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2025-2026 【1+4years_Program】 Admission Application Form for International Students

建國科技大學114學年度國際專修部
外國學生報名及入學需知

2025 Spring-2026Fall Academic Semester Enrollment Guidefor International Students

INTERNATIONAL FOUNDATION PROGRAM

【1+4 YEARS PROGRAM】PREPARATORY MANDARIN COURSES

修業年限 Year of Study

華語先修課程：1學期至1學年，通過TOCFL A2 後銜接入重點產業領域相關系所就讀學士班

Preparatory Mandarin Courses:

from 1 semester to 1 year, after passing TOCFL A2,students can study for a bachelor's degree at a key industrial department.

第一學年結束前須通過華測TOCFL A2能力等級，未能通過者退學！
You must pass Tocfl A2 before the end of the second semester in the first academic year. Those who fail will be expelled!

學士：4 至 6 年 Bachelor’s degree: 4 years. A further extension is no more than 2 years.

大二起須達華語文能力測驗TOCFL之聽力與閱讀測驗進階級B1
students need to reach TOCFL B1 level from sophomore year onwards

【下載簡章】 Please check application prospectus for more detail information.

If you require any further information, feel free to contact us.

Đăng ký online 【khóa học trình độ cử nhân 1+4 】hệ chuyên tu quốc tế của trường đại học công nghệ Kiến Quốc niên học 2025-2026

填表過程所要上傳的電子檔案及填寫資料必須一次完成後按【確認送出Confirm and Send】之按鈕
The files to be uploaded and the information to be filled in during the form filling process must be completed once and click the "Confirm and Send" button.

送出後相關應繳文件記得email至指定信箱完成報名程序 : 
Remember to email the relevant documents to the designated email address to complete the application process:

==========================================

建國科技大學國際專修部華語先修入學申請表
Admission Application Form for International Students 【1+4YEARS PROGRAM】

It can be crucial to fill out an online application in the right order, you have to complete your online applications at one go.

*申請就讀學期Apply for::

2025年9月入學Fall Semester
2026年2月入學Spring Semester

*電子信箱E-mail；CTU-OIA will contact you by email after receive your online application form:

申請人姓名 / Applicant's Name 【in Chinese】:

*Full name 【matches the name on your passport】:

*性別:

生理男Biological Male
生理女Biological Female

*國籍Nationality:

護照號碼Passport No.:

身分證號碼Personal ID No.:

*出生地點Place of birth:

*出生日期Date of birth:

*擬申請就讀之系(所)The Department / Graduate Institute & Degree you apply for:

學士(四年制) IFP1+4Years Program - Bachelor Degree Program

*第一志願系所1st Choice:

電機工程系Department of Electrical Engineering
機械工程系Department of Mechanical Engineering
電子工程系Department of Electronic Engineering
土木工程系Department of Civil Engineering
觀光系 Department of Tourism

*第二志願系所2nd Choice:

*第三志願系所3rd Choice:

*現在住址Current address:

*Zip code (Current address):

*※現在住址為本校郵寄錄取通知用地址，請詳細填寫，若地址不全或無人接收致使資料無法寄達，由申請者自行負責。:

the notification of admission will be sent to address as above Applicants should provide the correct and exact name (same as passport) as well as a correspondence address to make sure a correct delivery of Letter of Acceptance.
Otherwise, applicants shall be responsible for all the consequences caused.

居留證號(ARC):

*連絡電話Telephone:

婚姻狀況Marital status:

已婚Married
未婚Single

子女數No. of children:

社群軟體帳號social media - Line:

社群軟體帳號social media - WeChat:

社群軟體帳號social media - WhatsAPP:

社群軟體帳號social media - 其他:

*3. 父母及聯絡人資料Guardian Information:

申請人父親或母親是(曾)具中華民國國籍Applicant’s father or mother was a citizen of the Republic of China
申請人父親或母親不是(不曾)具中華民國國籍Applicant’s father or mother was not a citizen of the Republic of China

*監護人Guardian:

*連絡電話Parents'Telephone:

*父母電子郵箱e-mail of parents:

*監護人國籍Guardian Nationality:

如父母任一方具中華民國國籍，需填寫下列資訊The following information is required for the parent(s) with ROC citizenship.；中文姓名 & ROC ID Number:

