Application Form for "President Chao Nee Memorial Scholarship"
National Cheng Kung University Alumni Association of North America (NCKUAANA) has the honor of
selecting three recipients for the "President Chao Nee Memorial Scholarship." Three awards of $1,000
each plus award certificates are presented to winners each year to recognize the outstanding
achievements of the descendants of NCKU faculty, alumni and staff. All university sophomores, juniors,
and seniors with demonstrated leadership qualities, academic excellence, and extracurricular activities
are welcome to apply. The applicant must maintain at least a cumulative 3.25 grade point average.
Deadline for application is April 15, 2010 The committee's decision on the three recipients will be
announced by May 15, 2010. Please return the following application form to:
c/o Michael T. Yu Architect, P.C.
144-28 29th. Avenue
Flushing, NY 11354
Tel. (718) 461-9651, Fax. (718) 359-7228
Print or type the information requested (use additional sheet, if necessary):
Student’s Name (Chinese & English): _____________________________________________________
University Name: ____________________________________Class level: _______________________
Student’s major _____________________________________Student’s minor_____________________
Student’s address: ______________________________Tel.: ___________Email:__________________
Member’s Name (Chinese & English) & Class Year: _________________________________________
Applicant’s Cumulated GPA: ____________________________________________________________
School Activities: _____________________________________________________________________
Activities (outside school): ______________________________________________________________
Community Services: ___________________________________________________________________
Awards and Recognitions Received: _______________________________________________________
Please submit in ONE envelope all required application materials in hard copy format. This package
should include official college transcript, two reference letters (in sealed envelopes), completed
application form and a one-page single spaced essay on yourself, including future career goals.
I hereby certify that all information provided is true.
Signature _________________________________________ Date ______________________________