Financial Aid/Scholarship

• By Mail

  Please return the completed application form and supporting documents together with the registration application form delivered to the Campus:
  a. 2013 years of federal tax returns
  b. Certificate institutions serving
  c. applying for scholarships must meet more than 85% of the class rate

  Heilongjiang University of Chinese Medicine USA Campus
  638 Kearny Street, Suite #201
  San Francisco, Ca 94108
  Tel:415-982-3886 Fax:415-982-3889

  Download Application/表格下載

• Online Submission/网上報名

  Financial Aid

  We would love to hear from you! Please fill out this form and we will get in touch with you shortly.

  • 姓名
    PrefixFirstLastSuffix
  • 性別/Gender
    • 男/Male
    • 女/Female
  • 國籍/Nationality
  • 護照號碼/Passport No.
  • 出生日期/Date of Birth

  • 出生地點/Place of Birth
  • 職業/Occupation
  • 現職機構或學校名稱/Name of Current Employer/School
  • 現職機構或學校地址/Name of Current Employer/School
  • 城市/City
  • 省/State / Province / Region
  • 郵政編碼ZIP / Postal Code
  • 國家/Country
  • 現職機構或學校電話/Tel.# of Employer/School
  • 住宅/通訊地址/Home/Mailing Address
  • 城市/City
  • 省/State / Province / Region
  • 郵政編碼ZIP / Postal Code
  • 國家/Country
  • 住家電話/Home Tel.#
  • 手提電話/Cell #
  • 電郵/Email
    Enter EmailConfirm Email
  • 會員入會年份/Member Since
  • 與會員關係/Member's Relative
  • 申請助學金/Apply Financial Aid
    • 是/Yes
    • 否/No
  • 申請獎學金/Apply Scholarship
    • 是/Yes
    • 否/No
  • 家庭人口/Household Size
  • 2013 年家庭收入/Family Income in 2013
  • 2013 年本人收入/Personal Income in 2013

  
  
  
  
  
  
  
  

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