Basic Information

*First name

*Last name

*Date of birth

*Gender
MaleFemale

*Nationality
AfghansAlbaniansAlgeriansAmericansAndorransAngolansAntiguans and BarbudansArgentinesArmeniansArubansAustraliansAustriansAzerbaijanisBahamiansBahrainisBangladeshisBarbadiansBasquesBelarusiansBelgiansBelizeansBenineseBermudiansBhutaneseBoliviansBosniaksBosnians and HerzegoviniansBotswanaBraziliansBretonsBritishBritish Virgin IslandersBruneiansBulgariansMacedonian BulgariansBurkinabésBurmeseBurundiansCambodiansCamerooniansCanadiansCatalansCape VerdeansChadiansChileansChineseColombiansComoriansCongolese (DRC)Congolese (RotC)Costa RicansCroatsCubansCypriotsCzechsDanesGreenlandersDjiboutiansDominicans (Commonwealth)Dominicans (Republic)DutchEast TimoreseEcuadoriansEgyptiansEmiratisEnglishEquatoguineansEritreansEstoniansEthiopiansFalkland IslandersFaroeseFijiansFinnsFinnish SwedishFilipinosFrench citizensGaboneseGambiansGeorgiansGermansBaltic GermansGhanaiansGibraltariansGreeksGreek MacedoniansGrenadiansGuatemalansGuianese (French)GuineansGuinea-Bissau nationalsGuyaneseHaitiansHonduransHong KongersHungariansIcelandersI-KiribatiIndiansIndonesiansIraniansIraqisIrishIsraelisItaliansIvoiriansJamaicansJapaneseJordaniansKazakhsKenyansKoreansKosovarsKuwaitisKyrgyzsLaoLatviansLebaneseLiberiansLibyansLiechtensteinersLithuaniansLuxembourgersMacaoMacedoniansMalagasyMalawiansMalaysiansMaldiviansMaliansMalteseManxMarshalleseMauritaniansMauritiansMexicansMicronesiansMoldovansMonégasqueMongoliansMontenegrinsMoroccansMozambicansNamibiansNauruansNepaleseNew ZealandersNicaraguansNigeriensNigeriansNorwegiansOmaniPakistanisPalauansPalestiniansPanamaniansPapua New GuineansParaguayansPeruviansPolesPortuguesePuerto RicansQatariQuebecersRéunionnaisRomaniansRussiansBaltic RussiansRwandansSaint Kitts and NevisSaint LuciansSalvadoransSammarineseSamoansSão Tomé and PríncipeSaudisScotsSenegaleseSerbsSeychelloisSierra LeoneansSingaporeansSlovaksSlovenesSolomon IslandersSomalisSomalilandersSothoSouth AfricansSpaniardsSri LankansSudaneseSurinameseSwaziSwedesSwissSyriacsSyriansTaiwaneseTamilsTajikTanzaniansThaisTibetansTobagoniansTogoleseTongansTrinidadiansTunisiansTurksTuvaluansUgandansUkrainiansUruguayansUzbeksVanuatuansVenezuelansVietnameseVincentiansWelshYemenisZambiansZimbabweans

Contact information

*Email

*Phone

Academic Information

*Academic Standing
Non applicableHighschoolUndergraduate 1st yearUndergraduate 2nd yearUndergraduate 3rd yearUndergraduate degreeMasters degreePhD

*Most Recent Academic Institution

*Primary study

Approx. how many simplified characters can you recognize?

*Rate your current Chinese level (1-10)

Program Information

*Program type
Immersive Full-Time ProgramOnline TutoringPart-time ProgramBusiness ChineseChinese Study Tours

*Desired term
1 week2 weeks3 weeks4 weeks5 weeks6 weeks7 weeks8 weeks9 weeks10 weeks3 months4 months5 months6 months7 months8 months9 months10 months11 months1 year

*Program start date

*Housing accommodation
Private roomHomestayPrivate apartment

*How did you find us?
GoogleFacebookInstagramTiktokLinkedin

Emergency Contact Information

*Name

*Relationship

*Email address

*Country of residence

*Home phone number (included country code)

*Cellphone number

Applicant signature

I declare that:
The above information included in my application is accurate and correct to the best of my knowledge.I agree to abide by the laws of the People’s Republic of China and agree not to engage in any illegal activities during my academic pursuits in China.I have read and I accept Lakeside Institute's Terms and Conditions

Electronic Signature of Applicant

I agree with all declarations stated above.