| ARTIST2 / UNU-IIST Spring School in China
on Models, Methods and Tools for Embedded Systems
Application Form
To be sent to:
Liu Xiaojian - Northwestern Polytechnical University (China)
email: liuxiaojian@nwpu.edu.cn
fax: 0086-29-88495772
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| Identification |
Name |
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| Gender |
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| Affiliation |
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Address for
Correspondence |
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| Email |
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| Phone |
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| Fax |
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| Experience |
Teaching |
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Industry
please be specific: dates,
responsibilities, results |
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Technical Background
please be specific |
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Specific Interests in Software Engineering |
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Profficiency
in English |
Reading |
| Select one: |
0-none |
2-passable |
4-excellent |
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1-limited |
3-good |
5-fluent |
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| Writing |
| Select one: |
0-none |
2-passable |
4-excellent |
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1-limited |
3-good |
5-fluent |
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| Oral Understanding |
| Select one: |
0-none |
2-passable |
4-excellent |
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1-limited |
3-good |
5-fluent |
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| Speaking |
| Select one: |
0-none |
2-passable |
4-excellent |
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1-limited |
3-good |
5-fluent |
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Most
Recent Diploma
(1) |
Title and specialisation |
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Institution |
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Other information
special mention, advisor, etc. |
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Other Notable Diploma (2)
leave blank if not applicable |
Title and specialisation |
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Institution |
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Other information
special mention, advisor, etc. |
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Other Notable Diploma (3)
leave blank if not applicable |
Title and specialisation |
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Institution |
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Other information
special mention, advisor, etc. |
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For any further information, please contact : Liu Xiaojian (liuxiaojian@nwpu.edu.cn) |