李韶暑期计划2014

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1、3李韶暑期計劃2014LeeShiuSummerProgramme2014NOTETOAPPLICANTS:Thisformisdesignedtosolicitinformationondifferentaspectsofyourachievements.Pleasedonotbedauntedbyitswidecoverage,asyouarenotrequiredtobeoutstandinginallaspectsinordertobequalifiedfortheProject.Applica

2、tionform1.PleasetypeorcompleteinBLOCKLETTERS.2.ThecompletedformshouldbereturnedtoOfficeofStudentAffairs,StudentServicesCentre,1/F,BenjaminFranklinCentre,TheChineseUniversityofHongKong,before5p.m.on14March2014(Friday).3.Pleaseusesupplementarysheetsifneces

3、sary.__________________________________________________________________________________PhotographPersonalParticularsName(English)_____________________(Chinese)_________________GenderMale/FemaleDateofBirth_______________SIDNo._____________________HKIDCard

4、No.____________Address__________________________________________________________Tel.No.(Home)____________________(Mobile)___________________E-mail________________________________________________________(Weshallcommunicatewithyouone-mail.Pleaseputdownanad

5、dressthatyouusefrequently.)Department/Curriculum___________________________Year_______(Undergraduate)College____Hobbies/Interests:____________________________________________________________________________________________________________________________

6、_____________________________________________________________________________________________________________________________________________________________________________________________LanguagesandSkills(self-assessment)(pleasegiveatick(Ö)intheapprop

7、riatebox)WRITTENLANGUAGEChinese□excellent□verygood□good□fair□poorEnglish□excellent□verygood□good□fair□poorSPOKENLANGUAGEPutonghua□excellent□verygood□good□fair□poorEnglish□excellent□verygood□good□fair□poorOthers:___________________________________________

8、_______________________________3SecondaryEducation(inchronologicalorder)Date(month/year)SecondarySchool(s)HKCEE/HKALESubjectsandExaminationResults(Pleaseattachsupportingdocuments)FromToTertiaryEducationDate(month/year)Curr