|
¡®InterCulture
Korea¡¯ Champs Elysees Center B-dong 311 #889-5, Daechi-dong,
Kangnam-gu Seoul, Korea Telephone
(82)2-566-4050, Fax (82)2-566-4058 e-mail :
ickorea4051@hanmail.net |
Membership
Application
Please PRINT in ENGLISH Date:
Family name:
First name
(Nick name): Age: Sex:
___________________ _____________________ ____ (F/ M )
Family members, if any: Spouse: Child: Child:
first name: ___________________________________________________
___________________________________________________
sex (F/M): ___________________________________________________
age: ___________________________________________________
occupation/education: ___________________________________________________
other: ___________________________________________________
Telephone: Fax: E-mail:
home: _________________ home: _________________ home: _______________
office: _________________ office: _________________ office: _______________
mobile: _________________
beeper: _________________ Name of company: _________________________
Mailing address:
house/apt.bldg.& no.: ___________________________________________________
dong & dong number: ________________________ ku: _______________
city & postal code: ___________________________________________________
Country of birth: _____________________ Nationality: _____________
Occupation: _____________________ Religion: _______________
Previous overseas postings, if any (Year & place)______________________________
How many years have you lived in
Korea?_______ Expected
departure:________
¡®InterCulture Korea¡¯
Member¡¯s
name:_________________________________________
Which hobbies and interests would you like
to share with other members of IC Korea? (Please prioritize three topics)
customs and ethics of Korea _____
Korea¡¯s ancient history and culture _____
modern Korean society _____
Korean language _____
getting to know Seoul _____
language (Which?) _____
shopping in Seoul _____
newcomer¡¯s issues _____
antiques _____
food _____ religion(s) _____
Korean folk beliefs _____
health & oriental medicine _____ fine arts _____
literature _____
performing arts (music, dance, etc.)_____
freelance writing _____
science _____
architecture _____
flower arrangement _____
media _____ fashion & design _____
photography _____ film &
movies _____
sports _____
excursions _____
volunteer work _____ mountain hiking _____
other _______________________ other_____________________________ Specifications: _______________________________________________
_________________________________________________________________
_________________________________________________________________
Spoken languages (Please
indicate level: O for nil, A
for low, B for good, C for excellent):
Korean____
Japanese____
English_____
French_____ German_____
Other______
Preferred
language(s) of communication: ___________________________
Is it OK, if your¡°InterCulture Korea¡±partner shares the same intereste
as you, but is unable to communicate fluently?(yes/no) ________
If
No:Which
level of language ability is acceptable? _____________-
How
did you learn about ¡°InterCulture Korea¡±?___________
Are you member of other
organisations and assocoations?
SIWA____ FOCUS ______ AMCHAM_______
EU Chamber______
AWC____ Lions Club_____ Rotary________ Other______
Signature:_________________________________ Date:__________________