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HKU Crimson Summer Exchange 2015
Academic Advisor Application
Please submit a complete application form and your CV to [email protected] by 31 March 2015.
For more information, please refer to our website, http://cse.cccef.org.hk
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Section 1: Personal Information
First Name
Middle Initial(s)
Last Name
Date of Birth
Gender
Nationality
Do you have a HKID?
 Yes
 No
Do you have a Home Visit Card?
 Yes
 No
Email
Skype account:
Current Address
City
State/Province
Zip/Postal Code
Country
Home Phone No.
Fax No.
Mobile Phone No.
Permanent Address (if not same as current)
City
State/Province
Zip/Postal Code
Country
Home Phone No.
Fax No.
If you are a former CSE student, please state the year you joined the programme._____________
Section 2: Education History
UG Institution/University
Programme Name
Major
Minor(s)
(Expected) Year of Graduation
Graduate Institution/University
Programme Name
Specialization
Research Areas, if applicable
(Expected) Year of Graduation
Second Major:
HKU CSE 2015
Applicant Name: ___________________________
Section 3: Other Skills
Extra-curricular Interests/Activities
Language(s) Studied
Years Practiced
Years Studied
Level/Proficiency
Section 4: Essay
Please answer the following questions in approx. 200 words each.
1) Please elaborate on a past teaching/classroom experience where you demonstrated leadership and
effective classroom instruction.
2) How will your skills and personality benefit the CSE 2015 Program?
Section 5: How did you find out about the Crimson Summer Exchange (CSE)?
□ University Office/Department, please specify:
□ Student Organization, please specify:
□ Website, please specify:
□ Former CSE Fellow/Co-fellow/Academic Advisor, please specify:
□ Other, please specify:
Section 6: Declaration
I, __________________________ (full name of applicant), confirm that the information given on this
application is genuine and accurate. I understand that this application will be disqualified if any of the
information provided on this application is misrepresented.
Signature: ________________________________
Date: ____________________________________
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