University of Cambridge

UNIVERSITY OF CAMBRIDGE No......

THE PRINCE PHILIP SCHOLARSHIP

APPLICATION FORM

This form is to be completed by applicants applying for the Prince Philip Scholarship for entry as undergraduates to the University of Cambridge.

(You must read the Application Guidelines and Notes carefully before completing this application form. Both this form and the Application Guidelines and Notes can be downloaded from the website of The Friends of Cambridge University in Hong Kong: http://www.cambridge.org.hk/PrincePhilip/index.shtml. The website also contains useful information about the Prince Philip Scholarship.)

AFFIX RECENT

PHOTOGRAPH HERE

(WRITE YOUR NAME ON THE BACK OF THE PHOTOGRAPH)

NAME IN CHINESE CHARACTERS ......

(PLEASE PRINT IN BLOCK CAPITALS)

SURNAME ......

FIRST NAME ......

OTHER NAMES ......

H.K.I.D. Card no. ......

(Attach a copy of your Hong Kong Identity Card to this application form.)

PREFERENCE COLLEGE ......

(Please read the Application Guidelines carefully before choosing your preference college. Write “Open” if making an open application)

PROPOSED SUBJECT OF STUDY AT UNIVERSITY OF CAMBRIDGE

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CATEGORY OF APPLICANTS

Please tick the appropriate box:

ð I am a Form 6 student in secondary school in Hong Kong (ie. an “S6 applicant”). I am applying for admission to the University of Cambridge in 2012.

ð I am a Form 7 student in secondary school (ie. an “S7 applicant”). I am applying for admission to the University of Cambridge in 2011.

ð I belong to neither of the above categories (ie. an “other applicant”). I am applying for admission to the University of Cambridge in 2011. I *have already taken / have not taken the Hong Kong Advanced Level Examinations, the GCE Advanced Level Examinations or the International Baccalaureate Examinations. (*Please delete as appropriate.)

IMPORTANT NOTE: The final closing date for applications is Friday, 15th October, 2010 for all three categories of applicants. Your application form, with supporting papers, MUST reach The Friends of Cambridge University in Hong Kong on or before this date.

Please print clearly in block capitals.

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1. Applicant's name

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2. Gender

(Delete as appropriate.)

Male / Female

3. Age

Enter date of birth using figures:

Day Month Year

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Age on 1st October of year of entry:

...... years ...... months

4. Place and country of birth

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5. Home address

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Home telephone number

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Fax number

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Mobile Phone number

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6. Residence

Place of permanent residence

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Number of years resident in Hong Kong

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7. Nationality

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8. Full names of parents* or guardians (and address if different from 5)

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Occupation of parents* or guardians*

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(*Delete as appropriate.)

9. Present school

Name and full postal address of school

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Telephone number

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Fax number

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Name of Principal

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10. Correspondence address

Which address should be used for term-time correspondence with the applicant?

HOME/SCHOOL*

(*Delete as appropriate.)

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11. Educational institutions attended

from age 11 to now*

(*please list in chronological order ALL such educational institutions attended)

Name and Address of schools (and grade attended) / Date entered / Date left

12. Examinations to be taken.*

(*Specify whether HK A-level, GCE A-level or GCE AS-level, or others. If taking International Baccalaureate Examinations, please give details of subjects to be taken at both Higher and Subsidiary levels.)

Subject / Awarding Body or Examination Board / HK A Level / GCE A level/ GCE AS level / IB / others (please specify) / Level / Date of Exam
(month and year)

13. Examinations Taken To Date

H.K.C.E.E. results.*

(*You must list the results of all H.K.C.E.E.s taken.)

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Subjects taken in H.K.C.E.E. / Year / Grade

G.C.S.E. results.*

(*You must list the results of all G.C.S.E.s taken.)

Subject taken in G.C.S.E. / Awarding Body/Examination Board / Year / Grade

G.C.E. A Levels or AS-Levels results.*

(*You must list the results of all G.C.E. A level or AS level exams taken.)

Subjects taken in the G.C.E exam / State whether A level or AS level / Awarding Body / Examination Authority / Year / Grade / UMS Score/Out of

H.K. A Level Examination results.*

(*You must list the results of all H.K. A-level exams taken.)

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Subject / Date of Exam
(month and year) / Grade

International Baccalaureate Examination results.*

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(*You must list the results of all IB exams taken, and specify whether at Higher Level or Subsidiary Level.)

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Subjects taken in IB exams / Year / Level / Score

International English Language Test (IELTS) results (if any).*

(* You must list the results of all IELTS which you have taken.)

Overall IELTS score / Reading Component / Listening Component / Writing Component / Speaking Component / Date taken (Month and Year)

14. Public examinations (other than those in 12 & 13 above) taken or to be taken (e.g. Associated Board Music Examinations). If already taken, give date and result of only the highest grade taken.

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15. Have you previously applied for the Prince Philip Scholarship? (If yes, please state which year and whether you were shortlisted for an interview.)

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16. Please list any University(ies) to which you have applied or will apply for entry in 2011 and state which, if any, have accepted you.

