{"id":52,"date":"2016-08-09T10:44:06","date_gmt":"2016-08-09T02:44:06","guid":{"rendered":"http:\/\/140.119.24.70\/culturetour\/?page_id=52"},"modified":"2026-07-08T13:30:25","modified_gmt":"2026-07-08T05:30:25","slug":"undergraduate-student-cultural-tour-online-application-ch","status":"publish","type":"page","link":"https:\/\/oipoas.nccu.edu.tw\/index.php\/undergraduate-student-cultural-tour-online-application-ch\/","title":{"rendered":"\u5927\u5b78\u90e8\u6587\u5316\u4e4b\u65c5\u5831\u540d\u8868"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_5_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_ktwid\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_hidden\">Culture Tour Online Application - CH<\/legend>\r\n\r\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"5\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_5\" id=\"frm_hide_fields_5\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"ktwid\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_5\" name=\"frm_submit_entry_5\" value=\"66010cb338\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/52\" \/><input type=\"text\" class=\"frm_hidden\" id=\"frm_verify\" name=\"frm_verify\" value=\"\"  \/>\n\n<div id=\"frm_field_65_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_basam\" class=\"frm_primary_label\">\u4e2d\u6587\u59d3\u540d\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_basam\" name=\"item_meta[65]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_64_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_wep7a\" class=\"frm_primary_label\">\u6163\u7528\u82f1\u6587\u540d\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wep7a\" name=\"item_meta[64]\" value=\"\"    \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_66_container\" class=\"frm_form_field form-field  frm_required_field horizontal_radio frm_top_container\">\r\n    <label  class=\"frm_primary_label\">\u6027\u5225\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t\t<div class=\"frm_radio\"><label for=\"field_nqd9q-0\">            <input type=\"radio\" name=\"item_meta[66]\" id=\"field_nqd9q-0\" value=\"\u5973\"   data-reqmsg=\"This field cannot be blank.\"  \/> \u5973<\/label><\/div>\n\t\t\t<div class=\"frm_radio\"><label for=\"field_nqd9q-1\">            <input type=\"radio\" name=\"item_meta[66]\" id=\"field_nqd9q-1\" value=\"\u7537\"   data-reqmsg=\"This field cannot be blank.\"  \/> \u7537<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_67_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_xcaoz\" class=\"frm_primary_label\">\u8eab\u5206\u8b49\u5b57\u865f\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xcaoz\" name=\"item_meta[67]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_68_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_u3nza\" class=\"frm_primary_label\">\u751f\u65e5\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_u3nza\" name=\"item_meta[68]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"This field cannot be blank.\" data-invmsg=\"\u751f\u65e5 is invalid\" class=\"frm_date\"  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for=\"field_r8lzd\" class=\"frm_primary_label\">\u624b\u6a5f\u865f\u78bc\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_r8lzd\" name=\"item_meta[71]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    <div class=\"frm_description\">(\u865f\u78bc\u683c\u5f0f\u70ba 09xx-xxx-xxx)<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_72_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_9oly\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9oly\" name=\"item_meta[72]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\"  \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_156_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_yjpcb\" class=\"frm_primary_label\">\u570b\u7c4d\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[156]\" id=\"field_yjpcb\"  data-frmval=\"Afghanistan\"  >\n\t\t\t<option value=\"Afghanistan\"  selected=\"selected\">Afghanistan<\/option>\n\t\t\t\t<option value=\"Albania\" >Albania<\/option>\n\t\t\t\t<option value=\"Algeria\" >Algeria<\/option>\n\t\t\t\t<option value=\"American Samoa\" >American Samoa<\/option>\n\t\t\t\t<option value=\"Andorra\" >Andorra<\/option>\n\t\t\t\t<option value=\"Angola\" >Angola<\/option>\n\t\t\t\t<option value=\"Anguilla\" >Anguilla<\/option>\n\t\t\t\t<option value=\"Antarctica\" >Antarctica<\/option>\n\t\t\t\t<option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option>\n\t\t\t\t<option value=\"Argentina\" >Argentina<\/option>\n\t\t\t\t<option value=\"Armenia\" >Armenia<\/option>\n\t\t\t\t<option value=\"Aruba\" >Aruba<\/option>\n\t\t\t\t<option value=\"Australia\" >Australia<\/option>\n\t\t\t\t<option value=\"Austria\" >Austria<\/option>\n\t\t\t\t<option