*緊急聯絡人Emergency Contact Person；NAME & Phone Number:

*4. 高中以上教育背景Applicant’s Education Background:

*學校名稱Name of school:

*學校所在地City and country of your school:

*畢業日期Graduate year:

主修Major /大專以上才需填寫Fill in if you haveCollege Background:

Tell us for more detail about your education background:

母語Native language:

*5. 中、英文語文能力 Chinese and English Proficiency:

I don't speak Chinese
I don't speak English
I can speak alittle Chinese
I can speak a little English

曾修讀中文幾年How many years have you formally studied Chinese?:

學習中文環境為何？(高中、大學、語文機構)Where did you study Chinese? (High School, College or language institute?):

*是否參加過中文語文測驗？Have you taken any Chinese proficiency test?:

是 Yes
否 No

*中文測驗名稱What is the name of the test?:

沒有參加測驗did not take the exam
華語能力測驗TOCFL
漢語水平HSK
其他測驗Others

中文測驗日期Date of Test:

*中文能力等級Level / Score:

中文能力自我評估 Please evaluate your Chinese language skills.:

中文-聽Listening:

優Excellent
佳Good
尚可Average
差Poor
不會None

中文-說Speaking:

中文-讀Reading:

中文-寫Writing:

英文程度 Level of English proficiency:

優Excellent
佳Good
尚可Average
差Poor
不會None

英文-聽Listening:

英文-說Speaking:

英文-讀Reading:

*英文-寫Writing:

*是否參加過英文語文測驗？Have you taken any English proficiency test?:

是 Yes
否 No

*何種測驗？What is the name of the test?:

沒有參加測驗did not take the exam
【ETS】多益 (TOEIC)
【ETS】托福 (TOEFL)
【IDP、BC、CambridgeESOL】雅思 (IELTS)
【LTTC】全民英檢(GEPT)
【ETS】GRE
【GMAC】GMAT

英文測驗日期Date of Test:

成績等級Score / Level:

*6. 健康情形Health Condition:

優Excellent
佳Good
尚可OK
差Poor
我有特殊需求須學校協助I have health problem and additional needs as follow

特康殊健需求Additional Needs；:

*7. 在建國科大研習期間各項費用來源？Financial support while studying at CTU？:

個人儲蓄 Personal savings
父母供給 Parental support
台灣獎學金Ministry of Foreign Affairs Taiwan Scholarship
獎助金Scholarship(s)
其他 / 如下說明Other as below

非本人之財力需繳付關係證明及財力保證書:

I will provide the proof of financial ability

上傳最近二吋相片 up-load a recent photograph here （about 1”x2”）:

上傳護照up-load your passport or personal identification card:

*我知道我還需要email其他申請入學之必要文件 I understand I have to send those required documents by email:

I confirm that the admission application information filled in above is correct
And I will send those required documents to CTU by email , ctuoia.register@gmail.com

*【Check the items that you have to send by Email】國際專修部1+4年入學申請資料檢核表 List of Submitted Documents:

Yes, I will send those required documents as belowto CTU by Email ；ctuoia.register@gmail.com
【Attachment 1】入學申請資料檢核表List of Submitted Documents
【Attachment 2】外國學生入學申請表、畢業證書及成績單Admission Application Form for International Student
【Attachment 3】外國學生申請人在臺就學檢核表及切結書
【Attachment 4】身份資格聲明具結書Declaration, Admission Application Affidavit
【Attachment 5】文件驗證切結書Affidavit (of admissions documents to be verified)
【Attachment 6】讀書計畫Study plan/ Statement of Purpose
【Attachment 7】個人資料蒐集同意書Personal Data Collection Agreement
【Attachment 8】申請入學推薦函Recommendation Form of International Student Admission
【Attachment 9】財力證明及資助者財力保證書Financial Statement / Financial Affidavit for International Applicants
【Attachment 10】外籍學生新生入學獎學金申請表Application Form for Scholarship for Foreign Students
【Attachment 11】新生住宿申請書 Dormitory Application Form

**簽名並上傳【附表Attachment 1】國際專修部(1+4年)入學申請資料檢核表Please sign and upload [Attachment 1] International Foundation Program (1+4 years) list of submitted documents:

Scan and merge attachments 1 to 11 of the application form into a single file and upload it.(不超過20M):

8.工作經歷work experience:

note by CUT-OIA:

*驗證碼

驗證碼語音播放器

Press the 【Confirm and Send】 button to submit you application form

After submit your online application form, please email those required documents to ctuoia.register@gmail.com / oia-register@ctu.edu.tw

【CTU 2025-2026 國際專修部入學申請】Check the items that you have to send by email

TEL: +886-47116392 / +886-47111111ext.1724~1727

以下是你輸入的報名資料,確認請點擊確認資料
Below is the information you entered when applying through the CTU website. To confirm and submit your application, please click ‘Confirm and Send’.

