THE CHINESE UNIVERSITY OF HONG KONG - HKU Teaching …



Laidlaw Undergraduate Research and Leadership Programme 2018

Application Form

Instructions:

To apply, please return the completed form and supporting documents to Horizons Office by 5:00pm, January 22, 2018. (Attn: Ms Audrey Chung, Room 136, 1/F, Main Building). Incomplete applications will not be considered. Please type.

Checklist: Please check the box(es) below to indicate completion:

□ Completed Research Proposal (Appendix 1)

□ Two Statements of Support completed by the host supervisors (Appendix 2a and 2b) to be sent to horizons@hku.hk directly. [Note: Only one Statement of Support is required if the two research attachments are supervised by the same host supervisor]

□ Copy of latest transcript showing Cumulative GPA

□ Online application for the HKU-Common Purpose Leadership Development Programme ()

|I. Personal Particulars |

|Name in English (Family Name / Given Name): |

|Date of Birth (DD/MM/YY): |Home Department: |Programme of Study: |

|Admission Date (DD/MM/YY): |Normative End Date (DD/MM/YY): |Year of Study: |Cumulative GPA: |

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|Mailing Address: |Contact Phone No.: |Email: |UID: |

|II. Details of Research Attachments |

|Host Institution for Summer Research (HKU, Leeds |Host Department/Division/Unit: |

|or UCL): | |

|Proposed Research Period (During early July to end of August): |

|Start Date (DD/MM/YY): End Date (DD/MM/YY): Total No. of Weeks: |

|Host Institution for Winter Research (HKU, Leeds |Host Department/Division/Unit: | |

|or UCL): | | |

|Proposed Research Period (During December to January): |

|Start Date (DD/MM/YY): End Date (DD/MM/YY): Total No. of Weeks |

|Proposed Research Topic/Question: |

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|Please describe why the proposed research attachments are important to you and in what ways can they can benefit your research and personal development (max: 500 |

|words). |

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|III. Other Experiences |

|Have you had any previous research experience at another host institution? |

|(Yes (please provide details below) ( No |

|Details: |

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|Previous Exchange Experiences: |

|From: To: Host Institution: |

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|IV. Declaration by Applicant |

|I, ___________________________________ (name), declare that the statements made in this application are, to the best of my knowledge, true, complete, and correct. I |

|agree to abide by the terms and conditions of the scholarship programme as well as the regulations and procedures of my host institutions. I understand that |

|violation of any of the regulations may result in my suspension from the scholarship programme, and a requirement that I return any financial award made to me. I |

|understand that the personal data provided in this form will be used by the authorized personnel responsible for handling applications for the scholarship programme.|

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|Signature of applicant: _______________________________ Date: ________________________________ |

|V. Endorsement by Project Supervisor at HKU |

|1. Recommendation by Project Supervisor: ( Support / ( Not Support |

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|Remarks on the application, if any: |

|____________________________________________________________________________________________________________ |

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|Name: _______________________________________ Department: _________________________________________ |

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|Signature: ___________________________________________ Date: _______________________________________________ |

Key Dates

Before submitting an application, please ensure that you will be available to attend all leadership training components (March, June and October) and the entire summer and winter research periods.

|Month |Process |

|January/February 2018 |Interviews |

|February 2018 |Notification of application results |

|March 15 & 16, 2018 |Official launch of leadership development workshop |

|April – May 2018 |10-hour online module on leadership development |

|June 2018 |4-week overseas leadership development programme |

|July – August 2018 |Summer research project in host institution for 5-7 weeks* |

|September 2018 |Formulating and developing research report |

|October 2018 |One-day leadership development event for reflection and experience sharing |

|December 2018 – January 2019 |Finalizing research project in host institution for 2-4 weeks* |

|February 2019 |Submission of report |

* Students will be required to spend a total of 8-10 weeks in the host institution(s) for two research periods locally or in an overseas institution.

Appendix 1

Laidlaw Undergraduate Research and Leadership Programme 2018

Research Proposal

Guidelines on how to prepare a research proposal:

o Identify a project of your choice and discuss the topic with your academic supervisor at HKU.

o Approach faculty member(s) in the host institution(s) and invite him/her/them to complete the Statement of Support. The faculty member(s) will be expected to act as your Project Supervisor(s) during the period of research attachment.

o Prepare a research proposal including the following details:

1. Title of research project:

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2. Research question:

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3. Summary of the work to be undertaken by the applicant (e.g., background information, location, history, context, limitation, methodology, and timeline)

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4. Details of supervision arrangements:

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Name of applicant: ____________________________________________________________

Signature of applicant: _________________________ Date: ___________________________

Appendix 2a

Laidlaw Undergraduate Research and Leadership Programme 2018

Statement of Support

Notes:

This a supporting statement for the University of Hong Kong’s Laidlaw Undergraduate Research and Leadership Programme administered by the Horizons Office ().

Please consider the following points:

1. The potential benefits of the research project to the student.

2. The support and supervision to be rendered to the student.

3. The ways in which the student’s skills will be developed.

4. The suitability of the research project to the student’s level.

Please submit the completed Statement of Support to horizons@hku.hk by 5:00pm (Hong Kong time), January 22, 2018.

Name of student: ___________________________ Programme of study: ___________________________

Statement of support:

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Name: ______________________________________________ Signature: ____________________________________________

Department: __________________________________________ Institution: ____________________________________________

Email: ____________________________________________ Date: ___________________________________________________

Appendix 2b

Laidlaw Undergraduate Research and Leadership Programme 2018

Statement of Support

Notes:

This a supporting statement for the University of Hong Kong’s Laidlaw Undergraduate Research and Leadership Programme administered by the Horizons Office ().

Please consider the following points:

1. The potential benefits of the research project to the student.

2. The support and supervision to be rendered to the student.

3. The ways in which the student’s skills will be developed.

4. The suitability of the research project to the student’s level.

Please submit the completed Statement of Support to horizons@hku.hk by 5:00pm (Hong Kong time), January 22, 2018.

Name of student: ___________________________ Programme of study: ___________________________

Statement of support:

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Name: ______________________________________________ Signature: ____________________________________________

Department: __________________________________________ Institution: ____________________________________________

Email: ____________________________________________ Date: ___________________________________________________

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