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17. Should you be selected for interview, please state whether you will be in Hong Kong from 2nd to 10th December 2010 for the interviews, and also on 1st December 2010 for taking the requisite written test(s) (if any is required for your proposed subject). (Please note that all applicants will be interviewed in Hong Kong except those who are currently studying in the U.K./Europe who may be required to attend interviews in Cambridge (see para 18 below)).

Yes / No (state reasons) ......

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18. Applicants who are studying in England or elsewhere in Europe may be asked to attend interviews at Cambridge on Saturday,27th November 2010. Please state if you will be able to attend such interviews, and give your address, email and telephone number in the U.K.

YES / NO

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19. Please list all other awards, scholarships, etc. for which you have applied or are intending to apply for your university studies, stating whether these applications have been successful (if known).

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20. Subjects studied in Form 6 but not taken as subjects for a public examination.

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21. Positions of responsibility held at school

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22. Achievements and interests, such as: HKYAP Awards, Contests (e.g. mathematical or debating etc), hobbies, sports and games.

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23. If you have travelled abroad, please give particulars (e.g. places, dates, purposes, etc.)

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24. Possible future career (if known)

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NOTE:

We are likely to contact you by email. Please indicate below your preferred email account for us to contact you. It is of crucial importance that the email account you specify below is an active, functioning email account with sufficient capacity to receive emails at all times during the course of your application.

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PERSONAL STATEMENT

Use some or all of the space on this page (but no more) to write a short account of why you wish to study your chosen degree subject, what you hope to achieve by doing so, and why you wish to come to Cambridge to do it. If your chosen university course is different from your ‘A level’ subjects, include a short statement about the ways in which you think your ‘A level’ studies may be significant for your intended degree course. This must be written in your own hand, clearly enough to be photo-copied; it must not be typed.

Signature of applicant ...... Date ......

This page is to be completed by the applicant’s School Principal.

[N.B. Please refer to the “Guidelines For Writing Reports For Applicants” printed below.]

CERTIFICATION BY SCHOOL PRINCIPAL

To: The Prince Philip Scholarship Selection Board

I certify that the information given in this form is, to the best of my knowledge, correct.

I enclose a confidential report by me or a teacher who has known the applicant well for the past year, that includes comments on the following points:

(i) The applicant’s academic achievements, both as reflected in his/her school record to date and an assessment of the grades likely to be achieved by the applicant in his/her A-level examinations, IB examinations or other equivalent examinations (as the case may be).

(ii) The intellectual potential of the applicant for higher studies and, in particular, in his/her proposed subject of study specified in this form.

(iii) The applicant’s interests and personal achievements.

(iv) The qualities of the applicant’s personality and character which will enable him/her to settle into and enjoy life in a community subject to intense academic and social pressures.

(v) A comparison of the applicant’s ability and character with that of other students in my school who have been awarded or offered a Prince Philip Scholarship.

Signature ...... Date ......

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NAME OF SCHOOL PRINCIPAL (IN BLOCK LETTERS)

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NAME OF SCHOOL (IN BLOCK LETTERS)

UNIVERSITY OF CAMBRIDGE

The Prince Philip Scholarship

GUIDELINES FOR WRITING REPORTS FOR APPLICANTS

The Selection Board would be grateful for as full a report on the applicant as possible. In writing the report, School Principals may find the following a helpful guide to the aspects of the applicant’s performance and potential that the Board would expect to be covered.

(i) Academic achievements

· Achievements in H.K.C.E.E., G.C.S.E., G.C.E. AS-levels, and the IB.

If this does not reflect the applicant’s potential ability, then please explain.

· Assessment of A Level and AS Level grades expected in examinations to be taken by the applicant (indicate whether H.K. A Levels, U.K. A Levels, International Baccalaureate Examinations, etc.)

If this does not reflect the applicant’s potential ability, please explain.

(ii) Intellectual potential

Please indicate your estimate of the applicant’s potential for higher studies in his/her proposed subject of study, with particular reference to the following:

· Ability to think independently and to work on his/her own.

· Power of analysis.

· Fluency and accuracy in English. Power of expression (written and oral).

· Ability to present a coherent argument.

· Imagination, creativity, inventiveness.

(iii) Interests and personal achievements

· Interest in and suitability for the chosen course.

· Interest in and motivation for academic studies.

· Extra-curricular activities.

· Breadth of interests including music, drama, sports, hobbies, etc.

· Concern for others, both within and outside the school, including community service, youth work, etc.

(iv) Character and personality

· Independence, self-determination.

· Industry, determination, perseverance.

· Initiative.

· Reliability, sense of responsibility, etc. Positions of responsibility held.

· Civic awareness.

· Social abilities and personal relationships.

· Health.

· Personal circumstances.

(v) Suitability for life and study in Cambridge

Qualities of character possessed by the applicant which indicate that he/she would both gain from and contribute to life at Cambridge.

(vi) Comparison

A comparison of the applicant’s abilities and character with other members of your School who have been awarded or offered the Prince Philip Scholarship in the past.

Updated 09/09/2010