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EMPLOYMENT APPLICATION FORM *** MANAGEMENT TRAINEE PROGRAM I. PERSONAL DETAILS Full Name: ___________________________________ Sex: Male Female Date of Birth: _________________________________ Place of Birth: _________________________ Contact Address: _____________________________________________________________________ Phone Number: _______________________________ Mobile phone: _________________________ Email: ______________________________________________________________________________ II. EDUCATION BACKGROUND From To University Major GPA III. TRAINING COURSES From To Training School/ Center Name of Course Certificate 1 3x4 IV. FOREIGN LANGUAGE ABILITY & COMPUTER SKILL Foreign Languages Certificate Time Score/ Level Computer Skills Kinds Description Score/ Level Application Software Programming Others IV. SCHOLARSHIP Names of Scholarship Sponsor Time Scholarship Values V. ACTIVITIES Organization Description Time Role Achievement 2 Vietnam Academy of Science and Technology University of Science and Technology of Hanoi INTERNSHIP PROGRAM APPLICATION FORM STUDENT’S INFORMATION (DD/MM/YYYY) Date of Birth First name Last name Origin of birth Present nationality Other nationalities (if any) Passport Number Place of issue Date of Expiry Local Mailing Address ( ) - Local Telephone Number City ( ) State - ( Work Telephone Number ) Zip - Cell Phone Number _ E-mail Address Major Minor Class Standing Expected Graduation Date Cumulative GPA Emergency Contact Name Relationship ( ) Telephone Number Semester & Year HOME INSTITUTION INFORMATION University Department College/School Internship Supervisor Title Department Mailing Address City ( E-mail Address State ) Telephone - Zip 2 Academic Advisor (if different from above) Title ( E-mail Address ) - Telephone USTH’S SPONSORING DEPARTMENT INFORMATION Sponsoring Organization: Hanoi University of Science and Technology of Hanoi Division/Department: Head of Division/Department: Have you contacted internship supervisor of USTH? Yes Internship Supervisor: No Supervisor’s Title: Location of Job: Summary of Job: STUDENT’S INTERNSHIP PLAN Start Date: End Date: Month Day Year Work Schedule: Month Day Year Hours Per Week Expected: Supervisor/Student Contact Hours: Financial plan for internship Self-support Home institution/supervisor Other sources (please specify): Type of internship program: Paid VND Per ( Hr/ Wk/ Mo) Credit Number of credit Unpaid Non-credit Request support from USTH’s Division/ Department: Finding room & board Stipend Scholarship VISA Others (please specify) On-site Activities/Responsibilities: _ 3 Physical Demands/Work Environment: Equipment/Machinery to be used: Other: STUDENT’S INTERNSHIP OBJECTIVES AND CONTENTS Time Content Signature of student and home institution supervisor: Student Date Supervisor Date Academic Advisor (if any) Date Approval of sponsoring department and supervisor: Sponsoring supervisor Date 4 Head of division/ department Date International Officer Date Summer 2009 Application Form for Vietnamese College Students DUE: 5 PM Saturday Mar. 7, 2009 OVERVIEW Coach for College provides a forum for college students from America to work together with college and high school students from other countries to use sports to help youth from rural communities in these countries access higher education. The program provides sports infrastructure to youth who attend rural middle schools, and helps them develop excitement for the learning of science, language, and life skills using sports as a means to applied learning. The overall goal is to help youth develop the motivation, confidence, and other skills needed to one day obtain a higher education, as the program’s coaches have done. Collegiate athletes from top U.S. universities which are rivals in athletic competitions partner with bilingual college students and high school students near the project area to run interactive sports-learning camps during the summer, with an additional emphasis on how to access and benefit most from higher education in America and the host country, currently Vietnam. Vietnamese college students from any year in school are eligible to participate, provided they are students of Can Tho University (the program’s primary partner university), are fluent in English and/or knowledgeable about sports, and have an interest in furthering the program’s goals. While students from all majors are eligible to apply, preference will be given to English majors, English Education majors, and Physical Education majors. 