Research Office
Application for Taking up part-time Employment
Please read the Notes on page 3 before completing this form.
I. PARTICULARS OF STUDENT
Name / Student No. / R*Degree: PhD MPhil
* I am a Teaching Company Associate (TCA).
Department/School Address
Day-time Contact Tel. No. Email Address
II. FINANCIAL ASSISTANTSHIP *
I have been awarded a monthly stipend until (date)
I have been awarded an assistantship under the Teaching Postgraduate Studentship (TPS) Scheme until (date)
I have been receiving monthly stipend provided under the Teaching Company Scheme (TCS) and have sought the
Partner Company’s consent to my taking up of part-time employment via the Chief Supervisor. The written consent
is enclosed. (for TCA only)
I am an awardee of the Hong Kong PhD Fellowship Scheme. I understand that I have to provide strong justifications for exceptional approval by the UGC if I wish to take up part-time employment.
I am currently not receiving any assistantship under the TPS or a monthly stipend.
III. APPLICATION DETAILS
[Non-local students on student visas with a No Objection Letter issued by the Immigration Department are reminded to check the relevant regulations of the Immigration Department on part-time employment.]
Title of part-time position: .
I apply for permission to undertake part-time employment from (date) to (date) .
The average number of working hours per week is expected to be .
* employment undertaken at PolyU (Please submit this Form together with a properly completed Form RC/5
Appointment of Research Personnel)
employment undertaken outside PolyU (Please provide a copy of the letter of appointment and/or any document
with details of the appointment)
Reasons for application and details of part-time employment:
Signature of Student Date
IV. DECISION/RECOMMENDATION BY CHIEF SUPERVISOR
* Application is supported not supported.
Reasons for supporting the application
Signature of Chief Supervisor Date
[For students who are receiving an assistantship under TPS and/or a monthly stipend, approval has to be sought from RC via DRC and FRC/School Board]
V. RECOMMENDATION BY DEPARTMENTAL/SCHOOL RESEARCH COMMITTEE
* Application is supported not supported.
Reasons for supporting the application
Signature of Chair of DRC Date
VI. RECOMMENDATION BY FACULTY RESEARCH COMMITTEE (FRC) / SCHOOL BOARD (SB)
* Application is supported not supported.
Reasons for supporting the application
Signature of FRC/SB Chair Date
VII. DECISION OF RESEARCH COMMITTEE (RC)
* Application is approved rejected.
Signature of Chair of RC Date
* (Please Pas appropriate)
– Please return the form to the Research Office -
Notes
1. Stipend recipients and those awarded assistantship under the TPS Scheme are expected to devote full-time effort to the programme of study on campus. They are not permitted to take up any employment with the University or with any other employers unless special approval is granted, upon the recommendation of the Chief Supervisor, by the RC via the relevant DRC and FRC/School Board. Should recipients of studentships/other financial assistance be found to be undertaking/have undertaken part-time work without prior approval of the University, his/her studentship/financial assistance will be suspended immediately.
2. On the other hand, students not receiving financial assistance under the TPS Scheme or a monthly stipend may take up part-time employment on condition that prior approval of the Chief Supervisor is obtained.
3. Students wishing to take up part-time employment should complete Sections I, II and III and submit the form to the Chief Supervisor.
4. The Chief Supervisor should complete Section IV.
5. For appointments of part-time research personnel at PolyU, a duly completed Form RC/5 Appointment of Research Personnel must be attached to this application.
6. For appointments outside PolyU, a copy of the letter of appointment must be attached to this application.
7. For cases with students not receiving financial assistance under the TPS Scheme or a monthly stipend, completion of Sections V, VI and VII is not required. The Chief Supervisor, after completing Section IV, shall inform the student of his/her decision and pass the form to the Research Office for record.
8. For cases with students receiving financial assistance under the TPS Scheme or a monthly stipend, the Chief Supervisor shall complete Section IV and pass the form to the DRC Chair for completion. Sections VI and VII should be completed by the FRC/SB Chair and RC Chair, respectively.
FormRC61
Jan 2018