bachelor AND Master are required to submit.



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http://bmi.ym.edu.tw/



j. Other supporting materials required

English Language test certificate (GRE or TOFEL)

Published thesis

Rank Certification





Phase II – Interview (The scores by weight: 20%) Phase І and II will be scored together. Please enclose applicants’ Email address and

contact

phone number for the interview.

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Inst. of Emergency and Critical Care MedicineMaster ●

27







NT$2500/US$80



d. Two copies of Autobiography (written BOTH in English & Chinese Form III )



to

28







i. Evidence of English (TOFEL 500 or other appropriate proofs of English proficiency provided by the

R.O.C. embassies are also acceptable) AND Chinese proficiency

j. Study and research plan (written in English OR Chinese, please use Form IV )


Plans of study: stating specific area of interest, and proposed subject of current or future research

objectives



29







interview.

Phone interview is recommended at this stage

30


Inst. of PhysiologyMaster ●

PhD ●


No application fee



d. curriculum vitae


31


f. Research Proposal (written in English OR Chinese)


to






l. Study and research plan (written in English OR Chinese, please use Form IV )



objectives


32


j. Evidence of English






Phase II – Interview (The scores by weight: 20%) After the preliminary screening, qualified applicants will be informed to attend an interview. Please

enclose applicants’ Email address and contact phone number for the interview.

33


International Health ProgramMaster ●

PhD ●


No application fee

b. Declaration From ( please see Form І )

34





f. Study and research plan (written in English, please use Form IV )



objectives



to




35




j. Evidence of English proficiency: TOFEL score 213 or above of the computer-based system (or 79-80 or

above of internet-based test; or 550 or above of the paper-and-pencil test), IELTS test score of 6.5 or

other appropriate proofs of English proficiency provided by the R.O.C. embassies are also acceptable






Phase II – Interview (The scores by weight: 0%) Interview is not required

36


School of Dentistry

Dept. of DentistryBachelor ●

Master ●

37


Undergraduate:

Notification:

Scope of Curriculum: please refer to the website: http://www.ym.edu.tw/fod/en/

Program Duration: The undergraduate program covers six years, including one year of

internship

training.


No application fee



d. Autobiography (written BOTH in English & Chinese Form III)

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http://www.ym.edu.tw/fod/en/




to




Department of Health, R.O.C. (Submitting with your application form)


i. Evidence of English proficiency: TOFEL score 213 or above of the computer-based system (or 550 or

above of the paper-and-pencil test), or other appropriate proofs of English proficiency. The official

transcript of TOFEL must be sent directly by ETS.

j. Study and research plan (written in English OR Chinese, please use Form IV )


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objectives







Phase II – Interview (The scores by weight: 80%)(a) Chinese written test: 10%

(b) Interview:70%

40


Postgraduate


No application fee



d. Autobiography (written in English OR Chinese)



to

41





Department of Health, R.O.C. (Submitting with your application form )


l. Study and research plan (written in English OR Chinese, please use Form IV )



objectives


i. Other supporting materials required

English Language test certificate (GRE or TOFEL)

Published thesis or any academic publication

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m. A 10-minute DVD/ VCD record in Chinese OR English (no more than 10 minutes)

Self introduction

Purpose of study

Plan of study


43


Inst. of Oral BiologyMaster ●

PhD ●

Notification:

The Institute of Oral Biology does not offer any clinical specialty training.

General Information: please refer to the website: http://www.ym.edu.tw/iob/en/index.htm

The language for most of the courses will be in Chinese.

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No application fee



d. Autobiography (Written BOTH in Chinese & English Form III)

e. Two letters of recommendation (please use Form V I )


to




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j. Study plan (written in Chinese OR English, please use Form IV )

k. Other supporting materials required (if applicable)

Academic publication




School Positions Held: Please use Form X


interview. At

46



※ If the applicants apply for the PhD program, the thesis and academic publication are required. O fficial transcripts for the Degrees of bachelor and Master are also required to submit.

