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HONG KONG BAPTIST UNIVERSITY - Download Now DOC

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					                                         HONG KONG BAPTIST UNIVERSITY
                                                 International Office
                               Room DLB 825, Level 8, David C. Lam Building, Shaw Campus
    Phone: 3411-2188       Fax: 3411-5568 Email: exchange@hkbu.edu.hk Website: www.hkbu.edu.hk/international

                              Application Form for Student Exchange Programme 2010-2011



1. This application form is for the student exchange programmes offered at the University level as well as at the
   Faculty/Departmental level. Students who wish to apply for Faculty/Departmental level exchange programmes should
   consult the relevant Faculty/Department offices regarding any other application procedures.
2. For exchange to places other than Mainland China and Taiwan, a TOEFL/IELTS score report must be submitted
   together with this application form. If your score is not ready yet, please provide proof that you will take the TOEFL or
   IELTS test by end of January 2010.
3. Please complete all parts of this application form and ask your Head of Department/Programme Director to endorse
   your application.
4. If you are a Business School student, please first have your application endorsed by your Concentration Coordinator,
   then approved by the Dean’s Office before submitting to the International Office.
5. Don't miss the closing date! Applications are called for ONCE A YEAR only. The closing date for applications
   for either the 1st (Fall) Semester 2010-2011 or 2nd (Spring) Semester 2010-2011 or the whole academic year
   2010-2011 is February 2, 2010. The completed application form should be submitted to the International Office by
   this date.
6. For eligible applicants, submit also your scholarship application form to the International Office on or before February
   2, 2010.
7. Late applications will not be considered.




PERSONAL PARTICULARS


Name (in English):___________________________________ (in Chinese):______________
                       (Surname)             (Given Names)
                                                                                                                 Recent
Student No.:______________ Gender: _______ Date of Birth (dd/mm/yy):________________
                                                                                                                 Photo
Correspondence Address:______________________________________________________
___________________________________________________________________________
Telephone: Home___________________________               Mobile__________________________
Preferred Email Address: ______________________________________________________
Major: __________________________ Year of Study: _______ Cumulative GPA:__________
TOEFL/IELTS Score: ________ (If unavailable, please state test date:___________________)


PROPOSED DURATION OF EXCHANGE STUDIES
Full Academic Year 2010-2011          1st (Fall) Semester 2010-2011          2nd (Spring) Semester 2010-2011


PREFERENCE OF HOST INSTITUTIONS
Please indicate five choices of host institutions in order of preference.   You must fill in all five choices.
1st Choice ________________________________________________________________________________________
2nd Choice ________________________________________________________________________________________
3rd Choice ________________________________________________________________________________________
4th Choice ________________________________________________________________________________________
5th Choice ________________________________________________________________________________________


TENTATIVE STUDY PLAN
No. of subjects you plan to take while abroad:____________ (Consult your Programme/Course/Department if necessary)
Please list the courses you plan to take during the exchange period:
(1)_____________________________________________                 (2)_____________________________________________
(3)_____________________________________________                 (4)_____________________________________________
(5)_____________________________________________                 (6)_____________________________________________
(7)_____________________________________________                 (8)_____________________________________________
ADDITIONAL INFORMATION
      Will you have completed at least one year of undergraduate study at HKBU before joining the Student Exchange
       Programme?         Yes      No
      Do you plan to apply for any study/internship abroad programmes for the summer of 2010?
       Yes.    Please specify:______________________________________________________________________                      No
      Did you apply for the Student Exchange Programme before?
       Yes (If yes, please complete the following two questions.)      No
       -                                    Yes        No
       - What was your 1st choice institution?________________________________________________________________


SCHOLARSHIP OPPORTUNITIES
Students who have a minimum cumulative GPA of 3.0 are eligible to apply for scholarships.      Do you wish to apply for any one
of the following scholarships?
                                                                     No
    Champion Technology Scholarship (For students from the School of Business to study in the U.K. only)
    Endeavour Australia Cheung Kong Scholarship (For exchange in Australia only)
    HKBU Student Exchange Scholarship
    HSBC Scholarship (For exchange in Mainland China only)
    Hsin Chong - K.N. Godfrey Yeh Education Fund Scholarships
    Li & Fung Scholarships
    Mong Man Wai Mainland-Hong Kong University Student Exchange Scholarship (Students from the Faculty of Science
     are eligible to apply)
Was your application for Government grant/loan successful                        Not Applicable




PERSONAL STATEMENT (use separate sheets if necessary)
Please convince us in approximately 500 words in English why you are qualified to study abroad, give us good academic
reasons for going abroad on your specific choices of institutions, and tell us how the exchange experiences will relate to your
major at HKBU and career plans.

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Endorsement by Head of Department/Programme Director:
                       Do not Support
Comments:__________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________


Name: ___________________________             Signature: ________________________            Date:_____________________




Undertaking by Applicant:
I declare that the information given in support of this application is accurate and complete, and understand that any
misrepresentation will result in disqualification of my application for participation in the Student Exchange Programme at
Hong Kong Baptist University (HKBU). I will continue to pay full tuition and other relevant fees to HKBU during the period of
my exchange. I will resume my studies at HKBU at the end of the period of exchange. If I fail to complete the exchange
programme, I will immediately repay all funds received from HKBU. I further understand that the credits I obtain abroad
may not be recognized towards my degree at HKBU, in which event my graduation may be delayed.


Student’s Signature: _____________________________________            Date: _______________________________________

				
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