海濡汇2018访问学者项目申请表 First Name Last Name Gender FemaleMale Marital Status* MarriedSingle Nationality Date of Birth (YYYY-MM-DD) Place of Birth Passport-size Recent Photo (no larger than 4MB)* Choose file No file chosen Passport No. Passport Valid Until (YYYY-MM-DD) Please upload the Main Page of your passport.(no larger than 4Mb)* Choose file No file chosen Email Address Phone Number with international code (+000-00000000) Street City Country Zipcode Institution (University) Administrative Position Highest Degree Field of study (major) Mother Tongue English Proficiency* BasicIntermediateAdvanced Other Languages Self-Assessment Have you ever participated in any other international visiting scholars program (international fellowship program) sponsored by other organizations (universities) in foreign countries?* YesNo If YES, please specify the most recent one: Sponsoring organization Time of the program: From To Outcome of the program If there is an opportunity provided, are you interested in working in China as a foreign teacher for a period of time?* YesNo Application Details: Title of Your Research Proposal Filed of your research* 1. Quality assurance of open and distance learning(ODL)2. Teachers professional development of open and distance learning3. Research on the design of personalized service for ODL4. Research on open learning analytics5. Research on team teaching in ODL6. Specialty development & course development in ODL Specialty includes: Pre-education, Nursing for The Elderly, Public Safety & Emergency Management, Artistic Design, International Chinese Education & Chinese Culture Do you have special dietary requirements? No RequirementsVegetarianNo PorkOther For who chosed yes, please specify here: Please send your CV, Research Proposal and a Scanned Copy of the Recommendation Letterto the project manager Dorothy TANG by email@example.com or firstname.lastname@example.org to complete your application. I certify that: 1) All of the information on this form is accurate to the best of my knowledge. 2) I have read the visiting scholar program introduction carefully and I understand all possible costs that might be incurred during my visit at SOU. 3) During my stay in China, I shall abide by the laws and decrees of the Chinese government, and will not participate in any activities that are inappropriate to the capacity as a student.