Online Application Form

Personal information

Family name: Given name:

Nationality: Passport No.:

Date of birth: (YYYY) (M) (D) Place of birth:

Sex: Male Female Marital State: Married Single

Highest Academic Degree Obtained:

Post Address of the admission notice & Zip code:

Tel: Fax: E-mail:

Language proficiency

Did you take Chinese lessons before? Yes. No.

If you did, how many hours study have you done approximately?

What do you think your current Chinese level?

Conversation:
None Basics Beginner Intermediate Advanced

Reading and writing:
None A few characters Simple words Simple sentences
Simple passages

What is/are the specific aspect/s you want to improve in Chinese?

Listening and speaking Reading Writing HSK test skills

Preferred class size/location:

One on one One on two Group class at school at your office/home

Preferred Schedule:

Early morning Morning Afternoon vening Weekend

Planning of Starting Time:

How did you know Miracle Mandarin?

Recommendation That's Shanghai City weekend
SH magazine Internet Brochure (where?)
Other (please specify)

Miracle Mandarin,Learn Chinese Faster...Guaranteed!