UNIVERSITY OF SCIENCE
AND TECHNOLOGY / / OFFICE OF POSTGRADUATE STUDIES
Asian Future Leaders Scholarship Program (AFLSP) 2017-18*
Application Form
Part I Personal Particulars
Name: Mr/ Ms#(Surname / Family name) / (First name)
Application No.^:
Program applied for: / MPhil program in
Nationality**: / Place of birth:
Contact number: / Contact email:
Part II Academic Qualifications
Highest Qualification Attained/ to be Attained:Year awarded/
to be awarded: / GPA:
Institution:
English Language Proficiency
Test taken: / IELTS/ TOEFL/ none*
Date of test:
Scores: / Overall:
Reading: / Writing:
Listening: / Speaking:
* The terms and conditions of this scholarship program may change as the program is under review.
# Please delete as appropriate.
^ Application number can be obtained after lodging an application for admission to postgraduate programs through the HKUST Postgraduate Online Admissions System at http://pg.ust.hk/apply.
** Applicants must be a non-local national from an Asian country. To avoid misunderstanding, the term “Asia” has a narrow interpretation– it refers to China and countries in East Asia, Southeast Asia and South Asia.
Part III Personal Statement
Please outline your future study and career plans, the reasons you are applying for the Scholarship, and how you hope to contribute to resolving issues and challenges faced by nations in the Asia-Pacific Region (around 600 words).
Part IV Additional Information
Please provide additional information if any, e.g. awards, extra-curricular activities, community services, hobbies and interests, etc.
Part V Supporting Documents
For the review of the Selection Committee, please ensure the following supporting documents have been successfully uploaded to the Postgraduate Online Admissions System of the University.
Please tick the boxes as appropriate to certify your submission.
£ Academic transcript(s)
£ CV/ Résumé
£ English proficiency test report (IELTS/ TOEFL, if any)
Part VI Declaration
1. I certify that the information provided in this application is accurate and complete at the time this application is lodged. I understand any misrepresentation will lead to disqualification of my application for the AFLSP and enrollment at the University.
2. I understand that all information submitted to the University’s Postgraduate Online Admissions System will also be used for eligibility verification of my Scholarship application and selection purpose for the Bai Xian Asia Institute.
Signature: / Date:Page 3 of 3