Appli cation <Personal Info 개인정보> Name 성함 First 이름 Gender 성별 Last 성 □Male(남) □Female(여) Email (사진) Passport No. 여권번호 Mobile Phone 휴대전화 (+country code) City/Country 시/국가 Nationality 국적 Year of Birth 생년 Occupation 직업 Do you smoke? 흡연 □Yes 예 □No 아니오 Languages □ English 영어 Spoken / □ Chinese 중어 □ Native(원어민) □Intermediate(중급) □ Basic(초급) □ Native(원어민) □Intermediate(중급) □ Basic(초급) Proficiency □ Japanese 일어 (가능언어) □Other( ) □ Native(원어민) □Intermediate(중급) □ Basic(초급) □ Native(원어민) □Intermediate(중급) □ Basic(초급) □ Native(원어민) □Intermediate(중급) □ Basic(초급) <Korean Class Info 수업관련 정보, Check one> V Year Package No. Class Dates Homestay Dates 8 02.29 ~ 03.04 03.07 ~ 03.11 03.14 ~ 03.18 03.21 ~ 03.25 05.02 ~ 05.06 07.25 ~ 07.29 08.01 ~ 08.05 08.08 ~ 08.12 02.28 ~ 03.05 03.06 ~ 03.12 03.13 ~ 03.19 03.20 ~ 03.26 05.01 ~ 05.07 07.24 ~ 07.30 07.31 ~ 08.06 08.07 ~ 08.13 9 08.22 ~ 08.26 08.21 ~ 08.27 10 08.29 ~ 09.02 08.28 ~ 09.03 11 09.05 ~ 09.09 09.04 ~ 09.10 10.03 ~ 10.07 * 6nights and 7days with breakfast 10.02 ~ 10.08 1 2 3 4 5 2016 6 7 12 Homestay begins one day before the first day of classes and ends one day after the last day (Saturday). TOPIK Score 한국어능력 시험 점수 (if available) University & Academic School Background 학교명 Period(from-to) Major Degree 재학기간 전공 학위 학력 Fluency in Korean (Mark one) 한국어 구사능력 □ None 불가 □ Beginner_high 초급, 상 □ Beginner_low 초급, 하 □ Intermediate_high 중급, 상 □ Intermediate_low 중급, 하 □ Advanced_high 고급, 상 □ Advanced_low 고급, 하 Room Type 객실정보 □ Bed □ Korean Ondol (Floor) □ Bunk bed□ no preference □ Single room □ Double room□ Other ( ) Breakfast info 음식 정보 □ Korean home meal □Continental Breakfast □ Other ( ) Food Restrictions □ Beef □ Pork □ Chicken □ all meats (Vegetarian) □ Other ( ) Comments & Requests Companions 동행자 * All companions must submit an application Name Date of Birth Gender Language Smoker? 이름 생년월일 성별 언어 흡연 Complimentary gift (choose one) 경품선택 □Korean cooking class 한식체험 More info : http://www.tkmuseum.or.kr/eng/index.asp □ Korea Pass card (₩20,000, about 20USD) More info : http://www.lottecard.co.kr/app/html/koreapass/IHKPAZZ_V100.jsp * Korea Pass is a pre-paid card that can be used at Visa affiliated shops 모든 비자 가맹점에서 사용 가능한 선불카드 Notice 주의사항 1. 6-night homestay is mandatory. After 6 nights, you can choose to stay wherever you prefer. 2. 6-night homestay include 6 breakfasts. Homestay begins one day before the first day of classes and ends one day after the last day. 3. All homestay facilities are in Seoul 4. Fun Korean Class may be cancelled if minimum number of students (5) is not reached. 5. The Fun Korean Language Tour is available for anyone between the ages of 18 and 45. 6. How to apply - Fill out the application and submit by e-mail Include: *2 3x4 photo files, Copy of passport 7. Payment: Travel agency's payment procedures (invoice) 8. All homestays have a curfew, 23:30 9. For further inquiries <Plus Planner Travel> Alex Lim Office no. +82 2 2238 2895 / Fax no. +82 2 2238 2894 Mobile +82 10 2993 1685 Email [email protected]
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