School of Nursing

Dept. and Inst. of nursing

47


PhD ●

Phase І -- Required Documents (The scores by weight: 60%)a. Application fee:




(2) Phase II test fee

No application fee




48




to







j. Study and research plan (written in English)



objectives

49



k. A 10-minute DVD/ VCD record in English (no more than 10 minutes)

Self introductions

Study purpose

Study plan

l. Other supporting materials required

Nursing Professional educational degree

RN license copy in the mother country

Nursing professional achievement certificate

Chinese listening & writing competence certificate or training program (if available)




50



Phase II – Interview (The scores by weight: 40%) After the preliminary screening, qualified applicants will be informed to attend an interview.

At


School of Biomedical Science and Engineering

51


Inst. of Biomedical EngineeringMaster ●

PhD ●

Phase І – Required Documentation

All application and supportive documents have to be in English. If not, have a notarized translation to

English.

Declaration Form (Form І).

Two copies of Application form (Form II), the application fee is free.

Autobiography with most recent ID-photo (Form III).

Study and Research Plan (Form IV), Including:

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Purpose of study: delineating the reasons for studying in Taiwan,

Plans of study: stating specific area of interest, and proposed subject of up-to-now and future

plans.

Three (3) recommendation letters (Form VI):

Two of the referees must be faculty members at universities who are able to comment on your

ability to conduct original research. These must be submitted in sealed envelopes, signed across the

seal with your application package.

Official undergraduate and/or graduate academic transcripts from each school previously attended in

sealed envelopes from the academic institution(s).

Photocopy of your diploma from the highest degree earned.

Official TOEFL/IELTS, and GRE results:

Evidence of English proficiency: TOFEL score 213 or above of the computer-based system (or

79-80 or above of internet-based test; or 550 or above of the paper-and-pencil test),

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IELTS test score of 6.5 or other appropriate proofs of English proficiency provided by the R.O.C.

embassies are also acceptable.

If you have completed a Bachelor’s or Master’s Degree from a recognized institution where the

language of conduct was English, you do not need to take them.

Certificate of health status within 6 months,Submitting at the time of registration.

Which must include test for HIV as required by the Department of Health, R.O.C.

Financial statement: shows your financial support during the study period. (see Article II, item d ).

.

54


Inst. of BiophotonicsMaster ●

PhD ●

Phase І – Required Documentation (The scores by weight: 30%)a. Application fee:

No application fee

a. Declaration From ( please see Form І )

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b. Two copies of Application form ( please see Form II )

c. Autobiography (written in English Form III)

d. Two Letters of recommendation (please use Form V I )

e. Two photocopies of the graduation certificate from the highest educational institution (with translation

to



f. Certificate of health status within 6 months, which must include test for HIV as required by the


g. Financial statement shows your financial support during the study period. (see Article II, item d )

h. Evidence of English proficiency

i. Study and research plan (written in English, please use Form IV )


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objectives


j. Other supporting materials required





Phase II – Interview (The scores by weight: 70%) At this stage, the interview is proceeded by either oral or phone

57


Dept. of Physical Therapy and Assistive TechnologyBachelor ●

Master ●


No application fee

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d. Autobiography (written BOTH in English and Chinese Form III)

e. Essay (written BOTH in English and Chinese Form V )

f. Two Letters of recommendation (please use Form V I )


to




Department of Health, R.O.C


j. Evidence of English proficiency

59


k. Study and research plan (written BOTH in English & Chinese, please use Form IV )



objectives







Phase II – Interview (The scores by weight: 100%) After the preliminary screening, qualified applicants will be informed to attend an interview. At


60


School of Life Sciences

Inst. of Biochemistry and Molecular BiologyPh.D ●

61


Phase І – Required Documentation (The scores by weight: 100%)a. application fee:

No application fee

b. Declaration From ( please see Form І )


d. Autobiography ( Written in English Form III)



to




62


Department of Health, R.O.C. (Submitting at the time of registration)



j. Study and research plan (Written in English, please use Form IV )



objectives







63



Inst. of Microbiology and ImmunologyPh.D ●

64



No application fee






to




65


Department of Health, R.O.C. (Submitting at the time of registration)



j. Study and Research Plan (written in English)



objectives


k. Other supporting materials





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interview.

