UWTApplicationFormⅠ.BasicApplicantInformation1.GeneralInformationFirstName:MiddleName:LastName:Gender:□Male□FemaleDateofBirth(mm/dd/yyyy)://CityofBirth:CountryofBirth:CountryPassportIssuedBy:PassportExpirationDate(mm/dd/yyyy)://PassportIssuedDate(mm/dd/yyyy)://SocialSecurityNumber(ifapplicable):HomePhoneCountryCode:HomePhoneCityCode:HomePhoneNumber:MobilePhoneCountryCode:MobilePhoneCityCode:MobilePhoneNumber:EmailAddress:Password:RecruitingCountry:ChinaRecruiterName:ChinaServiceCenterforEducationalExchange2.HomeCountryInformationAddress:City:PostalCode:Country:1/2Ⅱ.UniversityInformationUniversityName:UniversityAddress:UniversityCity:UniversityCountry:UniversityPostalCode:UniversityPhoneCountryCode:UniversityPhoneCityCode:UniversityPhoneNumber:AdvisorName:AdvisorEmailAddress:FieldofStudy:YearsofStudyCompleted(attimeofUSAArrival):yearsSummerBreakBegins(mm/dd/yyyy)://SummerBreakends(mm/dd/yyyy)://Ⅲ.ProgramInformationTypeofVisaApplyingFor:J1SummerWorkandTravelFirstAvailableArrivalDate(mm/dd/yyyy)://LastAvailableDepartureDate(mm/dd/yyyy)://LevelofEnglishSpoken:□Excellent□Good□Fair□ConversationalEverbeendeniedavisatotheUSA?:□Yes□NoIfYes,ExplainDeniedVisa:HaveyouparticipatedinUWTProgrambefore?:□Yes□NoIfYes,ExplainPriorParticipation:2/2