value=\"Azerbaijan\" >Azerbaijan<\/option>\n\t\t\t\t<option value=\"Bahamas\" >Bahamas<\/option>\n\t\t\t\t<option value=\"Bahrain\" >Bahrain<\/option>\n\t\t\t\t<option value=\"Bangladesh\" >Bangladesh<\/option>\n\t\t\t\t<option value=\"Barbados\" >Barbados<\/option>\n\t\t\t\t<option value=\"Belarus\" >Belarus<\/option>\n\t\t\t\t<option value=\"Belgium\" >Belgium<\/option>\n\t\t\t\t<option value=\"Belize\" >Belize<\/option>\n\t\t\t\t<option value=\"Benin\" >Benin<\/option>\n\t\t\t\t<option value=\"Bermuda\" >Bermuda<\/option>\n\t\t\t\t<option value=\"Bhutan\" >Bhutan<\/option>\n\t\t\t\t<option value=\"Bolivia\" >Bolivia<\/option>\n\t\t\t\t<option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option>\n\t\t\t\t<option value=\"Botswana\" >Botswana<\/option>\n\t\t\t\t<option value=\"Brazil\" >Brazil<\/option>\n\t\t\t\t<option value=\"Brunei\" >Brunei<\/option>\n\t\t\t\t<option value=\"Bulgaria\" >Bulgaria<\/option>\n\t\t\t\t<option value=\"Burkina Faso\" >Burkina Faso<\/option>\n\t\t\t\t<option value=\"Burundi\" >Burundi<\/option>\n\t\t\t\t<option value=\"Cambodia\" >Cambodia<\/option>\n\t\t\t\t<option value=\"Cameroon\" >Cameroon<\/option>\n\t\t\t\t<option value=\"Canada\" >Canada<\/option>\n\t\t\t\t<option value=\"Cape Verde\" >Cape Verde<\/option>\n\t\t\t\t<option value=\"Cayman Islands\" >Cayman Islands<\/option>\n\t\t\t\t<option value=\"Central African Republic\" >Central African Republic<\/option>\n\t\t\t\t<option value=\"Chad\" >Chad<\/option>\n\t\t\t\t<option value=\"Chile\" >Chile<\/option>\n\t\t\t\t<option value=\"China\" >China<\/option>\n\t\t\t\t<option value=\"Colombia\" >Colombia<\/option>\n\t\t\t\t<option value=\"Comoros\" >Comoros<\/option>\n\t\t\t\t<option value=\"Congo\" >Congo<\/option>\n\t\t\t\t<option value=\"Costa Rica\" >Costa Rica<\/option>\n\t\t\t\t<option value=\"C\u00f4te d\u2018Ivoire\" >C\u00f4te d\u2018Ivoire<\/option>\n\t\t\t\t<option value=\"Croatia\" >Croatia<\/option>\n\t\t\t\t<option value=\"Cuba\" >Cuba<\/option>\n\t\t\t\t<option value=\"Cyprus\" >Cyprus<\/option>\n\t\t\t\t<option value=\"Czech Republic\" >Czech Republic<\/option>\n\t\t\t\t<option value=\"Denmark\" >Denmark<\/option>\n\t\t\t\t<option value=\"Djibouti\" >Djibouti<\/option>\n\t\t\t\t<option value=\"Dominica\" >Dominica<\/option>\n\t\t\t\t<option value=\"Dominican Republic\" >Dominican Republic<\/option>\n\t\t\t\t<option value=\"East Timor\" >East Timor<\/option>\n\t\t\t\t<option value=\"Ecuador\" >Ecuador<\/option>\n\t\t\t\t<option value=\"Egypt\" >Egypt<\/option>\n\t\t\t\t<option value=\"El Salvador\" >El Salvador<\/option>\n\t\t\t\t<option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option>\n\t\t\t\t<option value=\"Eritrea\" >Eritrea<\/option>\n\t\t\t\t<option value=\"Estonia\" >Estonia<\/option>\n\t\t\t\t<option value=\"Ethiopia\" >Ethiopia<\/option>\n\t\t\t\t<option value=\"Fiji\" >Fiji<\/option>\n\t\t\t\t<option value=\"Finland\" >Finland<\/option>\n\t\t\t\t<option value=\"France\" >France<\/option>\n\t\t\t\t<option value=\"French Guiana\" >French Guiana<\/option>\n\t\t\t\t<option value=\"French Polynesia\" >French Polynesia<\/option>\n\t\t\t\t<option value=\"Gabon\" >Gabon<\/option>\n\t\t\t\t<option value=\"Gambia\" >Gambia<\/option>\n\t\t\t\t<option value=\"Georgia\" >Georgia<\/option>\n\t\t\t\t<option value=\"Germany\" >Germany<\/option>\n\t\t\t\t<option value=\"Ghana\" >Ghana<\/option>\n\t\t\t\t<option value=\"Gibraltar\" >Gibraltar<\/option>\n\t\t\t\t<option value=\"Greece\" >Greece<\/option>\n\t\t\t\t<option value=\"Greenland\" >Greenland<\/option>\n\t\t\t\t<option value=\"Grenada\" >Grenada<\/option>\n\t\t\t\t<option value=\"Guam\" >Guam<\/option>\n\t\t\t\t<option value=\"Guatemala\" >Guatemala<\/option>\n\t\t\t\t<option value=\"Guinea\" >Guinea<\/option>\n\t\t\t\t<option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option>\n\t\t\t\t<option value=\"Guyana\" >Guyana<\/option>\n\t\t\t\t<option value=\"Haiti\" >Haiti<\/option>\n\t\t\t\t<option value=\"Honduras\" >Honduras<\/option>\n\t\t\t\t<option value=\"Hong Kong\" >Hong Kong<\/option>\n\t\t\t\t<option value=\"Hungary\" >Hungary<\/option>\n\t\t\t\t<option value=\"Iceland\" >Iceland<\/option>\n\t\t\t\t<option value=\"India\" >India<\/option>\n\t\t\t\t<option value=\"Indonesia\" >Indonesia<\/option>\n\t\t\t\t<option value=\"Iran\" >Iran<\/option>\n\t\t\t\t<option value=\"Iraq\" >Iraq<\/option>\n\t\t\t\t<option value=\"Ireland\" >Ireland<\/option>\n\t\t\t\t<option value=\"Israel\" >Israel<\/option>\n\t\t\t\t<option value=\"Italy\" >Italy<\/option>\n\t\t\t\t<option value=\"Jamaica\" >Jamaica<\/option>\n\t\t\t\t<option value=\"Japan\" >Japan<\/option>\n\t\t\t\t<option value=\"Jordan\" >Jordan<\/option>\n\t\t\t\t<option value=\"Kazakhstan\" >Kazakhstan<\/option>\n\t\t\t\t<option value=\"Kenya\" >Kenya<\/option>\n\t\t\t\t<option