Program Application Form

Applying for which program?:*

Chinese Name:*

English Name:*

Nationality:*

ID Number:*

Registered City of Permanent Residence:*

Gender:*
MaleFemale

Date of Birth:*

Phone:*

Social Network:

Email:*

University:*

Major:*

Type of Student:*

Year in Degree Program:*

Type of career you intend to pursue after you finish your studies (be specific):*

Please list three other career interests:

Do you currently have a valid passport?*
YesNo

Do you currently have a valid US visa?*
YesNo

Have you ever been DENIED a visa to the United States?*
YesNo

Please list any of your allergies or medical conditions:*

Please answer the following questions in English, demonstrating your highest level of English writing ability:

Why are you interested in this exchange program?*

Why do you want to pursue the career you indicated above?*

What is a significant challenge facing the Chinese professionals in your field of interest, and how could you help improve it?*

How did you hear of the program?*

Code of Conduct

If I am accepted to the CONNECT Exchange (CE) program, I agree to the following:

  • I will pay all program fees to 南京联星商务咨询有限公司 on time.
  • I will NOT become intoxicated, take illegal drugs or pursue romantic relationships during the exchange.
  • I will NOT drive in America.
  • I will submit a criminal background check to 南京联星商务咨询有限公司.
  • I will abide by all U.S. laws and regulations.
  • I will have a submissive attitude toward CE hosts, professionals, program leaders, and representatives.
  • I will have a respectful attitude toward Americans and their culture.
  • I will report concerns to CE program leaders and CONNECT staff.
  • I will accept city placement and travel arrangements made by the CE program leaders and CONNECT staff.
  • I will fully participate in all CE activities.
  • I will sign a contract acknowledging the risks and indemnifying, defending, and holding harmless 南京联星商务咨询有限公司, its trustees, officers, employees, agents, volunteers and assigns for any claim arising out of or incident to my participation in the exchange, except for claims arising out of the sole negligence or willful misconduct of 南京联星商务咨询有限公司.

If I do not abide by the above guidelines, I forfeit my participation in the Connect Exchange and will bear the financial burden for my actions including the program fee and an early return flight back to China if the program leaders determine an early return is necessary.

By checking this box, I agree to all of the above:*
I agree

Personal Interview: The final step in the selection process is a personal interview in English with an exchange program representative. If chosen for an interview, you will first be contacted with appointment details.