2003 Asan International Program - University of Regina



Paul J Hill School of Business – Summer 2017

Hong Kong, Lingnan University Study Trip Application

(Deadline to apply: 9:00 AM on Friday, March 3, 2017– email it to wendy.tebb@uregina.ca)

Please check the option(s) you are interested in.

( ($1700 Cdn) Hong Kong Lingnan University – May 31-July 6, 2017 (Orientation May 25)

( I would like to participate in more than one Study Abroad program for 2017.

In addition to Hong Kong, I would like to participate the following Hill Study Abroad program:

( Shanghai Univ. of Accounting & Finance ( Paris School of Business

Please type if possible:

First Name: ____________________________________

Middle Name: __________________________________

Family/Last Name: ______________________________

UofR Student ID Number: ________________________

Degree Program & Major: _______________________________________________

Gender: Male ( Female (

Date of Birth (Year/Month/Day): _____________________

Passport Expiry Date: _______________________

Citizenship/Nationality (on Passport): _____________________

Email Address: _____________________________________

(one that you use and check frequently – this is how we will communicate with you)

Phone Number: ____________________________________

Mobile Phone Number: _____________________________

Mailing Address (Street address, City, Postal Code):

______________________________________________

______________________________________________

______________________________________________

Emergency Contact Info:

Name _______________________________________ Relationship ____________________________

Mobile contact number ________________________ Email _________________________________

If you are selected to participate in one of these programs, do we have your permission to share your contact information (i.e., email address, name, phone number, mobile phone number) with the other students who are also selected to participate in the same program as yourself? This is done to allow you and the other students going to the same location to coordinate your travel plans with each other.

Please check one: ( Yes, permission granted ( No, I do not wish to share my contact info.

You must include the following items with this application or you will not be considered:

• Attach a copy of the identification page(s) of your current/valid Passport (

• Complete the Statement of Purpose (on the following page). (

Students are required to select 2 courses during this program.

Details of the courses to be taken and the transfer credit to be granted are found on this website:



Please check here to confirm that you have read this course information (

Please indicate your course selections below:

( SOC 3001 – MWF mornings

( BUS 2202 – TR mornings

A maximum of one TR afternoon course (these are all offered at the same time):

( ECO 4213 TR afternoons

( MKT 2231 TR afternoons

( CLC 9012 TR afternoons

NOTE: Depending on your country of citizenship and your specific travel plans, you may need to obtain a Visa to travel to Hong Kong for short term studies. Please consult with UR International Study Abroad Office for assistance and specific details.

Statement of Purpose

Please introduce yourself in English including your purpose for applying, what you expect to learn from this program and other relevant information that should be considered with your application. FYI: Your answer below, as well as your transcripts & program status, will all be used in the selection of participants.

|* If additional space is needed, separate sheets should be attached. |

Student Signature ____________________________________________ Date: ______________

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