Hong Kong University of Science and Technology



Summer Research Program 2019 (for 2020 Postgraduate Admission)

Application Form

Application Deadline: 18 March 2019

Personal Information

|Title |Miss / Mr * |

|Name |_________(Family Name) ___________(First Name) |

|Date of Birth |____ (DD) ____ (MM) _____ (YYYY) |

|Correspondence Address | |

|Contact No. / Mobile No. | |

|Email Address | |

Education Background

|Current Institution | |

|Program of Study | |

|Year of Study | |

|Latest overall GPA |___ out of ___ (Please enclose your transcript) |

|Your Ranking in Class |___ out of ___ |

|Anticipated Graduation Date |_____ (MM) _______ (YYYY) |

Postgraduate Program of Interest - I am interested in:

|PhD / MPhil * in |Life Science / Chemistry / Mathematics / Physics / Marine Environmental Science* |

|Statement of research interest (briefly describe your interest and previous background in research) |

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|Career and Education Plan (briefly describe your plan after graduation and what you hope to learn from the Summer Research Program) |

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*Delete whichever not applicable

Provide a one-page resume (Optional)

This is to declare that the information provided above and in all enclosed documents is accurate.

____________________________ ____________________

Signature of Applicant Date

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