WMG School for Professional Development Bright Future Charitable Foundation Scholarship for AY2016/17 Application Form NOTE TO APPLICANTS The information provided herein will be used for purposes related to the Bright Future Charitable Foundation Scholarship AY2016/17 (the Scholarship ) offered by the WMG School for Professional Development (the School ). It may be made available to offices, committees or persons who process scholarship matters. Information on unsuccessful candidates will be destroyed when no longer required. This application form and supporting documents are to be completed and returned by the applicant to the WMG School for Professional Development Office at Room 008, G/F, Academic Block, 30 Shing Tai Road, Chai Wan, Hong Kong one month before the commencement date of the enroled PgA in International Technology Management programme. I. Personal Particulars Name in English (The name entered should correspond with that on your HK Identity Card / Passport) Surname Given name Name in Chinese Title Mr Mrs Ms Miss Sex Male Female Date of Birth Correspondence Address Phone (Home) Email Address Country of Permanent Residence Nationality Phone (Mobile) Country of Birth Do you require a student visa / entry permit to study in Hong Kong? Yes No Application Form for AY2016/17 Page 1
II. Course Details Please select the master s programme that you have applied for AY2016/17 entry: Programme Title PgA in International Technology Management Study Mode Part-time III. Education (Please list in chronological order and submit photocopies of relevant certificates and transcripts.) Please list all post secondary and tertiary studies completed (or to be completed). Date School / College / Programme Title From To Institution Attended / Attending (state both major & minor programmes) Mode of Attendance (e.g. full-time, part-time) / Qualification Obtained (e.g. diploma, degree) Classification (e.g. first class honours) Date of Have you been educated in the UK or any other English speaking country? Yes (please specify ) No Are you a graduate from any member institution(s) of VTC? Yes ( SHAPE PEAK IVE Others ) No Please list your English Language qualification(s). Date taken Name of Test / Examination IELTS / TOEFL / Pearson Test / Others Result / Grade Application Form for AY2016/17 Page 2
Please give details of any scholarships awarded during your education to date: Name of Scholarship Obtained (e.g. by academic achievement) Date of Please give details of any prizes or awards obtained during your education to date: Name of Prize / Obtained (e.g. by academic achievement) IV. Professional Qualifications (Please list in chronological order and submit photocopies of relevant certificates and transcripts.) Name of Professional Institution / Qualification Obtained (e.g. Chartered Institute of Management Accountants, Chartered Engineer) Application Form for AY2016/17 Page 3
V. Membership of Professional Bodies (Please list in chronological order and submit photocopies of relevant certificates and transcripts.) Name of Professional Body Title of Membership (e.g. Corporate Member) Validity VI. Working Experience (Please list in chronological order and submit photocopies of relevant certificates and transcripts.) From Date To Name of Organization Position Held Responsibilities Please give details of any prizes or awards obtained during your work to date: Name of Prize / Obtained Application Form for AY2016/17 Page 4
VII. Further Information In order to support your application, please outline the qualities that make you an outstanding applicant for the scholarship. Please attach additional sheet if necessary. VIII. Declaration I, (full name in English), declare that the information given in support of my scholarship application is accurate and complete. I undertake to supply any further information which may be required and to inform the School of any changes in the information provided. I understand that any misrepresentation or omission of information may lead to disqualification of my application for the scholarship. I also understand that: i) personal information collected from my application will be used solely for scholarship application; ii) if application is unsuccessful, my application form and supporting documents will be disposed of after the completion of the application; iii) if application is successful, my application form and supporting documents will become part of the student file; iv) in accordance with the Personal Data (Privacy) Ordinance, I have the right to request access to, and the correction of my personal data. I should submit written request if I wish to access or make corrections to my data. Signature of Applicant: Date: Application Form for AY2016/17 Page 5