value=\"Kiribati\" >Kiribati<\/option>\n\t\t\t\t<option value=\"North Korea\" >North Korea<\/option>\n\t\t\t\t<option value=\"South Korea\" >South Korea<\/option>\n\t\t\t\t<option value=\"Kuwait\" >Kuwait<\/option>\n\t\t\t\t<option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option>\n\t\t\t\t<option value=\"Laos\" >Laos<\/option>\n\t\t\t\t<option value=\"Latvia\" >Latvia<\/option>\n\t\t\t\t<option value=\"Lebanon\" >Lebanon<\/option>\n\t\t\t\t<option value=\"Lesotho\" >Lesotho<\/option>\n\t\t\t\t<option value=\"Liberia\" >Liberia<\/option>\n\t\t\t\t<option value=\"Libya\" >Libya<\/option>\n\t\t\t\t<option value=\"Liechtenstein\" >Liechtenstein<\/option>\n\t\t\t\t<option value=\"Lithuania\" >Lithuania<\/option>\n\t\t\t\t<option value=\"Luxembourg\" >Luxembourg<\/option>\n\t\t\t\t<option value=\"Macedonia\" >Macedonia<\/option>\n\t\t\t\t<option value=\"Madagascar\" >Madagascar<\/option>\n\t\t\t\t<option value=\"Malawi\" >Malawi<\/option>\n\t\t\t\t<option value=\"Malaysia\" >Malaysia<\/option>\n\t\t\t\t<option value=\"Maldives\" >Maldives<\/option>\n\t\t\t\t<option value=\"Mali\" >Mali<\/option>\n\t\t\t\t<option value=\"Malta\" >Malta<\/option>\n\t\t\t\t<option value=\"Marshall Islands\" >Marshall Islands<\/option>\n\t\t\t\t<option value=\"Mauritania\" >Mauritania<\/option>\n\t\t\t\t<option value=\"Mauritius\" >Mauritius<\/option>\n\t\t\t\t<option value=\"Mexico\" >Mexico<\/option>\n\t\t\t\t<option value=\"Micronesia\" >Micronesia<\/option>\n\t\t\t\t<option value=\"Moldova\" >Moldova<\/option>\n\t\t\t\t<option value=\"Monaco\" >Monaco<\/option>\n\t\t\t\t<option value=\"Mongolia\" >Mongolia<\/option>\n\t\t\t\t<option value=\"Montenegro\" >Montenegro<\/option>\n\t\t\t\t<option value=\"Montserrat\" >Montserrat<\/option>\n\t\t\t\t<option value=\"Morocco\" >Morocco<\/option>\n\t\t\t\t<option value=\"Mozambique\" >Mozambique<\/option>\n\t\t\t\t<option value=\"Myanmar\" >Myanmar<\/option>\n\t\t\t\t<option value=\"Namibia\" >Namibia<\/option>\n\t\t\t\t<option value=\"Nauru\" >Nauru<\/option>\n\t\t\t\t<option value=\"Nepal\" >Nepal<\/option>\n\t\t\t\t<option value=\"Netherlands\" >Netherlands<\/option>\n\t\t\t\t<option value=\"New Zealand\" >New Zealand<\/option>\n\t\t\t\t<option value=\"Nicaragua\" >Nicaragua<\/option>\n\t\t\t\t<option value=\"Niger\" >Niger<\/option>\n\t\t\t\t<option value=\"Nigeria\" >Nigeria<\/option>\n\t\t\t\t<option value=\"Norway\" >Norway<\/option>\n\t\t\t\t<option value=\"Northern Mariana Islands\" >Northern Mariana Islands<\/option>\n\t\t\t\t<option value=\"Oman\" >Oman<\/option>\n\t\t\t\t<option value=\"Pakistan\" >Pakistan<\/option>\n\t\t\t\t<option value=\"Palau\" >Palau<\/option>\n\t\t\t\t<option value=\"Palestine\" >Palestine<\/option>\n\t\t\t\t<option value=\"Panama\" >Panama<\/option>\n\t\t\t\t<option value=\"Papua New Guinea\" >Papua New Guinea<\/option>\n\t\t\t\t<option value=\"Paraguay\" >Paraguay<\/option>\n\t\t\t\t<option value=\"Peru\" >Peru<\/option>\n\t\t\t\t<option value=\"Philippines\" >Philippines<\/option>\n\t\t\t\t<option value=\"Poland\" >Poland<\/option>\n\t\t\t\t<option value=\"Portugal\" >Portugal<\/option>\n\t\t\t\t<option value=\"Puerto Rico\" >Puerto Rico<\/option>\n\t\t\t\t<option value=\"Qatar\" >Qatar<\/option>\n\t\t\t\t<option value=\"Romania\" >Romania<\/option>\n\t\t\t\t<option value=\"Russia\" >Russia<\/option>\n\t\t\t\t<option value=\"Rwanda\" >Rwanda<\/option>\n\t\t\t\t<option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option>\n\t\t\t\t<option value=\"Saint Lucia\" >Saint Lucia<\/option>\n\t\t\t\t<option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option>\n\t\t\t\t<option value=\"Samoa\" >Samoa<\/option>\n\t\t\t\t<option value=\"San Marino\" >San Marino<\/option>\n\t\t\t\t<option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option>\n\t\t\t\t<option value=\"Saudi Arabia\" >Saudi Arabia<\/option>\n\t\t\t\t<option value=\"Senegal\" >Senegal<\/option>\n\t\t\t\t<option value=\"Serbia and Montenegro\" >Serbia and Montenegro<\/option>\n\t\t\t\t<option value=\"Seychelles\" >Seychelles<\/option>\n\t\t\t\t<option value=\"Sierra Leone\" >Sierra Leone<\/option>\n\t\t\t\t<option value=\"Singapore\" >Singapore<\/option>\n\t\t\t\t<option value=\"Slovakia\" >Slovakia<\/option>\n\t\t\t\t<option value=\"Slovenia\" >Slovenia<\/option>\n\t\t\t\t<option value=\"Solomon Islands\" >Solomon Islands<\/option>\n\t\t\t\t<option value=\"Somalia\" >Somalia<\/option>\n\t\t\t\t<option value=\"South Africa\" >South Africa<\/option>\n\t\t\t\t<option value=\"South Sudan\" >South Sudan<\/option>\n\t\t\t\t<option value=\"Spain\" >Spain<\/option>\n\t\t\t\t<option value=\"Sri Lanka\" >Sri Lanka<\/option>\n\t\t\t\t<option value=\"Sudan\" >Sudan<\/option>\n\t\t\t\t<option value=\"Suriname\" >Suriname<\/option>\n\t\t\t\t<option