*申請就讀學期Apply for::

*電子信箱E-mail；CTU-OIA will contact you by email after receive your online application form:

申請人姓名 / Applicant's Name 【in Chinese】:

*Full name 【matches the name on your passport】:

*性別:

*國籍Nationality:

護照號碼Passport No.:

身分證號碼Personal ID No.:

*出生地點Place of birth:

*出生日期Date of birth:

*擬申請就讀之系(所)The Department / Graduate Institute & Degree you apply for:

*第一志願系所1st Choice:

*第二志願系所2nd Choice:

*第三志願系所3rd Choice:

*現在住址Current address:

*Zip code (Current address):

*※現在住址為本校郵寄錄取通知用地址，請詳細填寫，若地址不全或無人接收致使資料無法寄達，由申請者自行負責。:

居留證號(ARC):

*連絡電話Telephone:

婚姻狀況Marital status:

子女數No. of children:

社群軟體帳號social media - Line:

社群軟體帳號social media - WeChat:

社群軟體帳號social media - WhatsAPP:

社群軟體帳號social media - 其他:

*3. 父母及聯絡人資料Guardian Information:

*監護人Guardian:

*連絡電話Parents'Telephone:

*父母電子郵箱e-mail of parents:

*監護人國籍Guardian Nationality:

如父母任一方具中華民國國籍，需填寫下列資訊The following information is required for the parent(s) with ROC citizenship.；中文姓名 & ROC ID Number:

*緊急聯絡人Emergency Contact Person；NAME & Phone Number:

*4. 高中以上教育背景Applicant’s Education Background:

*學校名稱Name of school:

*學校所在地City and country of your school:

*畢業日期Graduate year:

主修Major /大專以上才需填寫Fill in if you haveCollege Background:

Tell us for more detail about your education background:

母語Native language:

*5. 中、英文語文能力 Chinese and English Proficiency:

曾修讀中文幾年How many years have you formally studied Chinese?:

學習中文環境為何？(高中、大學、語文機構)Where did you study Chinese? (High School, College or language institute?):

*是否參加過中文語文測驗？Have you taken any Chinese proficiency test?:

*中文測驗名稱What is the name of the test?:

中文測驗日期Date of Test:

*中文能力等級Level / Score:

中文能力自我評估 Please evaluate your Chinese language skills.:

中文-聽Listening:

中文-說Speaking:

中文-讀Reading:

中文-寫Writing:

英文程度 Level of English proficiency:

英文-聽Listening:

英文-說Speaking:

英文-讀Reading:

*英文-寫Writing:

*是否參加過英文語文測驗？Have you taken any English proficiency test?:

*何種測驗？What is the name of the test?:

英文測驗日期Date of Test:

成績等級Score / Level:

*6. 健康情形Health Condition:

特康殊健需求Additional Needs；:

*7. 在建國科大研習期間各項費用來源？Financial support while studying at CTU？:

非本人之財力需繳付關係證明及財力保證書:

上傳最近二吋相片 up-load a recent photograph here （about 1”x2”）:

上傳護照up-load your passport or personal identification card:

*我知道我還需要email其他申請入學之必要文件 I understand I have to send those required documents by email:

*【Check the items that you have to send by Email】國際專修部1+4年入學申請資料檢核表 List of Submitted Documents:

Scan and merge attachments 1 to 11 of the application form into a single file and upload it.(不超過20M):

8.工作經歷work experience:

note by CUT-OIA:

50094 彰化市介壽北路1號國際合作及交流處
TEL：886-4-711-1111 #1721~1729 or 886-4-711-6392 | FAX：886-4-711-6382 | Email: oia@ctu.edu.tw