Volunteer Application Form

No： Category: Non-Chinese Teacher □ Non-Chinese Student □ Basic Information

University Place of Birth Family Name Photo Given Name Gender Date of Birth (DD/MM/YY) Political Status Ethnic Group (For Chinese (For Chinese Nationals only) Nationals Only) Faculty Class ( For Students Only) Job Title Student ID (For Teachers Only) ( For Students Only) Height Measurements Measurements （Clothes） (Shoes) Detaided Place of Birth ID Information Country / Region：

ID Type: （A. ID B. Passport） ID No.： Date of (DD /MM /YY) Issue Issuing Institution： Date of (DD /MM /YY) Expiry Contact Address Postal Code： Detailed Home Address Current Mailing Postal Code： Address Cell Phone Tel QQ Contact Person at Relationship Cell Phone Home Contact person at Relationship Cell Phone University E-mail Working Experience Working Experience Have you ever Activity Organization Duration as a Volunteer been a volunteer in the last 3 years? （Yes□ No□）

Brief Discription of Your Experience As a Volunteer：

Awards by governments or Activity Authority Time social institutions in the last 3 years： （Yes□ No□） MM /YY Brief discription of why you were awarded：

Experience of Working as a Activity Name Title Duration Leader ：（Yes□ No□）

Brief discription：

Education and Training Final Degree Major (For Grade （ For Student Only) Student Only） Language Monther Level of HSK Skill Tongue Test Foreign Level of Test Interpretation Certificate Language Ability

Medical Do you have medical first aid certificate or experience: （Yes□ No□） Skills and Type of Certificate No. Credentials Certificate （Only One） Issuing Date of Expiry （DD/MM/YY） Organization Sport Skills Name Level Other Skills Overseas Study Experience Yes□ No□ Country Duration Brief discription：

Expectation Do you acept voluntary position adjustment： （Yes□ No□） Please select fields of voluntary services that you’d like to be involved： 1.Liaison with UCLG Headquarter 2.Protocol 3.Liaison Person 4.Language Service 1st choice 5.News and Media Operation 6.Logistics 2nd choice 7.Marketing 8. Back-up 3rd choice

Letter of Commitment

I permit relevant organizations to use the above information in the volunteer selection process. I pledge that all the information I filled in the form is completely true and accurate. I guarantee to join activities or work arranged by the organizing committee and I shall abide by the laws of the Chinese Government.

Signature： Date (DD/MM /YY): Information Verification

Non- Comments by the Foreign Affairs Department of the University： Chinese Students & Official Stamp Teachers Date(DD/MM/YY):

Please fill in the form carefully and completely to make sure that all information filled is valid.

We promise to keep secret strictly to your personal information. Thank you!