2008 PROGRAM In summer 2008, 20 college students or graduates of Can Tho University, 10 high school students from the Hoa An Commune, and 20 student-athletes from Duke University and the University of North Carolina in the United States participated as coaches in two three week sports-learning camps (half in each) for 200 Vietnamese youth. The youth were rising 6 th -9 th graders, and the camps were held on the grounds of Hoa An Secondary School, the middle school for children who live in the Hoa An Commune in the Hau Giang province. The program also provided sports infrastructure to the youth in the form of sports equipment donated to the school and a five-in-one sports court built next to the middle school allowing for the play of soccer, tennis, volleyball, basketball, and badminton. Over the course of three weeks coaches taught one of five sports and one of five sports-themed academic classes to five teams of 10 youth from one grade in the morning and five teams of 10 youth from a different grade in the afternoon. In both the morning and afternoon, they also taught one of the five teams in Team Building and Higher Education (everyday), the Importance and Benefits of Sports (first week only), and Fitness and Conditioning (second week only). 2009 PROGRAM STRUCTURE In summer 2009, four three week camps will be held at the Hoa An Secondary School. 8 Vietnamese college students from Can Tho University will participate in each of the three week sessions as coaches. A Vietnamese college student who participated in the program in summer 2008 will serve as the Vietnamese College Student Director for each session. Each session of coaches will work with 96 children from a single grade (rising 6 th , 7 th , 8 th , or 9 th graders), 48 for four hours in the morning and 48 for four hours in the afternoon. The youth in the morning and afternoon groups will be divided into 4 teams of 12. At all times during each camp, coaching groups consisting of 1-2 American student- Mẫu đơn Application form CỘNG HOÀ XÃ HỘI CHỦ NGHĨA VIỆT NAM Độc lập - Tự do - Hạnh phúc -------------------------- ĐƠN ĐĂNG KÝ CÔNG NHẬN APPLICATION FORM Kính gửi: VĂN PHÒNG CÔNG NHẬN CHẤT LƯỢNG Tổng cục Tiêu chuẩn Đo lường Chất lượng Bureau of Accreditation The Directorate for Standards and Quality 1. THÔNG TIN CHUNG General information Tên cơ sở đăng ký công nhận (*): Applicant name: (Yêu cầu ghi song ngữ Việt - Anh) Mã số được công nhận (nếu có): code: Địa chỉ thực hiện hoạt động trong phạm vi đăng ký công nhận: Address where perform scope apply to accreditation: Tel: E-mail: Fax: Website: Cơ quan chủ quản (*): Organization Name: (Yêu cầu ghi song ngữ Việt - Anh) Địa chỉ: Address: Tel: E-mail: 1.1 Fax: Website: 1.2 Xin đánh giá công nhận theo: chuẩn mực Accreditation criteria . Loại hình đánh giá: Assessment type Đánh giá ban đầu initial assessment Đánh giá lại reassessment Đánh giá mở rộng Extension 1.3 Họ tên, chức danh người phụ trách : Full name & position of authorized representative . Tel: E-mail: Mobile: 2. PHẠM VI ĐỀ NGHỊ XIN CÔNG NHẬN: Scope seeking accreditation: 2.1 Đối với phòng thử nghiệm: For the testing laboratory: Xem phụ lục A Please see appendix A 2.2 Đối với phòng hiệu chuẩn For the calibration laboratory or Testing lab that have in-house calibration Xem phụ lục B Please see appendix B 2.3 Phòng thử nghiệm có thực hiện hiệu chuẩn nội bộ Laboratory perform in-house calibration methods Xem phụ lục C Please see appendix C 2.4 Đối với phòng thí nghiệm (trường hợp cơ sở làm đơn này xin đánh giá công nhận lại hoặc mở rộng thì cần điền thêm thông tin vào phụ lục D) For laboratories (in case Labs submit an application for reassessment or extension must fill in appendix D) Xem phụ lục D Please see appendix D 2.5 Đối với tổ chức giám định For the Inspection bodies Xem phụ lục E Please see appendix E 2.6 Đối với tổ chức chứng nhận For the Certification bodies Xem phụ lục F Please see appendix E 3. NGƯỜI CÓ THẨM QUYỀN KÝ CHỊU TRÁCH NHIỆM KẾT QUẢ THỬ NGHIỆM/HIỆU CHUẨN Approved signatory TT Họ và tên Full name Chức danh Position held Kinh nghiệm thực tế Practical experience Phạm vi có thẩm quyền ký Approved signatory scope Chữ ký Signatu re 4. Các tài liệu kèm theo gồm The associated documents include Sổ tay chất lượng Quality manual Phiếu hỏi (cho đánh giá lần đầu) Questionnaire Phương pháp thử/ hiệu chuẩn/giám định nội bộ In – house testing/ calibration/inspection methods Các tài liệu liên quan khác Other relevant documents Xin liệt kê cụ thể (please specify): Cơ sở xin cam kết Decleration Các thông tin trong đơn là chính xác Information on this form and accompanying documents is correct Thực hiện mọi quy định về công nhận; Comply with all regulation, requirements on accreditation Cung cấp và cho phép cơ quan công nhận tiếp cận với các tài liệu, hồ sơ của cơ sở để cơ quan công nhận có thể đánh giá theo các chuẩn mực công nhận. Provide or give access to all documents, records of organization to enable a thorough evaluation of the organization in accordance with accreditation EMBASSY OF VIETNAM 1233 20 th Street, NW, Suite 400 Washington, D.C. 20036 Tel: (202) 861-0737, (202) 861-2293 Fax: (202) 861-0917 VISA APPLICATION (FOR NON-VIETNAMESE PASSPORT HOLDERS) ______ 01 Photo (2 inches x 2 inches, bright background) Glue or staple photo here 1. Name (in block letters): . …………………………………………. Family name First name Middle name 2. Date of birth: ….