Chang Group Scholarship 2022/2023Application Form

Chang Group Scholarship 2022/2023

Notes:

a) Please complete the application in English.

b) The information provided will be used for the purposes related to the Chang Group Scholarship Programme. It may be accessible to the secretariat, selection committee members or persons who will process scholarship matters.

c) The Application Form together with supporting documents must be submitted online on or before 18:00 on 14 January 2022 (Hong Kong Time)
Section 1: Background and Basic Information
1.1 Personal particulars (as stated on Hong Kong Identity Card)
English First Name *
English Surname *
Chinese Full Name (if any)
Eg. 陳XX
Preferred name
Gender *

Male Female Others
Date of birth *

Month Day Year
Date
Place of birth *
Are you a holder of Hong Kong Identity Card *

Yes No (If not please provide passport number)
Last 5 digits of HKID Card Number *
Last 5 digits of Passport Number
Home address *
Personal email address *
example@example.com
Alternate email address
example@example.com
Contact no. (mobile) *
Contact no. (home)
Social media handle (optional):
1.2 Proposed course of study
Please indicate your intended field of study *

STEM Healthcare Arts Music
Please provide:
1. the names of the universities;
2. the programmes that you have applied to
University 1 *
University 2
University 3
1.3 Education Background
Name of Current University or College *
Current Undergraduate Degree Programme(s) in full name *
Expected Date of Graduation *

Month Day Year
Date
Cumulative GPA (as at July 2021) *

Please provide details of other tertiary and secondary education, starting with the most recent one. Include details of any overseas exchange programme you attended: *

	Academic Year (MM/YY - MM/YY)	Name of School/Institute Attended	Degree/Qualification (include GPA)	Date of Award(MM/YY)
1
2
3

1.4 Major scholarship/awards received, if applicable

Please list in chronological order

	Date of Award (MM/YY)	Name of Award	Nature of Award	Results
1
2
3

1.5 Relevant services/extra-curricula engagements outside of school (up to three)

Please list in chronological order, starting with most recent

	Period (MM/YY-MM/YY)	Name of Organisation	Description of engagement including role < 50 words
1
2
3

1.6 Work experience (up to three), if applicable

Please list in chronological order, starting with most recent

	Period (MM/YY-MM/YY)	Name of Organisation	Description of engagement including role < 50 words
1
2
3

1.7 Referees

Please provide the names and contact details of three referees. And upload the reference letters in Section 3 *

	Name of Referee	Organisation	Email Address
1
2
3

Your referee should be someone who knows you well, such as:
1. A teacher or counsellor or extra-circular activities program manager who knows you well
2. A professor from your undergraduate degree programme
3. A supervisor from your previous work experience
Section 2: Your Aspirations

Your aspirations is one of the main reason that directly affect your change of getting the scholarship, please try and precisely describe what makes you want to further your study, why you choose the subject you choose and what you hope to achieve after graduating from the degree, and all the reasons why you deserve a scholarship.
2.1 Why you are studying what you are studying, and why you are interested in furthering your study at the institutions that you are applying to. *

0/1000
2.2 Why are you the right person to receive the scholarship? *

0/200
2.3 Share with us one of the most impactful experience that has changed your life *

0/200
2.4 Who is your role model? Why is that person your role model? *

0/150

2.5 What books did you read in the past 6 months that is not part of your course work? (at least one) *

	Name of books	Author	What did you like about the book?
1
2
3
4
5

2.6 Which three Instagram accounts would you recommend Selection Committee members to follow? *
2.7 Tell us about your funding requirement (max HK$300,000 per year). How much do you wish the scholarship grant to offer and how will you spend the funds? *
Amount of grant sought annually (HKD):

How would you apply the funds on an annual basis? In a separate excel sheet, please list out your anticipated expenses by category, and the budget that you will set aside for each category. The first two lines are examples:

Total amount requested	300,000 per year
Tuition	240,000
Return Flight*1	24,000

Anticipated expenses *
2.8 If the scholarship does not cover all your expenses, please provide how you intend to cover the outstanding balance. *

0/100
2.9 What are your hobbies outside of your academic studies? (Please record a video response of no longer than 2 minutes) *

Cancel of
Section 3: Supporting Documents
Please upload the following supporting documents: *

Cancel of
Notes:

3.1 Latest official transcript from your current university

3.2 Diplomas/certificate of completion from education institutions listed in Section 1.3

3.3 Proofs of all major scholarships and awards mentioned in Section 1.4

(e.g. copies of certificates/letters)

3.4 Other supporting materials related to Section 1.5 and 1.6 (if any)

3.5 Reference Letters related to Section 1.7
Section 4: Declaration
Date *

Month Day Year
Applicant’s signature (typed full name): *

Clear
Should be Empty:

Chang Group Scholarship 2022/2023

Section 1: Background and Basic Information

Section 2: Your Aspirations

Section 3: Supporting Documents

Section 4: Declaration