At this stage, the interview is proceeded by either oral or phone

67


Attachment I

National Yang-Ming University Foreign Student Admission Regulation

(The following regulations are about applicant status)

1. The term "foreign students" as used in these regulations means students who don’t have the R.O.C.

nationality, as defined in the Article II of Nationality Act※, neither overseas Chinese nor R.O.C.

nationals, who apply to study in Taiwan in accordance with these regulations.

2. Those who have dual nationality combining the R.O.C. nationality and a foreign nationality may not

apply for admission for a period of eight years after the date which their R.O.C. nationality is revoked

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by approval of the Ministry of the Interior.

3. Overseas Chinese who is not of R.O.C. nationality may choose to apply either to the universities for

foreign student admission, or to the Ministry of Education for overseas Chinese student admission.

4. Upon completion of the course of study at the school in the R.O.C. for which a foreign student applied,

the student's admission to higher academic levels shall be handled in a manner identical to admissions

for local students.

5. Any foreign student who has been withdrawn from a university or a college after admission may not

thereafter apply again for admission under these regulations.

6. The senior high schools include overseas Taipei schools and schools for overseas Chinese.

69


7. Foreign students who graduate from a school for foreign residents located in the R.O.C., or from a bilingual division (program) affiliated with a senior high school in the R.O.C., may use the graduation certificate received from such schools to apply for admission to a university or a college.

Nationality Act※Article II

A person shall have the nationality of the Republic of China under any of the conditions provided by the

following subparagraphs:

1. His/Her father or mother was a national of the Republic of China when he/she was born.

2. He/She was born after the death of his/her father or mother, and his/her father/mother was a national of

the Republic of China at the time of death.

3. He/She was born in the territory of the Republic of China, and his/her parents can’t be ascertained or

both were stateless persons.

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4. He/She has undergone the nationalization process. Proceeding subparagraph 1 and subparagraph 2

shall also apply to the persons who were minors at the time of the revision and promulgation of this Act.

FORM I . Declaration Form

Declaration Form

1. This form is only for applicants who do not have overseas Chinese status and do not hold a Republic

71


of China passport, except for applicants who hold Hong Kong or Macau citizen status. Foreign

applicant who held R.O.C. citizenship within the past eight years is not eligible for application. The

provision specified in the preceding paragraph “eight years” is from the loss of R.O.C. nationality to

the first term beginning on the calendar of NYMU.

2. All the documents I provide (including my diploma, passport, and other related documents) are

valid. If it is discovered that I have violated any university regulation, my admission to NYMU will

be canceled, my student status revoked, and no transcript will be issued.

3. Foreign students who have already completed in Taiwan the applied degree program or have been

expelled from university are not eligible to re-apply for admission. Breaking this rule would result

in immediate cancellation of the applicant’s admission or the deprivation of the applicant’s

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recognized status as NYMU registered students.

4. I authorize National Yang-Ming University to undertake a verification of the information (including

diploma, passport and any photocopies of official documents) I have provided. And if any of it is

found to be false after I enter NYMU registered student, I have no objection to be deprived of

registered student status.

　　　　　　　　　　　　

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Signature (Full Name) Signature of Legal Guardian

________________________

Date of Application （Day/ Month/ Year)

FORM II. Application Form

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＊ Please read the regulations carefully before fill out this application form.

＊ Please type or write clearly in Chinese or English.

＊ The Admission Office:

Center of International Affairs：No.155, Sec. 2, Linong St., Beitou District, Taipei City 11221, Taiwan (R.O.C.)Website: www.ym.edu.tw/cia

E-mail: [email protected] FAX: 886-2-2823-3887 TEL: 886-2-2826-7393

Attach a passport-size photo

taken within 6 months

( about 1”x 2” )

Applicant

Full Name (English): __________ (First) ____________ (Middle) _____________ (Last)

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mailto:[email protected]


Chinese name: ______________________ (if available) Sex: □ Male / □ Female

Permanent Address: ___________________________________________________________

Correspondence Address _______________________________________________________

Email: _______________________ Contact Phone No. _______________________________

Date of Birth _____________________(day/Month/Year) Passport No.___________________