………… dd mm yy 3. Male: Female 4. Place of birth: . 5. Nationality at birth: Nationality at present: . 6. Passport number: Date of issue: Date of expiry: .… 7. Profession: . Place of employment: . Telephone (Office):… … 8. Present address: (P.O Box Not Accepted) ………….………………………………………….…. ……………………………………………………… . Telephone (Home): 9. Purpose of visit to Vietnam: . . 10. Name, address of your contact in Vietnam: (organization or individual) ……………… …… . .………………………………………….… 11. Proposed date of entry and exit Vietnam: from ./ / . to …./….…/…… . dd mm yy dd mm yy 12. Number of entries: Single Multiple I solemnly declare that the statements made in this application are true and correct. City, State:…………………………………………………… Date:……………………………………………………………… Signature: …. Before submitting, make sure you have included: Original Passport; Completed and signed Application with One Photo glued or stapled; Visa Fee: Money Order (or Cashier’s Check); and Prepaid US Express Mail Slip (UPS and DHL are not accepted for the return envelope), (if you want your visa be returned by mail). Last Update: November 2006 Student Development Center (SDC) Address: TMA Tower, Lot No.17, QTSC, Tan Chanh Hiep Ward, Dist. 12, HCMC Telephone: 08-83990 3848, Ext: 5359 - Email: intern@tma.com.vn APPLICATION FORM (For registration, please e-mail us at intern@tma.com.vn or register with your university) APPLIED DOMAIN Please check one Java/C++/.Net Development Mobile Application Telecom/Network Testing PERSONAL INFORMATION Name: LÊ NGUYỄN GIA HƯNG Male □ Female Date of Birth: March 25 th , 1989 Home Address: 39/8, street No. 10, Linh Chiểu ward, Thủ Đức district, Hồ Chí Minh city Phone: 0902 377 251 Email: lenguyengiahung@gmail.com EDUCATION University / College Department Major Year (3 rd , 4 th , 5 th ) GPA Graduation Date University of Technical Education HoChiMinh city Information Technology Software Technology 5 th 7.08 February 2011 SKILLS SUMMARY Rank Legends: 1 = Beginner (start to learn); 2 = Novice (theory only, no experience); 3=Competent (be able to do well); 4=Proficient (skilled and experienced); 5=Expert (high level of knowledge and experience) Programming Languages C/C++ Skills Months of experience Rank (1-5) C/C++ 12 months 3 Socket programming 6 months 3 Java Skills Months of experience Rank (1-5) Put specific skills like J2EE, J2SE, Bean, EJB, etc. Java 15 months 3 S t u d e n t D e v e l o p m e n t C e n t e r ( S D C ) , T M A S o l u t i o n s Student Development Center (SDC) Address: TMA Tower, Lot No.17, QTSC, Tan Chanh Hiep Ward, Dist. 12, HCMC Telephone: 08-83990 3848, Ext: 5359 - Email: intern@tma.com.vn Hibernate 6 months 3 .NET Skills Months of experience Rank (1-5) C# 36 months 4 Linq 24 months 3 Linq To SQL 24 months 3 WPF/Silverlight 24 months 3 ADO.Net 3 months 3 Entity Framework 3 months 2 Other Languages Skills Months of experience Rank (1-5) XML 15 months 3 Web Skills Months of experience Rank (1-5) ASP.Net 24 months 4 JSP 12 months 3 Database Skills Months of experience Rank (1-5) SQL Server 36 months 4 MySQL 15 months 3 Networking/Telecom Skills Months of experience Rank (1-5) Put specific skills like Other Skills(Please specify) Skills Months of experience Rank (1-5) Put specific skills like APPLICANT’S SIGNATURE Le Nguyen Gia Hung DATE: ____________________ S t u d e n t D e v e l o p m e n t C e n t e r ( S D C ) , T M A S o l u t i o n s ... Telephone USTH S SPONSORING DEPARTMENT INFORMATION Sponsoring Organization: Hanoi University of Science and Technology of Hanoi Division/Department: Head of Division/Department: Have you contacted internship. .. Have you contacted internship supervisor of USTH? Yes Internship Supervisor: No Supervisor’s Title: Location of Job: Summary of Job: STUDENT’S INTERNSHIP PLAN Start Date: End Date: Month Day... Type of internship program: Paid VND Per ( Hr/ Wk/ Mo) Credit Number of credit Unpaid Non-credit Request support from USTH s Division/ Department: Finding