【2020FWC OL App】Keru Programs Application Form (Participating Students Only)

Welcome! 欢迎！

Thank you for the interest in Keru ONLINE programs. Before filling out the application form, please make sure you have thoroughly read the program brochure. If not, please contact Keru Service for brochures. 感谢申请Keru在线项目。在填写申请表前，请确保您已经认真读完项目手册。可以联系Keru小助手索要手册（We Chat: keruservice)

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English Name 英文姓名
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Chinese Name in Chinese Characters 中文姓名，汉字填写
If you don't have a Chinese name, just put down NONE
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Date of Birth 出生日期
yyyy/mm/dd e.g. 2002/06/23
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Gender 性别
男Male
女Female
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Nationality 国籍
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Hometown 家乡所在地
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Current School of Attendance 在读学校
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Current Grade or the one you just graduated from 目前所在年级或刚刚毕业年级
G8
G9
G10
G11
G12
Others please specify 其他请写明
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Which program are you applying for, please write down your preferred dates?  您希望申请哪个项目，请在后面填写您首选的日期？【请选择1-2项】
云咨询-云南公卫组织之教学大纲设计 Consulting - Public Health Curriculum Design 11/8-12/27; 1/3-2/21
云咨询-乡村在线教育大纲设计 Consulting - Rural Online Education Curriculum Design 11/8-12/27; 1/3-2/21
云咨询-马来西亚农村可持续能源计划开发 Consulting - Sustainable Energy Plan for Rural Malaysia 11/8-12/27; 1/3-2/21
云咨询-助力留守儿童, 策划慈善筹款 Consulting - Fundraising Campaign for Left Behind Children 11/8-12/27; 1/3-2/21
云咨询-污水治理调研 Consulting - Wastewater Management Research 11/8-12/27; 1/3-2/21
云咨询-纯手工皂社会企业 Consulting - Handcrafted Soap Social Entrepreneurship 11/8-12/27; 1/3-2/21
云课程-社会企业创业孵化 Workshop - Social Entrepreneurship Incubator 11/15 - 12/13; 12/20 - 1/17; 1/24 -2/21
云课程-非营利组织和慈善事业管理 Workshop - Non-profit and Philanthropy that Makes a Difference 11/15 - 12/13; 12/20 - 1/17; 1/24 -2/21
云课程-社会影响力金融线上课程 Workshop - Social Impact Finance Online Course 11/15 - 12/13; 12/20 - 1/17; 1/24 -2/21
云课程-社会影响力的大数据和分析 Workshop - Big Data and Analytics for Social Impact 11/15 - 12/13; 12/20 - 1/17; 1/24 -2/21
云课程-烤鳗鱼消费者营销策略 Workshop - Roast Eel Consumer Marketing 11/15 - 12/13; 12/20 - 1/17; 1/24 -2/21
云课程-城市水科学与分析 Workshop - Urban Water Science & Analysis 11/15 - 12/13; 12/20 - 1/17; 1/24 -2/21
云课程-可持续社区和城市发展 Workshop - Sustainable Communities & Cities 11/15 - 12/13; 12/20 - 1/17; 1/24 -2/21
云课程-绿色未来：可再生能源和政策 Workshop - Greening the Future: Renewable Energy & Policies 11/15 - 12/13; 12/20 - 1/17; 1/24 -2/21
云课程-LGBT群体的权利和平等 Workshop - LGBT Rights and Equality 11/15 - 12/13; 12/20 - 1/17; 1/24 -2/21
云课程-偏远地区女性卫生保健 Workshop - Feminine Hygiene in Rural Areas 11/15 - 12/13; 12/20 - 1/17; 1/24 -2/21
Keru 1on1 Personal Project 定制一对一项目
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Where did you hear about Keru? 请问哪里得知Keru？
School Teacher 学校老师
Parents 父母
Education Consultant 留学教育顾问 (Please Identify 请标注机构名称 )
Friend 朋友
Social Media 社交媒体
Keru Website Keru 网站
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Are you a Keru alumni? 请问您是 Keru的校友吗？
has attended Keru Program before 曾经参加过Keru项目
Yes
No
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Participant Phone 参与者手机号码
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Participant WeChat Account 参与者微信账号
Please note that Keru Service will add you on WeChat for the next step. 
请注意，Keru小助手将添加您微信来继续申请流程

(if you don't have WeChat, just put down NONE, we will follow up through Email)
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Guardian Name & Relationship to Participant 监护人姓名 & 与参与者关系
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Guardian Phone 监护人手机号
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Participating Student's Email 参与学生的邮箱
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Which time zone you are at right now? 请问您目前所在时区？
UTC+0 (London)
UTC+8 (Beijing)
UTC+10 (Sydney)
UTC-5/ EST (New York)
UTC-7/ MST (Denver)
UTC-8/ PT (San Fransisco)
Others please specify 其他时区请备注
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Which time zone you will be during the program you selected? 请问您在项目时期所在时区？
UTC+0 (London)
UTC+8 (Beijing)
UTC+10 (Sydney)
UTC-5/ EST (New York)
UTC-7/ MST (Denver)
UTC-8/ PT (San Fransisco)
Others please specify 其他时区请备注
Thank you for applying for Keru ONLINE programs. We will contact you within 3 ~ working days.

感谢您申请Keru线上项目。我们会在3个工作日左右联系您。
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