Place of Birth _________________ Nationality _____________ Marital Status ____________

Legal Guardian

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Full Name (English): __________ (First) ____________ (Middle) _____________ (Last)

Sex: □ Male / □Female

Permanent Address: ___________________________________________________________

Correspondence Address: _______________________________________________________

Email: _______________________ Contact Phone No. _______________________________

Date of Birth _________________(day/Month/Year) Place of Birth _________________

Occupation: _____________________ Relationship to the applicant: __________________

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78


Educational Background

Secondary School

College or University

Graduate School(MA Program)

Graduate School(Ph.D. Program)

Name of School

City and Country

Degree Granted

79


Graduate Date

Major

Minor

◎ Department or graduate institute to be applied

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◎ Degree to be studied

□Bachelor □Master □PhD

◎ Financial resourcesApplicants can apply for a Scholarship from NYMU. Note that the Scholarship is competitive and reviewed by the Committee, not all the applicants can receive the scholarship.

(A) Do you wish to apply for a scholarship from NYMU? □Yes, NT$20,000 per month (maximum 2 years) □Yes, waive tuition fee (about NT$72,000 per year) □No

If yes, will you still hope to participate in NYMU program even if you will not be accepted to the Scholarship?□Yes □No

(B) What will be your main financial source while you study in NYMU?□NYMU Scholarship □Personal Savings

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□Parental Support □Other(please specify)________________

※US$1： NT$32

◎ Health Condition □Good □Average □Poor

Please describe any physical assistance you need.

◎ Extra-curricular Activities

◎ Previous Employment

◎ Publications（Reprints of the publications may be provided.）82


◎ Language Proficiency: (Please use: excellent, good, fair or poor to describe)

Reading Writing Listening Speaking

Chinese: ______________

English:

Others：

(Please specify)

83


84


＊ I have reviewed the above information carefully and hereby guarantee their correctness.

Applicant’s Signature Date

FORM III. A utobiography

85


Please use the following form (500-1000 words). Important: Please write the autobiography in Chinese

or English ( I f the institute requires both languages , applicants have to hand in your work both in

Chinese and English ) . Some institutes stipulate applicants have to use their handwriting in this part,

or it will not be evaluated. PLEASE notice the Article III. Admission Procedures.

Additional copies of the form or separate sheets are permitted in case of long writing.

Signature ：

86


87


F ORM IV . Study and Research Plan Please use the following form (500-1000 words). Important: Please write it down in Chinese or English

( I f the institute requires both languages , applicants have to hand in your work both in Chinese and

88


English ) . Some institutes stipulate applicants have to use their handwriting in this part, or it will not

be evaluated. PLEASE notice the Article III. Admission Procedures.


Signature ：

89


90


FORM V . Essay Please use the following form (500-1000 words). Important: Please write a short essay in Chinese or

English ( I f the institute requires both languages , applicants have to hand in your work both in

Chinese and English ) . Some institutes stipulate applicants have to use their handwriting in this part,

or it will not be evaluated. PLEASE notice the Article III. Admission Procedures.

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Signature ：

92


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FORM V I . Recommendation Form (Please make additional copies of the form.)

Part Ⅰ : To be filled in by the Applicant

To the applicant: Please complete the upper portion (Section 1) of the Recommendation Form and

forward it to a teacher who is acquainted with your academic record. Important: If you forward this Form

to your direct relative, this part will not be counted.

1. Applicant’s name:

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Degree and faculty to which you are applying:

Name of your high school:

Applicant’s address:

Applicant’s telephone:

95


About the recommendation content: (Please make a check)

□ I waive the right of access to this recommendation

□ I do not waive the right of access to this recommendation

Applicant’s Signature

Date

After filling out the information above, the applicant forwards the Recommendation※

Form with the envelope and stamp to the recommender. For the recommender, please

complete the form and then send it to the Institute you apply of National Yang-Ming

University with your required documentation.

