東南大學(xué)校友獎(jiǎng)學(xué)金申請(qǐng)表

1、東南大學(xué)教育基金會(huì)Southeast University Education Foundation獎(jiǎng)學(xué)金申請(qǐng)表Scholarship Application申請(qǐng)人姓名Applicant Name 所在院、系（所）Dept.學(xué)號(hào)Academic No.申請(qǐng)獎(jiǎng)勵(lì)項(xiàng)目名稱Scholarship Applied for填報(bào)日期： 年 月 日Date:姓名Name性別Sex出生日期Date of Birth現(xiàn)學(xué)歷Present Academic level系Dept.年級(jí)Grade專 業(yè)Major學(xué)號(hào)I.D.NO.申請(qǐng)的獎(jiǎng)勵(lì)項(xiàng)目Scholarship Applied for獎(jiǎng)金金額Amount or

2、Awards本學(xué)年各科成績(jī) Academic Score of Academic Year課程名稱成績(jī)課程名稱成績(jī)課程名稱成績(jī)本學(xué)年發(fā)表論文（附復(fù)印件）Paper Published of Current Academic Year （Enclose the Copy of Papers）論文題目Paper Titles刊物（會(huì)議）名稱及發(fā)表（錄用）日期Publications（Conference）& Date Issued第幾作者In Author Order本學(xué)年科研成果（附鑒定證明復(fù)印件）Research Achievements of Current Academic Year（En

3、close the Copy of Appraisal）申請(qǐng)人通訊地址及電話Applicant Address & Telephone申請(qǐng)人（簽名）日期ApplicantSignitureDate個(gè)人小結(jié)Personal Evaluation申請(qǐng)人（簽名）日期ApplicantSignitureDate曾受獎(jiǎng)記錄Prizes Awarded（簽名）日期SignitureDate導(dǎo)師推薦意見Evaluation of Supervisors（簽名） Signiture日期Date各校區(qū)、院系推薦意見Evaluation of Campuses,Schools & Depts（簽名）Signiture日期Date學(xué)生處處長(zhǎng)Director of Students Affair（簽名）Signiture日期Date研究生院院長(zhǎng)Dean of Graduate School（簽名） Signiture日期Date基金會(huì)秘書長(zhǎng)G