海外青創計畫報名表

(Expected start date for internship) (Please share with your top 3 favourite books) (Please share with us an achievement in your life that you are most proud of) (Family Name) (Name) (Preferred Name) (Full Name on Passport) (Gender)
(Date of Birth) (University) (Year of Admission)
(Expected Graduation Year) (Mobile Number) (Preferred email address) (Language & Ability; Use Basic, Good, Excellent, Native) (What attracted you the most to go for overseas internship in a startup environment? [hold Ctrl/Cmd to select multiple choices, maximum 5]) (Which channels helped you the most to make the decision to apply? [hold Ctrl/Cmd to select multiple choices, maximum 5]) (To help assist you more, please share with us how do you envision your life to be in the next 10 years.)