96


Part II: To be filled in by the Recommender

97


To the person completing the Recommendation Form:National Yang-Ming University appreciates

your writing us as fully as you can concerning the candidate, saying how well and in what capacity you

have known him/her and frankly stating deficiencies as well as merits. Please complete the remaining

portion of this questionnaire by providing your candid opinion of the applicant’s abilities to undertake

medical school study.

2. How long have you known the applicant and in what connection?

□ I am his/her teacher and taught him/her course(s)

□ Research project or special study advisor

□ Others, please specify ：

How long have your known the applicant （ years months ）What is the extent of your mutual contact?

□ Very frequently □ Occasionally

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□ I know him/her but seldom interact □ I just taught the course he/she took

3. Please rate the applicant in comparison with others applying for medical school.

Top

5%

Top

5-

20%

Top

20-40%

Top

50%

Below

Averag

e

Botto

m

20%

Unabl

e to

Asses

s

Breadth of general knowledge

Academic performance

Study motivation

Creativity

Emotional stability

99


Top

5%

Top

5-

20%

Top

20-40%

Top

50%

Below

Averag

e

Botto

m

20%

Unabl

e to

Asses

s

English language proficiency

Participation of

extracurricular activities

Sense of responsibility

Relation with other students

Self confidence and maturity

Honesty

Communication ability

100


Top

5%

Top

5-

20%

Top

20-40%

Top

50%

Below

Averag

e

Botto

m

20%

Unabl

e to

Asses

s

Organizational ability

Potential as a medical

professional

101


4. Other comments:

(Please make additional comments about the applicant’s record, deficiencies, merits, potential for a

career in medicine, or personal qualities which you feel would be helpful to the admissions

committee. If the space is not enough, please attach your statement on separate sheets (in the same

size, please).

5. Overall rating of the applicant: (Please circle) ：□ Excellent (Top 5 %) □ Very Good ( 5-20%) □ Good (20-40%)

□ Average ( 50%) □ Below Average □ Bottom (20%)

□ Unable to Assess

102


Name of Reference ：

Signature of Reference ：

Organization ：

103


Title ：

Address ：

Telephone ：

104


FORM V II. Volunteer Activities ※ Only the following categories will be counted: medical service, child care service, education service, and

community service.【Military service, school required service, donation, or blood donation will not be counted.

However, if it is a school club organized activity for out-of-school service, it will be counted.】※ Please make sure to provide proof documentation, contact phone number, as well as total time spent. ※ If the space is not enough, please make extra copies of the form.

My signature below indicates that all my application is factually correct and honestly presented. (If any of the information is found to be false, the school has the right to revoke your admission.)

Signature：

Name of the Service Dates Attended Specific Total Time Spent Proof

105


OrganizationNature of

Activities(Hours)

Documentatio

n and Contact

Phone

Number

106


107


FORM VI II. Extracurricular Activities ※ Please list the activities in order of dates.※ Please make sure to provide proof documentation and contact phone number.※ If the space is not enough, please make extra copies of the form.※ My signature below indicates that all my application is factually correct and honestly presented. (If any of the

information is found to be false, the school has the right to revoke your admission.)

Signature：

Name of the Club Dates Attended Positions Held

Proof Documentation

and Contact Phone

Number

108


109


110


FORM IX. Contest Record ※ Please list the activities in order of dates.※ Please make sure to provide proof documentation and contact phone number. ※ If the space is not enough, please make extra copies of the form.

My signature below indicates that all my application is factually correct and honestly presented. (If any of the information is found to be false, the school has the right to revoke your admission.)

Signature：。

Date of the Contest

Name of the ContestSponsor

OrganizationContest Results

(e.g., award won)

Proof Documentation and Contact Phone

Number

111


112


113


FORM X. School Positions Held ※ Please list the positions (ordered by date)※ Please make sure to provide proof documentation and contact phone number.※ If the space is not enough, please make extra copies of the form.※ My signature below indicates that all my application is factually correct and honestly presented. (If any of the

information is found to be false, the school has the right to revoke your admission.)

Signature：。

DatePosition Held

Specify the responsibility

Proof Documentation

and Contact Phone

Number

114


115


116


117

Date post:	20-Nov-2014
Category:	Health & Medicine
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Health & Medicine