Network Initiative - Application Form

Please read application guidelines carefully and submit your completed application form with supporting documents to International Affairs Office by email to .

A.About PolyU Departments (the Applicants)Please add department details as appropriate.

PolyU Department:
(applying unit)
Contact person
Name:
Post:
Email:
PolyU Department:
(lead academic unit, if not the applying unit)
Contact person
Name:
Post:
Email:
PolyU Department:
Contact person
Name:
Post:
Email:

B.About the Network

Name of the Network:
Background of the Network:
Strategic importance of the Network to PolyU:
  1. About the activities

Nameof theActivity:
Date & Time:
Venue, City & Country:
Details of the Activity:
Role of PolyU:
Organizer
Co-organizer (please specify):
Participant(s):
No. of faculty member:
No. of student:
Potential impact of the activity to PolyU as a whole and to PolyU faculty member(s) / student(s):
  1. Budget

Total funding requested: / HK$
Income (please add rows as appropriate)
Item / Budget (HK$)
Total:
Expenditure (please add rows as appropriate)
Item / Budget (HK$)
Total:
Other source of funding
Did you apply for funding for the same activity from other source(s) / Yes
No
If yes, please state:
(1)the amount of subsidy approved by other source(s) / under application: / HK$
Other currency, if applicable:
(2)source(s) of funding:
Notes:
  • Funding will be reallocated to the PolyU Department (the applicant) upon approval of subsidy by the Committee on PolyU International Exchange and Partnership Fund (the Fund). Unspent amount shall be returned to the Fund within one month after the completion of the activities.
  • Copies of receipts of expenses should be provided together with post event report to IAO within ONE month after the activities.

  1. Endorsement by the Heads of the PolyU Departments

Name:
Position:
Department:
Signature:
Date:
Name:
Position:
Department:
Signature:
Date: