CASH Music Scholarship Application Form

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1Personal Information

2Submission

3Related Document

4Declaration

5Confirmation

Personal Details

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Title

English Name

Chinese Name

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Place of Birth

Date of Birth

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Nationality

Years of Residence in Hong Kong

Hong Kong Identity Card No.

Correspondence Address

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Contact No.

Family

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Marital Status

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Role

Name

Contact No.

Education

1. Please give details of your Secondary School/College/University in chronological order, stating specific qualifications gained.

Education #1

Secondary School/College/University

From

Education #1

Classes Attained

Qualification/ Degree

Education #2

Education #3

Education #4

Education #5

2. Academic distinctions or scholarships/prizes received in Secondary School/College/University which can be verified by Secondary School/College/University and/or reference letters.

3. Other distinctions gained or offices held during your time at Secondary School/College/University.

4. Publications and titles of thesis submitted for any degree (state degree, whether successful, and give dates) which can be verified by academic staff/employers/referees or supported by statutory declaration.

5. If you are intending to sit for an examination (public or university) or to complete a qualification before taking up the scholarship, give particulars and date when the results will be known.

6. Please give details of your extra-curricular, recreational and community service activities, past and present, in chronological order.

Activity #1

Date

Particulars of Activities

Position Held

Activity #2

Activity #3

Activity #4

Music Qualification

1. Please give details of music examinations taken and qualifications obtained in chronological order.

Qualification #1

Date

Institute of Issue

Qualification #1

Qualification Obtained

Subject

Exam Result

Qualification #2

Qualification #3

Qualification #4

Qualification #5

2. What kind of musical instruments can you play?

3. Please give details of music groups/organisations you have joined.

Group #1

Name of Organisation

Capacity

From

Remarks

Group #2

Group #3

Group #4

4. Please give details of public performances/competitions you have taken part and any awards/prizes obtained in chronological order.

Performance #1

Name of Performance/Competition

Awards/Prize

Date

Performance #2

Performance #3

Performance #4

Employment

Please give details of present and previous employment in chronological order. (Do not include temporary appointments unless particularly relevant.)

Employment #1

From

Employment #1

Name of Employer

Position Held

Monthly Salary

Employment #2

Employment #3

Employment #4

Language Proficiency

1. List the language(s) you speak (in order of competence).

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Order 1

Order 2

Order 3

2. List the language(s) you read and write (in order of competence).

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Order 1

Order 2

Order 3

Proposed Overseas Programme of Study

1. Name(s) and address(es) of the institution(s) you wish to study at and the programme you intend to take. (You may list more than 1 choice.)

Institution #1

Name of institution

Programme

Address

Institution #2

Institution #3

2. Length of time normally required to complete the proposed programme of study.

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From

3. Costs of study for the proposed programme.

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Tuition Fees

Room And Board

Any Other Fees

4. Please list the name(s) of the institution(s) you have applied for admission. Please also indicate the result(s) of your application(s) or date(s) when the result(s) will be known. If you have not applied for admission yet, please indicate by what time you expect to have submitted your application(s) and when the result(s) will be known.

Applied Institution

Applied #1

Name of institution

Result/ Date of Knowing the Result

Applied #2

Applied #3

Not Applied Institution

Not-applied #1

Name of institution

Expected Date of Submission

Expected Date of Knowing the Result

Not-applied #2

Not-applied #3

5. If your programme of study lasts longer than 1 year, how will you finance the extra time?

6. Please give reasons why you choose to study at the Institution(s) listed earlier and what are your expectations of the proposed study.

7. Have you applied concurrently for any other local or overseas scholarship(s) or forms of financial assistance (including teaching assistantship) in relation to your studies? If so, please give full details including value of scholarship(s)/financial aid(s) and progress/result(s).

8. Please give your reasons for applying for the CASH Music Scholarship.

9. What do you wish/plan to do on your return to Hong Kong after completion of your study programme?

10. Any additional information in support of your application.

Referees

Please provide confidential statements from 2 persons in support of your application. One of them at least should be a person under whom you have studied. If you are currently working, the second should preferably be a person with whom you have worked professionally. In the selection process, the Scholarship Committee wishes to take account of assessments provided by referees, and is particularly interested in any comments concerning the applicant’s academic ability, personality, qualifications for the proposed study, future prospects and suitability as a representative of Hong Kong abroad.

Referee #1

Name

Position

Contact No.

Address

Referee #2

Name

Position

Contact No.

Address