CONFIDENTIAL
Scholarship for Master of Science in China Business Studies (MSc CBS)
Application Form
- When making this application for the Scholarship, please at the same time submit an online application for admission to theMSc CBSprogramme at “Study@PolyU” ().
- Please scan the completed application form and upload it onto your eAdmission account at “Study@PolyU” before the application deadline of the programme.
- This application form can also be returned to the Faculty of Business (Research and Postgraduate Studies Section) (FB, RPSS)at Room R802, 8/F, Shirley Chan Building, The Hong Kong Polytechnic University, Hong Kong, or by email at .
I.
/Personal Data/Information
(The names given below should be the same as those printed on your official identity document/travel document)Name in English
/Name in Chinese (if any)
(Mr/Mrs/Miss+)
/(Surname first)
Correspondence Address*
Residential Tel. No.
/Mobile No.
HKID / Travel Document No. +
/(please fill in the first 5 characters/digits only)
+ Please circle as appropriate
*Post office box number or hostel address is not acceptable
II.
/English Proficiency Test Results#(for applicants with non-English qualifications^ only):
TOEFL / Total Score(PBT: min 550
IBT: min 80) / Score
Listening / Writing / Reading / Speaking
OR
IELTS / Overall Band
(min 6) / Band
Listening / Writing / Reading / Speaking
PBT:Paper-based testIBT: Internet-based test
# Please attach a copy of the TOEFL/IELTS result slip to this form.
^ Non-native speakers of English whose degree or equivalent qualification is NOT awarded by institutions with English
as the medium of instruction.
III.
/ Please use300-500 words to explain why you are best qualified for the Scholarship.IV.
/Any other information (e.g. professional qualifications, etc.) which may have bearing on your application.
V.
/Declaration
I, (name of nominee),
-declare this nomination has my consent and the information given by me in this form is complete and true to the best of my knowledge;
-note my disciplinary record(s) with PolyU (if any) may be taken into consideration in the processing of this nomination;
-note this nomination is no longer eligible if I withdraw my studies from PolyU after being nominated; and
-am aware I am required to attend any related function/ceremony hosted by PolyU/the donor (if any) and may be invited to join other activities/programmes organized by PolyU/the donor.
I agree to the handling of my information and personal data collected in this nomination form as follows:
-this nomination form and the related documents submitted are not returnable;
-my provision of all the personal data requested in this form is obligatory and failure to provide these data and the required documents (if any) may affect the processing and outcome of this nomination;
-the personal data and information collected in this form will be used by the Office of Student Resources and Residential Life (SRRL) and my Faculty/Academic Department (Faculty of Business (Research and Postgraduate Studies Section) (FB, RPSS)) for activities relating to 1) handling and assessment of this nomination, 2) conduction of survey(s) for service improvement and 3) publicity or publication (if I have been selected for the Scholarship/Prize/Award);
-FB, RPSS/SRRL will verify my personal data with the relevant department(s) in PolyU and disclose the personal data and information provided to those relevant parties including individual donors, 1) for the above-mentioned purposes, 2) where I have given my consent to such disclosure, and 3) where such disclosure is authorized or required by law;
-the personal data and information provided will be kept for a period of no more than four years under normal circumstances, or within one year upon my graduation/departure from PolyU; and
-I have the right to access and correct the personal data provided by me in this nomination form. If I wish to access my personal data provided in this nomination, I can submit a request via the “Data Access Request Form” which is obtainable from the Academic Secretariat Service Centre at M101, PolyU. A handling fee will be charged.
Date / Signature of Applicant1