“水木之窗,对话大使”活动报名表 Application Form for "Vision in Tsinghua, Dialogue with Ambassadors"

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亲爱的老师/同学:

      感谢您报名参加本次对话爱尔兰大使活动!

      请在本问卷中留下您的基本信息、联系方式和您想与大使交流的问题,我们会予以存档。您所有的个人信息都会严格保密。

      因为席位有限,本活动仅面向清华大学学生及教职工,同时,我们无法保证所有报名者都有机会参与本次活动。您一旦被选中,我们将与您取得联系。

      我们期待您的到来!

Dear teacher/student:

      Thank you for registering your interest for the dialogue with Ireland Ambassador!

      Please fill in your basic information including contact details and  the question(s) that you would like to ask the Ambassador. All personal information will be kept confidential.

      Due to limited space, the event is only open to Tsinghua students, faculty and staff. Also, we cannot guarantee that you will be selected to attend the event. We will contact you if you are selected.

      We look forward to your arrival!

1.
您的姓名(与学生证/工作证上的相同):
Your name (please use the name on your student/faculty ID card): *
2.
您的国籍:
Your nationality:
3.
请输入您的工作证/学生卡号:
Your faculty/student ID no.: *
4.
请输入您的手机号码:
Your phone no.: *
5.
您常用的Email地址:
Your frequent-used email address: *
6.
您所学习的专业:
Your major: *
7.
您希望大使阁下的讲座中包含什么内容呢?
What content do you expect to be in the lecture? [多选题]
8.
您希望问大使阁下什么问题呢?
Which question(s) do you wish to ask His Excellency? *
再次感谢您报名参与本次活动!如有最新信息,我们会及时与您取得联系!
  Thank you again for your application! We will keep you posted with any updates!