Recommendations from Head of Programme Host Department



The Hong Kong University of Science and TechnologyHong Kong Aviation Scholarship Scheme for Bachelor of Engineering in Aerospace Engineering program (2019/20) Application Form PART A (To be completed by applicant)Section A Student ParticularsName:(in English, surname first)Chinese Name:Student No.:Year of Study:Program of Study:Nationality:Date of Birth:Email:Phone No.: (mobile)/ (home)Section B Academic Attainment and Record of Participation in Activities and/or ServicesI. Public examination results obtained (in chronological order) (Please submit copies of result slips or certificates)Public ExaminationIssuing AuthorityDate Issued(Month/Year)All Subjects Passed and Grade/ Level Attainede.g. Hong Kong Diploma of Secondary Education Examination Hong Kong Examinations and Assessment AuthorityJuly 2018English Language (5*), Chinese Language (5), Mathematics (4), Liberal Studies (5), Biology (4), Chemistry (4)II. Results of IELTS and TOEFL (Please submit a copy of the Test Report Form/ Score Report)Examination / TestDate Issued(Day/Month/Year)Result(s) AttainedIII. Record of Participation in Activities/ Services in Senior Secondary School and/or High Education Institution (Please provide the supporting documents for the listed activities/services)School YearName of ActivitiesAward/ Achievement/ PostName of OrganizationSection C EducationI. Study programs attended (Please submit a copy (copies) of graduation certificate(s).)School(s), College(s), Higher Education Institution(s), etc. AttendedClass AttendedQualification ObtainedDate (Month/Year)FromToSection D Supporting InformationIn the space below, give a brief account of your aspirations for a career and share your knowledge in the aviation-related industries.(Use a separate sheet and attach it to the Application Form if needed.)Section E DeclarationI declare that all the information provided in this form is accurate and true. I have carefully read and fully understood the terms and conditions set out in the application documents including the terms and conditions contained in the Scholarship Policy & Eligibility and the Deed of Undertaking. I accept and agree to abide by the terms and conditions set out in the applicant documents related to the application for the scholarship under the Hong Kong Aviation Scholarship Scheme._____________________________________________________________Signature Date PART B (To be completed by the Programme Host Department)Decision of the Programme Host Department: Recommended / Not Recommended* (*Delete as appropriate)II)Recommendations from Head of Programme Host Department (for RECOMMENDED application only)I would like to nominate Student (name of student)as a candidate for the Scholarship, and I am satisfied that this nominee has met the eligibility of the Scholarship, and has already fulfilled all the selection criteria. Below are my comments on the nominee’s personal qualities, academic performance, leadership potential, etc.: DateSignatureProf. Huihe QIU NameHead of Programme Host DepartmentOptionalHong Kong Aviation Scholarship Scheme (2019/20)Recommendation Form 1. The Recommendation Form should be completed by the Principal or a teacher of the secondary school you attended or a member of the academic staff of the higher education institution you attended. He or she should send the completed form to the Department of Mechanical and Aerospace Engineering on or before 15 November 2019. 2.The completed form should be sent to the Department of Mechanical and Aerospace Engineering by email to maeug@ust.hk or by post: Room 2568, Main Academic Building, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong [Application for the Hong Kong Aviation Scholarship Scheme (2019/20)]Section A To be Completed by the ApplicantName of Applicant(English)(Chinese)Hong Kong Identity Card Number orTravel Document/Passport NumberContact Telephone NumberEmail AddressSection B To be Completed by the Referee05715Please state how long you have known the applicant and in what capacity you are writing this recommendation00Please state how long you have known the applicant and in what capacity you are writing this recommendation00Non-academic achievements of the applicant00Non-academic achievements of the applicantSection B (Cont’d)-654053175Overall comments on the applicant’s suitability for the scholarship00Overall comments on the applicant’s suitability for the scholarship(Use a separate sheet and attach it to the Recommendation Form if needed.)5006340653796000262763019812000262763043370500262763066865500Signature: Name: Post:262763020066000Telephone Number:262763042672000262763066167000Name of School/Higher261810576390500Education Institution: Chop of School or Department/ Faculty of Higher Education InstitutionDate: ................
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