value=\"Swaziland\" >Swaziland<\/option>\n\t\t\t\t<option value=\"Sweden\" >Sweden<\/option>\n\t\t\t\t<option value=\"Switzerland\" >Switzerland<\/option>\n\t\t\t\t<option value=\"Syria\" >Syria<\/option>\n\t\t\t\t<option value=\"Taiwan\" >Taiwan<\/option>\n\t\t\t\t<option value=\"Tajikistan\" >Tajikistan<\/option>\n\t\t\t\t<option value=\"Tanzania\" >Tanzania<\/option>\n\t\t\t\t<option value=\"Thailand\" >Thailand<\/option>\n\t\t\t\t<option value=\"Togo\" >Togo<\/option>\n\t\t\t\t<option value=\"Tonga\" >Tonga<\/option>\n\t\t\t\t<option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option>\n\t\t\t\t<option value=\"Tunisia\" >Tunisia<\/option>\n\t\t\t\t<option value=\"Turkey\" >Turkey<\/option>\n\t\t\t\t<option value=\"Turkmenistan\" >Turkmenistan<\/option>\n\t\t\t\t<option value=\"Tuvalu\" >Tuvalu<\/option>\n\t\t\t\t<option value=\"Uganda\" >Uganda<\/option>\n\t\t\t\t<option value=\"Ukraine\" >Ukraine<\/option>\n\t\t\t\t<option value=\"United Arab Emirates\" >United Arab Emirates<\/option>\n\t\t\t\t<option value=\"United Kingdom\" >United Kingdom<\/option>\n\t\t\t\t<option value=\"United States\" >United States<\/option>\n\t\t\t\t<option value=\"Uruguay\" >Uruguay<\/option>\n\t\t\t\t<option value=\"Uzbekistan\" >Uzbekistan<\/option>\n\t\t\t\t<option value=\"Vanuatu\" >Vanuatu<\/option>\n\t\t\t\t<option value=\"Vatican City\" >Vatican City<\/option>\n\t\t\t\t<option value=\"Venezuela\" >Venezuela<\/option>\n\t\t\t\t<option value=\"Vietnam\" >Vietnam<\/option>\n\t\t\t\t<option value=\"Virgin Islands, British\" >Virgin Islands, British<\/option>\n\t\t\t\t<option value=\"Virgin Islands, U.S.\" >Virgin Islands, U.S.<\/option>\n\t\t\t\t<option value=\"Yemen\" >Yemen<\/option>\n\t\t\t\t<option value=\"Zambia\" >Zambia<\/option>\n\t\t\t\t<option value=\"Zimbabwe\" >Zimbabwe<\/option>\n\t\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_150_container\" class=\"frm_form_field form-field  frm_top_container frm_other_container\">\r\n    <label  class=\"frm_primary_label\">\u98f2\u98df\u9700\u6c42\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t\t<div class=\"frm_radio\"><label for=\"field_8sv9v-other_2\">            <input type=\"radio\" name=\"item_meta[150]\" id=\"field_8sv9v-other_2\" value=\"Yes, please specify\"     \/> Yes, please specify<\/label><input type=\"text\" id=\"field_8sv9v-other_2-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][150]\" value=\"\" \/><\/div>\n\t\t\t<div class=\"frm_radio\"><label for=\"field_8sv9v-3\">            <input type=\"radio\" name=\"item_meta[150]\" id=\"field_8sv9v-3\" value=\"No\"     \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_74_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_acq0b\" class=\"frm_primary_label\">\u7dca\u6025\u806f\u7d61\u4eba\u59d3\u540d\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_acq0b\" name=\"item_meta[74]\" value=\"\"    \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_75_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_9jtq3\" class=\"frm_primary_label\">\u7dca\u6025\u806f\u7d61\u4eba\u96fb\u8a71\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9jtq3\" name=\"item_meta[75]\" value=\"\"    \/>\n\r\n    <div class=\"frm_description\">(\u865f\u78bc\u683c\u5f0f\u70ba 09xx-xxx-xxx)<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_76_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_8lmek\" class=\"frm_primary_label\">\u5916\u7c4d\u5b78\u53cb Buddy\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_8lmek\" name=\"item_meta[76]\" value=\"\"    \/>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_77_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_4u7c2\" class=\"frm_primary_label\">\u5916\u7c4d\u5b78\u53cb\u5b78\u6821\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[77]\" id=\"field_4u7c2\"    >\n\t\t\t<option value=\"\"  selected=\"selected\"> <\/option>\n\t\t\t\t<option value=\"Argentina - Universidad Torcuato Di Tella\" >Argentina - Universidad Torcuato Di Tella<\/option>\n\t\t\t\t<option value=\"Australia - Queensland University of Technology\" >Australia - Queensland University of Technology<\/option>\n\t\t\t\t<option value=\"Australia - University of Queensland\" >Australia - University of Queensland<\/option>\n\t\t\t\t<option value=\"Austria - University of Innsbruck - Faculty of Business and Management\" >Austria - University of Innsbruck - Faculty of Business and Management<\/option>\n\t\t\t\t<option value=\"Austria - Vienna University of Economics and Business\" >Austria - Vienna University of Economics and Business<\/option>\n\t\t\t\t<option value=\"Belgium - HEC Management School \u2013 University of Li\u00e8ge\" >Belgium - HEC Management School \u2013 University of Li\u00e8ge<\/option>\n\t\t\t\t<option value=\"Belgium - ICHEC Brussels Management School\" >Belgium - ICHEC Brussels Management School<\/option>\n\t\t\t\t<option value=\"Belgium - KU Leuven - Faculty of Economics and Business\" >Belgium - KU Leuven - Faculty of Economics and Business<\/option>\n\t\t\t\t<option value=\"Belgium - UCL - Louvain School of Management\" >Belgium - UCL - Louvain School of Management<\/option>\n\t\t\t\t<option value=\"Belgium - ULB - Solvay Brussels School of Economics and Management\" >Belgium - ULB - Solvay Brussels School of Economics and Management<\/option>\n\t\t\t\t<option value=\"Brazil - FGV-EAESP\" >Brazil - FGV-EAESP<\/option>\n\t\t\t\t<option value=\"Brazil - University of Brasilia\" >Brazil - University of Brasilia<\/option>\n\t\t\t\t<option value=\"Canada - HEC Montr\u00e9al\" >Canada - HEC Montr\u00e9al<\/option>\n\t\t\t\t<option value=\"Canada - McMaster University - DeGroote School of Business\" >Canada - McMaster University - DeGroote School of Business<\/option>\n\t\t\t\t<option value=\"Canada - Queen&#039;s University - Smith School of Business\" >Canada - Queen&#039;s University - Smith School of Business<\/option>\n\t\t\t\t<option value=\"Canada - Simon Fraser University - Beedie School of Business\" >Canada - Simon Fraser University - Beedie School of Business<\/option>\n\t\t\t\t<option value=\"Canada - York University - Schulich School of Business,\" >Canada - York University - Schulich School of Business,<\/option>\n\t\t\t\t<option value=\"Canada - University of Calgary - Haskayne School of Business\" >Canada - University of Calgary - Haskayne School of Business<\/option>\n\t\t\t\t<option value=\"Canada - Western University - Ivey Business School\" >Canada - Western University - Ivey Business School<\/option>\n\t\t\t\t<option value=\"Canada - Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al - School of Management\" >Canada - Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al - School of Management<\/option>\n\t\t\t\t<option value=\"Canada - University of Ottawa - Telfer School of Management\" >Canada - University of Ottawa - Telfer School of Management<\/option>\n\t\t\t\t<option value=\"China - Shanghai Jiao Tong University - Antai College of Economics and Management\" >China - Shanghai Jiao Tong University - Antai College of Economics and Management<\/option>\n\t\t\t\t<option value=\"China - University of Chinese Academy of Sciences\" >China - University of Chinese Academy of Sciences<\/option>\n\t\t\t\t<option value=\"China - Peking University - Guanghua School of Management\" >China - Peking University - Guanghua School of Management<\/option>\n\t\t\t\t<option value=\"China - Huazhong University of Science and Technology - School of Management\" >China - Huazhong University of Science and Technology - School of Management<\/option>\n\t\t\t\t<option value=\"China - Renmin University of China - School of Business\" >China - Renmin University of China - School of Business<\/option>\n\t\t\t\t<option value=\"China - Tsinghua University - School of Economics and Management\" >China - Tsinghua University - School of Economics and Management<\/option>\n\t\t\t\t<option value=\"China - Fudan University - School of Management\" >China - Fudan University - School of Management<\/option>\n\t\t\t\t<option value=\"China - Zhejiang University - School of Management\" >China - Zhejiang University - School of Management<\/option>\n\t\t\t\t<option value=\"China - Shanghai Jiao Tong University - Shanghai Advanced Institute of Finance\" >China - Shanghai Jiao Tong University - Shanghai Advanced Institute of Finance<\/option>\n\t\t\t\t<option value=\"China - Sun Yat-Sen University - Business School\" >China - Sun Yat-Sen University - Business School<\/option>\n\t\t\t\t<option value=\"China - Sun Yat-Sen University - Lingnan College\" >China - Sun Yat-Sen University - Lingnan College<\/option>\n\t\t\t\t<option value=\"Colombia - Universidad de los Andes - School of Management\" >Colombia - Universidad de los Andes - School of Management<\/option>\n\t\t\t\t<option value=\"Costa Rica - INCAE Business School\" >Costa Rica - INCAE Business School<\/option>\n\t\t\t\t<option value=\"Czech Republic - University of Economics, Prague\" >Czech Republic - University of Economics, Prague<\/option>\n\t\t\t\t<option value=\"Denmark - Copenhagen Business School\" >Denmark - Copenhagen Business School<\/option>\n\t\t\t\t<option value=\"Egypt - The American University in Cairo - School of Business\" >Egypt - The American University in Cairo - School of Business<\/option>\n\t\t\t\t<option value=\"Finland - Aalto University - School of Business\" >Finland - Aalto University - School of Business<\/option>\n\t\t\t\t<option value=\"Finland - Hanken School of Economics\" >Finland - Hanken School of Economics<\/option>\n\t\t\t\t<option value=\"France - Audencia Business School\" >France - Audencia Business School<\/option>\n\t\t\t\t<option value=\"France - Burgundy School of Business\" >France - Burgundy School of Business<\/option>\n\t\t\t\t<option value=\"France - EDHEC Business School\" >France - EDHEC Business School<\/option>\n\t\t\t\t<option value=\"France - EM Lyon Business School\" >France - EM Lyon Business School<\/option>\n\t\t\t\t<option value=\"France - EM Normandie\" >France - EM Normandie<\/option>\n\t\t\t\t<option value=\"France - EM Strasbourg Business School\" >France - EM Strasbourg Business School<\/option>\n\t\t\t\t<option value=\"France - ESCEM School of Business and Management\" >France - ESCEM School of Business and Management<\/option>\n\t\t\t\t<option value=\"France - ESCP Business School\" >France - ESCP Business School<\/option>\n\t\t\t\t<option value=\"France - ESSCA School of Management\" >France - ESSCA School of Management<\/option>\n\t\t\t\t<option value=\"France - ESSEC Business School\" >France - ESSEC Business School<\/option>\n\t\t\t\t<option value=\"France - Grenoble School of Management\" >France - Grenoble School of Management<\/option>\n\t\t\t\t<option value=\"France - I\u00c9SEG School of Management\" >France - I\u00c9SEG School of Management<\/option>\n\t\t\t\t<option value=\"France - Kedge Business School\" >France - Kedge Business School<\/option>\n\t\t\t\t<option value=\"France - NEOMA Business School\" >France - NEOMA Business School<\/option>\n\t\t\t\t<option value=\"France - Rennes School of Business\" >France - Rennes School of Business<\/option>\n\t\t\t\t<option value=\"France - SKEMA Business School\" >France - SKEMA Business School<\/option>\n\t\t\t\t<option value=\"France - Toulouse Business School\" >France - Toulouse Business School<\/option>\n\t\t\t\t<option value=\"Germany - EBS Business School\" >Germany - EBS Business School<\/option>\n\t\t\t\t<option value=\"Germany - HHL Leipzig Graduate School of Management\" >Germany - HHL Leipzig Graduate School of Management<\/option>\n\t\t\t\t<option value=\"Germany - University of Cologne - Faculty of Management, Economics and Social Sciences\" >Germany - University of Cologne - Faculty of Management, Economics and Social Sciences<\/option>\n\t\t\t\t<option value=\"Germany - University of Mannheim - Business School\" >Germany - University of Mannheim - Business School<\/option>\n\t\t\t\t<option value=\"Germany - WHU - Otto Beisheim School of Management\" >Germany - WHU - Otto Beisheim School of Management<\/option>\n\t\t\t\t<option value=\"Germany - University of Hamburg - Faculty of Business Adminitration\" >Germany - University of Hamburg - Faculty of Business Adminitration<\/option>\n\t\t\t\t<option value=\"Greece - ALBA Graduate Business School, the American College of Greece\" >Greece - ALBA Graduate Business School, the American College of Greece<\/option>\n\t\t\t\t<option value=\"Honduras - UNITEC - The Global University of Honduras\" >Honduras - UNITEC - The Global University of Honduras<\/option>\n\t\t\t\t<option value=\"Hong Kong - City University of Hong Kong - College of Business\" >Hong Kong - City University of Hong Kong - College of Business<\/option>\n\t\t\t\t<option value=\"Hong Kong - Hong Kong Baptist University - School of Business\" >Hong Kong - Hong Kong Baptist University - School of Business<\/option>\n\t\t\t\t<option value=\"Hong Kong - Hong Kong University of Science and Technology - Business School\" >Hong Kong - Hong Kong University of Science and Technology - Business School<\/option>\n\t\t\t\t<option value=\"Hong Kong - Chinese University of Hong Kong - Faculty of Business Administration\" >Hong Kong - Chinese University of Hong Kong - Faculty of Business Administration<\/option>\n\t\t\t\t<option value=\"Hungary - Corvinus University of Budapest\" >Hungary - Corvinus University of Budapest<\/option>\n\t\t\t\t<option value=\"India - Indian Institute of Management Bangalore\" >India - Indian Institute of Management Bangalore<\/option>\n\t\t\t\t<option value=\"India - Indian Institute of Management Kozhikode\" >India - Indian Institute of Management Kozhikode<\/option>\n\t\t\t\t<option value=\"India - Indian Institute of Management Ranchi\" >India - Indian Institute of Management Ranchi<\/option>\n\t\t\t\t<option value=\"India - Indian School of Business\" >India - Indian School of Business<\/option>\n\t\t\t\t<option value=\"Israel - Tel Aviv University - Coller School of Management\" >Israel - Tel Aviv University - Coller School of Management<\/option>\n\t\t\t\t<option value=\"Italy - Bocconi University\" >Italy - Bocconi University<\/option>\n\t\t\t\t<option value=\"Italy - LUISS Guido Carli University - Business School\" >Italy - LUISS Guido Carli University - Business School<\/option>\n\t\t\t\t<option value=\"Japan - Kyoto University - Graduate School of Management\" >Japan - Kyoto University - Graduate School of Management<\/option>\n\t\t\t\t<option value=\"Japan - Hitotsubashi University - Faculty of Commerce and Management\" >Japan - Hitotsubashi University - Faculty of Commerce and Management<\/option>\n\t\t\t\t<option value=\"Japan - International University of Japan - Graduate School of International Management\" >Japan - International University of Japan - Graduate School of International Management<\/option>\n\t\t\t\t<option value=\"Japan - Kyushu University - Business School\" >Japan - Kyushu University - Business School<\/option>\n\t\t\t\t<option value=\"Japan - Nagoya University of Commerce and Business\" >Japan - Nagoya University of Commerce and Business<\/option>\n\t\t\t\t<option value=\"Japan - Waseda University - School of Commerce\" >Japan - Waseda University - School of Commerce<\/option>\n\t\t\t\t<option value=\"Japan - Waseda Business School\" >Japan - Waseda Business School<\/option>\n\t\t\t\t<option value=\"Korea - KAIST - College of Business\" >Korea - KAIST - College of Business<\/option>\n\t\t\t\t<option value=\"Korea - Sungkyunkwan University - School of Business\" >Korea - Sungkyunkwan University - School of Business<\/option>\n\t\t\t\t<option value=\"Kuwait - Kuwait University - College of Business Administration\" >Kuwait - Kuwait University - College of Business Administration<\/option>\n\t\t\t\t<option value=\"Macau - University of Macau, Faculty of Business Administration\" >Macau - University of Macau, Faculty of Business Administration<\/option>\n\t\t\t\t<option value=\"Malaysia - University of Malaya - Faculty of Business and Accountancy\" >Malaysia - University of Malaya - Faculty of Business and Accountancy<\/option>\n\t\t\t\t<option value=\"Mexico - ITAM\" >Mexico - ITAM<\/option>\n\t\t\t\t<option value=\"New Zealand - University of Waikato - Waikato Management School\" >New Zealand - University of Waikato - Waikato Management School<\/option>\n\t\t\t\t<option value=\"Norway - BI Norwegian Business School\" >Norway - BI Norwegian Business School<\/option>\n\t\t\t\t<option value=\"Norway - NHH - Norwegian School of Economics\" >Norway - NHH - Norwegian School of Economics<\/option>\n\t\t\t\t<option value=\"Peru - Universidad ESAN\" >Peru - Universidad ESAN<\/option>\n\t\t\t\t<option value=\"Philippines - Asian Institute of Management\" >Philippines - Asian Institute of Management<\/option>\n\t\t\t\t<option value=\"Poland - Kozminski University\" >Poland - Kozminski University<\/option>\n\t\t\t\t<option value=\"Poland - Warsaw School of Economics\" >Poland - Warsaw School of Economics<\/option>\n\t\t\t\t<option value=\"Portugal - Cat\u00f3lica Lisbon School of Business &amp; Economics\" >Portugal - Cat\u00f3lica Lisbon School of Business &amp; Economics<\/option>\n\t\t\t\t<option value=\"Portugal - Nova School of Business and Economics\" >Portugal - Nova School of Business and Economics<\/option>\n\t\t\t\t<option value=\"Russia - St. Petersburg University - Graduate School of Management\" >Russia - St. Petersburg University - Graduate School of Management<\/option>\n\t\t\t\t<option value=\"Singapore - Nanyang Technological University - Nanyang Business School\" >Singapore - Nanyang Technological University - Nanyang Business School<\/option>\n\t\t\t\t<option value=\"Singapore - National University of Singapore - Business School\" >Singapore - National University of Singapore - Business School<\/option>\n\t\t\t\t<option value=\"Slovenia - University of Ljubljana - Faculty of Economics\" >Slovenia - University of Ljubljana - Faculty of Economics<\/option>\n\t\t\t\t<option value=\"Spain - EADA Business School\" >Spain - EADA Business School<\/option>\n\t\t\t\t<option value=\"Spain - Ramon Llull University - ESADE\" >Spain - Ramon Llull University - ESADE<\/option>\n\t\t\t\t<option value=\"Spain - IE Business School\" >Spain - IE Business School<\/option>\n\t\t\t\t<option value=\"Spain - University of Navarra - School of Economics and Business Administration\" >Spain - University of Navarra - School of Economics and Business Administration<\/option>\n\t\t\t\t<option value=\"Sweden - Stockholm School of Economics\" >Sweden - Stockholm School of Economics<\/option>\n\t\t\t\t<option value=\"Sweden - Lund University School of Economics and Management\" >Sweden - Lund University School of Economics and Management<\/option>\n\t\t\t\t<option value=\"Switzerland - University of Lausanne - HEC Lausanne\" >Switzerland - University of Lausanne - HEC Lausanne<\/option>\n\t\t\t\t<option value=\"Switzerland - University of St. Gallen\" >Switzerland - University of St. Gallen<\/option>\n\t\t\t\t<option value=\"Thailand  - Chulalongkorn University - Business School\" >Thailand  - Chulalongkorn University - Business School<\/option>\n\t\t\t\t<option value=\"Thailand  - Chulalongkorn University - Sasin Graduate Institute of Business Administration\" >Thailand  - Chulalongkorn University - Sasin Graduate Institute of Business Administration<\/option>\n\t\t\t\t<option value=\"Thailand  - Thammasat University - Business School\" >Thailand  - Thammasat University - Business School<\/option>\n\t\t\t\t<option value=\"The Netherlands - Maastricht University - School of Business and Economics\" >The Netherlands - Maastricht University - School of Business and Economics<\/option>\n\t\t\t\t<option value=\"The Netherlands - Erasmus University - Rotterdam School of Management\" >The Netherlands - Erasmus University - Rotterdam School of Management<\/option>\n\t\t\t\t<option value=\"The Netherlands - Tilburg University - Tilburg School of Economics and Management\" >The Netherlands - Tilburg University - Tilburg School of Economics and Management<\/option>\n\t\t\t\t<option value=\"The Netherlands - University of Amsterdam - Faculty of Economics and Business\" >The Netherlands - University of Amsterdam - Faculty of Economics and Business<\/option>\n\t\t\t\t<option value=\"The Netherlands - University of Groningen - Faculty of Economics and Business\" >The Netherlands - University of Groningen - Faculty of Economics and Business<\/option>\n\t\t\t\t<option value=\"Turkey - Bilkent University - Faculty of Business Administration\" >Turkey - Bilkent University - Faculty of Business Administration<\/option>\n\t\t\t\t<option value=\"Turkey - KO\u00c7 University\" >Turkey - KO\u00c7 University<\/option>\n\t\t\t\t<option value=\"UK - Aberystwyth University\" >UK - Aberystwyth University<\/option>\n\t\t\t\t<option value=\"UK - Aston University - Aston Business School\" >UK - Aston University - Aston Business School<\/option>\n\t\t\t\t<option value=\"UK - University of Bradford - School of Management\" >UK - University of Bradford - School of Management<\/option>\n\t\t\t\t<option value=\"UK - Lancaster University - Management School\" >UK - Lancaster University - Management School<\/option>\n\t\t\t\t<option value=\"UK - Loughborough University - School of Business and Economics\" >UK - Loughborough University - School of Business and Economics<\/option>\n\t\t\t\t<option value=\"UK - University of Essex - Essex Business School\" >UK - University of Essex - Essex Business School<\/option>\n\t\t\t\t<option value=\"UK - University of Exeter - Business School\" >UK - University of Exeter - Business School<\/option>\n\t\t\t\t<option value=\"UK - University of Strathclyde - Strathclyde Business School\" >UK - University of Strathclyde - Strathclyde Business School<\/option>\n\t\t\t\t<option value=\"UK - University of Sussex - Business School\" >UK - University of Sussex - Business School<\/option>\n\t\t\t\t<option value=\"UK - University of York - The York Management School\" >UK - University of York - The York Management School<\/option>\n\t\t\t\t<option value=\"USA - Brandeis University - Brandeis International Business School\" >USA - Brandeis University - Brandeis International Business School<\/option>\n\t\t\t\t<option value=\"USA - Claremont Graduate University - School of Information Systems and Technology\" >USA - Claremont Graduate University - School of Information Systems and Technology<\/option>\n\t\t\t\t<option value=\"USA - California State University, Northridge\" >USA - California State University, Northridge<\/option>\n\t\t\t\t<option value=\"USA - Fordham University - Gabelli School of Business\" >USA - Fordham University - Gabelli School of Business<\/option>\n\t\t\t\t<option value=\"USA - George Mason University - School of Business\" >USA - George Mason University - School of Business<\/option>\n\t\t\t\t<option value=\"USA - Hawaii Pacific University - College of Business\" >USA - Hawaii Pacific University - College of Business<\/option>\n\t\t\t\t<option value=\"USA - Purdue University - Krannert School of Management\" >USA - Purdue University - Krannert School of Management<\/option>\n\t\t\t\t<option value=\"USA - Texas A&amp;M University - Mays Business School\" >USA - Texas A&amp;M University - Mays Business School<\/option>\n\t\t\t\t<option value=\"USA - The George Washington University - School of Business\" >USA - The George Washington University - School of Business<\/option>\n\t\t\t\t<option value=\"USA - The Ohio State University - Fisher College of Business\" >USA - The Ohio State University - Fisher College of Business<\/option>\n\t\t\t\t<option value=\"USA - Tulane University - A.B. Freeman School of Business\" >USA - Tulane University - A.B. 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