Office of Student Success
Application Form for Summer Internship Scheme 2015
(for non-government internships)
Position Applied For: ______Company Applied For:______
Personal Particulars
Name :
(Chinese) / (English)
Programme and Major Study :
Year of Study : / Student ID No. :
Hong Kong ID No: / Sex : / □ Male □ Female
Contact Telephone No : / E-mail Address :
Address :
Latest CGPA: / ______
Academic Attainment (in chronological order )
Institute/Issuing Authority
(e.g. Hong Kong Examinations and Assessment Authority) / Date Issued
(DD/MM/YYYY) / Qualifications
(e.g. Hong Kong Certificate of
Education Examination) / Subjects Passed and Level Attained
(e.g. Grade, Pass, Credit, Class, Division, Major, Minor, etc.)
Education (in chronological order)
Schools, Colleges, Universities, etc. Attended/Attending / Faculty/Major
Area of Study / Programme and Year of Study / From
(DD/MM/YYYY) / To
(DD/MM/YYYY)
Work Experience (including voluntary work, summer employment & part-time jobs) (in chronological order)
Name of Organization / Position Held / Nature of Work / From
(DD/MM/YYYY) / To
(DD/MM/YYYY)
Special Skills and Knowledge
Extra-Curricular Activities
I understand that any false information or misrepresentation will disqualify my application for the Internship Scheme.
Date: ______Signature: ______