Biographical
Data of Nominee
for
Taiwanese-American Foundation Prize
台美基金會獎金被提名人人事資料
Name:_______________________________
________________________________________
(Chinese)中文
(English)
英文
Date of Birth:
____________________________ Place of
Birth: ________________________
出生年月日
出生地
Present Professional Occupation:
_______________________________________________
現任職務_
Home Address ________________________________________________________________
自宅住址
____________________________________________________ Tel:_____________________
Office Address:
_______________________________________________________________
工作地址
_______________________________________________________ Tel:__________________
Details of Education
(in chronological order with most recent first):教育程度（從最近的開始）
DEGREE
______________SCHOOL ____________________________YEAR
_________________
學位
學校
畢業年度
DEGREE
______________SCHOOL ___________________________YEAR
_________________
DEGREE
______________SCHOOL ___________________________YEAR
_________________
Previous Employment
(in chronological
order with last position first)就職經歷（從最近的開始）
Memberships of Association, or Societies
(with any offices held)社團、協會會員(及擔任職務）
Five Most Outstanding Publications or
Creative Work:
五項最得意的出版或創造品
Honors, Prizes, Awards (with dates and
granding bodies):
榮譽、獎賞（日期及發獎單位）
Nominating
Organization:_________________________________________________________
提名社團
Address:__________________________________________________________
地址
__________________________________________Tel:____________________
Nomination letter
Submitted by:_____________________________________
提名信署名者
References in Support of Nomination
Submitted by:_________________________________
推薦信署名者
1.
Name_______________________________________ Tel:_________________________
Address__________________________________________________________________
2.
Name_______________________________________ Tel:_________________________
Address__________________________________________________________________
3.
Name_______________________________________ Tel:_________________________
Address__________________________________________________________________
