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CIP Application Form

We thank you for your interest in the China Internship Program.

Please note that this application form does not constitute your commitment to the program and/or acceptance. Our program representative will contact you upon submission.



Personal Details      
Date of Birth* (dd/mm/yyyy):    

Contact Details      
Mobile:

Emergency Contact      
Full Name*: Relationship*:
Telephone: E-mail*:
Skype:    

Travel Information      
Nationality of Passport*: Passport Number*:
       
Have you ever been refused a visa? If so, which country?:  
Outline your Previous International Experience:

Internship Details (all fields required)    
Subprogram*: Internship Duration*:
Intended Start date*: English Skills*:
Preferred Location*: Mandarin*:
Airport Pickup*: Style of Accommodation*:
Preferred Industries* (You may choose several by shift+click):


Educational Qualifications
Currently studying?:
Secondary Education: Location:
Dates: Diploma Received?:
College/University Education: Location:
Dates: Diploma/Degree?:
Additional Education Qualifications: Location:
Dates: Award:
Other Accomplishments:
Employment Experience
Are you currently employed?:
1. Employer: Job Title:
Responsibilities: Dates of Employment:
Employment Type?:
       
2. Employer: Job Title:
Responsibilities: Dates of Employment:
Employment Type?:
       
Languages spoken other than English:
Hobbies & Interests:

General Health & Wellbeing
Do you have allergies? If yes, please describe:
Do you have diet restrictions? If yes, please describe:
Are you currently taking medication? If yes, please describe:
Do you have chronic health problems? If yes, please describe:
Have you ever been hospitalized? If yes, please describe:
Do you have any emotional problems or eating disorder? If yes, please describe.

Criminal Conviction History
Have you ever been convicted for criminal offence? If yes, please describe:

CV & Cover Letter
In order to proceed with your application without delay, we will require a copy of your CV/Resume & Cover Letter. Please select these files using the uploader below and press 'Upload' when you have selected the required files.

Upload Files

**IMPORTANT**: To ensure that we have your Documents, please rename your file in the format of '[First Name][LastName]CV' and '[First Name][LastName]Cover'. E.g, JohnSmithCV.pdf, JohnSmithCover.doc

*I agree that all the information provided on this application has been filled out truthfully & accurately.
*I agree to the CIP Terms & Conditions.