* 必填項目 * Required items
*姓名 Name
中文姓名 Name in Chinese
性別 Sex 男/Male女/Female
*出生年 Birth Year
*國籍 Nationality 請選擇所屬國家 Afghanistan United Arab Emirates Argentina Armenia Australia Austria Belgium Republic of Benin Bangladesh Bulgaria Bahrain Belarus Bolivia Brazil Brunei Bhutan Canada Switzerland Chile Cameroon Democratic Republic of the Congo Republic of the Congo Cook Islands Colombia Costa Rica Croatia Cuba Czech Republic Germany Djibouti Denmark Ecuador Egypt Spain Estonia Ethiopia Finland Fiji France Gabon Ghana Greece Guatemala Honduras Croatia Haiti Hungary Indonesia India Iraq Iran Ireland Iceland Israel Italy Jamaica Jordan Japan Republic of Kazakhstan Cambodia Kiribati Korea Lao Liberia Libya Sri Lanka Lithuania Luxembourg Latvia Macao Monaco Madagascar Mexico Myanmar Montenegro Mongolia Mexico Malaysia Nigeria Nicaragua Netherlands Norway Nepal New Zealand others Pakistan Panama Peru Peru Philippines Palau Poland Portugal Paraguay Qatar Romania Russia Rwanda Saudi Arabia Serbia Singapore Republic of Sierra Leone El Salvador Somaliland Slovakia Slovenia Sweden Kingdom of Eswatini Syria Thailand Tajikistan Turkmenistan Tonga Turkey Tuvalu Tanzania Ukraine Uganda UK Ukraine USA Uzbekistan The Holy See Saint Vincent and the Grenadines Venezuela Vietnam Vanuatu Samoa Federal Republic of Yugoslavia South Africa
通訊地址 Mailing Address
電話 Telephone
傳真 Fax
*電子郵箱 Birth E-mail
*現任機構 Present Institution Chinese： English：
*現任職務 Present Position 請選擇現任職務 (Ph. D. Candidate) 博士候選人 (Assistant Professor) 助理教授 (Associate Professor) 副教授 (Professor) 教授 (Researcher) 研究員 (Lecturer) 講師 (Assistant Researcher) 助理研究員 (Post-doctoral Research) 博士後研究 (Associate Researcher) 副研究員 (Other) 其他
最高學歷 / Highest Degree Obtained
中文嫻熟程度 Proficiency in Chinese 閱讀 Reading Good Fair Poor 寫作 Writing Good Fair Poor 說話 Speaking Good Fair Poor
*研究計畫名稱（中英文） Topic of Research Plan（Chinese or English） Chinese： English：
*研究領域 Research Field 研究領域 Research Field< 請選擇 教育領域 Education 人文及藝術領域 Humanities and Arts 社會科學、商業及法律領域 Social Sciences, Business and Law 科學領域 Science 工程、製造及營造領域 Engineering, Manufacturing and Construction 農學領域 Agriculture 醫藥衛生及社福領域 Health and Welfare 服務領域 Services 其他領域 Unspecified 研究領域2 Research Field 2 請選擇 研究領域3 Research Field 3 請選擇
*研究期間 Desired Tenure From 年 year 月 month 到 to 年 year 月 month 共計 Total 月 months
是否有與臺灣學者合作或參加臺灣研究機構計畫？ Do you have any plans to work with scholars or attend research institutions in Taiwan？ 是/YES否/NO
若有，請提供合作學者或研究機構名稱： If so, please provide name of scholar or research institutions：
請舉例來臺後預計蒐集資料之典藏機構或拜訪之學者： Please list institution or scholars you plan to visit to gather information while in Taiwan：
*推薦者 / References
申請日期 / Date
附件上傳(Upload Attachment)：
學經歷表含著作（Please attach curriculum vitae and list of publications）
中文或英文研究計畫（Please attach research proposal, in Chinese or English）
推薦函（Please mail letters of recommendation separately）
其它申請文件： Applicants should send the following materials: