Live and Learnin Hong Kong
Asia Institute for Political Economy Summer Academic Program 2008
July 11– August 2, 2008
Application Form
Please read Admissions Procedures and Requirements at the website:before submitting the Application Form. All information provided must be in English.
Note: For students applying direct from China Mainland, the US$500 registration fee is waived.
Section 1: Primary Contact Information
Salutation: Mr./ Ms./Mrs./Other______Name in Chinese characters:______
Last or Family Name (i.e. Surname):______
First Name: ______
English Name (if any): ______
Current Information:
Your Current Postal Address: ______
City/Province: ______
Country: ______
Postal Code: ______
Date until above address will be valid: ______(yyyy / Month / dd)
Contact Tel. Number: ______Dorm Tel. Number:______
Mobile / Pager Tel. Number: ______“Permanent” Tel. Number:______
Fax Number: ______(including country & city code)
Email accessible through July 11, 2008: ______
Second E-mail Address: ______
Section 2: Alternate Contact Information and Parents’ Contact Information
Note: If there is a chance you will not be at the address listed in Section 1 through July 11, 2008, please provide alternate contact information where we can contact you for visa delivery, etc.
Alternate Contact Information:
Your AlternatePostal Address: ______
City/Province: ______
Country: ______
Postal Code: ______
Date until above address will be valid: ______(yyyy / Month / dd)
Contact Tel. Number: ______Residence Tel. Number:______
Mobile / Pager Tel. Number: ______“Permanent” Tel. Number:______
Fax Number: ______(including country & city code)
Email accessible through July 11, 2008: ______
Parents’ Contact Information:
Your Parents’Postal Address: ______
City/Province: ______
Country: ______
Postal Code: ______
Date until above address will be valid: ______(yyyy / Month / dd)
Contact Tel. Number: ______Residence Tel. Number:______
Mobile / Pager Tel. Number: ______“Permanent” Tel. Number:______
Fax Number: ______(including country & city code)
Email accessible through July 11, 2008: ______
Section 3: Personal and Passport Information
Note: This information is very important, as it will be used in referencing your application.Passport and entry permit information will be used to assist your entry into Hong Kong.
Date of Birth: ______(yyyy / Month / dd)
Place of Birth: ______
U.S. Citizen: Yes / No
If yes, U.S. Social Security Number: ______
Country of Citizenship: ______
Entry Permit: ______
Expiration Date of Permit:______
Country of Passport: ______
Passport Number: ______
Expiration Date of Passport: ______
Full Name spelled exactly as on entry permit / passport: ______
If you applied to this program before, please list the year(s) of application: ______
Current Collegiate Information:
University Name: ______
Department: ______
Faculty (if applicable): ______
Major: ______
Minor (if any): ______
Degree(s) you are studying for: BA/BSocSc/BSc/BEcon/BFin/BMgt/LLB/MA/MSc/PhD____
Expected Graduation Year: ______
Past Collegiate Information:
University Name: ______
Department: ______
Faculty (if applicable): ______
Major: ______
Minor (if any): ______
Degree(s) you are studying for: BA/BSocSc/BSc/BEcon/BFin/BMgt/LLB/MA/MSc/PhD____
Actual Graduation Year(s):______
Evidence of Oral English Proficiency (if applicable):
TOEFL Score (300): ______Date taken: ______
Essay Rating (6): ______
IELTS Score (9.0): ______Date taken: ______
Other International Test Score(s)______Date taken: ______
Sources from which you first learned about this AIPE program:
i. Web Site (HKU/TFAS)______ii. BBS at youruniversity ______
iii. Organization at your University (please name) ______
iv. Government or Embassy ______v. Soros Foundation ______vi. CareerCenter ______
vii. Alumnus of the Program (please give name[s]) ______
viii. Other (please specify) ______
Additional Comments: ______
Note: Please submit the completedApplication Form together with the necessary supporting documents including two color passport-type photographs.
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