ࡱ> wyv` RRbjbjss4b Y###8,$d$P8%N%d%d%d%?&?&?&GGGG:?GOK_O$ShRVOQ(?&?&((Od%d%O///(d%d%G/(G//BCd%,% I#V,BwDO0PB6V4.HV,CVCx?&v&T/ 'DM'E?&?&?&OO|/^?&?&?&P((((d  The Third International Summer School for China Studies June 20-July 3, 2012 Application Form Please type or write in black ink.  Family Name: Given Name:  Y T: Age (t^): Gender ('`+R): Male (7u) Female (sY)Place of Birth (Qu0W): City (W^): Country (V[):  Province (wN): Date of birth (Qut^g): (Month/Day/Year) Present title as faculty member (sNLMO): If you are a Ph.D. candidate/master student, anticipated date of obtaining your degree: (Yg`Os(W/f(WZSXubUxXu lfsS\[bf[MOve) University: (@b(W'Yf[bxvzb)Department: (@b(W|y) Telephone: Home ([) Office (R) (5u݋Sx) Fax: ( OwSx) E-mail: (5uP[{) Best mailing address (gsO[0W@W): Colleges/ Universities attended ('Yf[) Principal Subject (NN)Dates of Study ((Wt^g)Degree/Year awarded (@bf[MOSvQe)    Names, addresses, email and phone/fax numbers of individuals from whom you are requesting letters of recommendation. Two (2) letters (in English or Chinese) are required for this application. We expect the professors who recommend you to email the letters to  HYPERLINK "mailto:csss@nju.edu.cn" csss@nju.edu.cn. Please provide their names and contact information. (cO$N\cPO v^(W NbRQcPNvY T05u݋0 OwSx0[0W@WNS5uP[{0cPNvc\cPOScsss@nju.edu.cn0  Name (Y T)Address (0W@W)Email (5uP[{)Phone/Fax (5u݋T OwS) 1.     2.    List all positions held, academic or other, in chronological order (with dates). Include the date from which you have held your present faculty position: ( cez^RQ`Of~bNv@b gLMO Sbf[/gTL?eLMO): Publications: Please list titles in the original language as well as English. Attach a separate bibliography if space here is insufficient. 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Documents of native language proficiency are not required. (cO gsQ`OveT-Ne4ls^vf Xby0[(uIl4ls^[ՋI{vKmՋb~b/f[^vcPOGWS0\fPge\O:NDN3uONv^Scsss@nju.edu.cn0kRf0) Statement of Research Interests Please provide a statement of your research interests including your previous experience conducting field research in China in connection to this summer school. Why is this summer school important to your research, both empirically and theoretically? (Statement must be in English or Chinese, 2-4 pages, double spaced). 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