Lingnan Foundation
W.T. Chan Fellowships Program
2016 Application Form & Essay Questions
(Education, Work, Community Involvement, and other related History)
Please read the application instructions before completing the application form.
PERSONAL INFORMATION
Name (English/Pinyin):
Last/Family Name
First Name
姓名 (中文):
EDUCATION
List only secondary and higher education institutions, beginning with your current university first.
Dates
Attended
University &
Department/School
Name
Location
(City, Country)
Subject/Field
of Study
Degree/Certificate
Obtained/Expected
Year Obtained/
Expected
WORK EXPERIENCE
List any previous work experience, beginning with the most recent.
Dates
Company/Organization Name
Job Title and Description
EXTRACURRICULAR, VOLUNTEER AND/OR SERVICE EXPERIENCE
List any non-academic, volunteer and/or service-related experience (during secondary school or later),
beginning with the most recent first.
Year/Month (List
by most recent
date)
Organization Name
Total number of
hours volunteered
for the organization
Description
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Lingnan Foundation W.T. Chan Fellowships Program 2016 Application Form
HONORS AND AWARDS
List any honors/awards received at secondary school and university level, beginning with the most recent.
Award Name/Description
Awarding Organization Name
Date Received
TRAVEL EXPERIENCE
How many times have you visited the U.S. before?
If you have visited other countries, including the US, for holiday or academic exchange, please give details
below:
Date(s) of Visit
Country Visited
Reason for Visit
Length of Visit
APPLICANT STATEMENT
The statement below must be signed and dated by the applicant, and submitted with the printed copy
of for his/her application to be considered for the W.T. Chan Fellowships Program.
By signing below, I hereby certify that the statements and information contained herein are true, complete and
accurate to the best of my knowledge. I hereby certify that the essays are entirely my own work. I am aware
that the decision of the Fellowship administrator is final and that any false, fictitious or fraudulent statements
or claims may result in revocation of any award that may have been granted to me.
Applicant’s Signature:
Date:
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Lingnan Foundation W.T. Chan Fellowships Program 2016 Application Form
ESSAY Questions
Please give responses of 500 words or less to each of the following four (4) questions.
1. Participants selected to take part in the W.T. Chan Fellowships program will gain international
understanding and practical work experience through community service in the U.S.A. Please
explain why you are interested in applying for this opportunity? What do you expect to get out of this
experience?
2. Analyze and describe a current and ongoing social issue that is impacting your local community or
country today. Why does this issue interest you? Have you taking any direct or indirect actions to
address this issue?
3. Name one person that you admire and describe how he or she has influenced you?
4. Lingnan Foundation values diversity by welcoming individuals who represent different groups as defined
by ethnicity, gender, sexual orientation, socioeconomic background, age, disability, and religion. Do you
come from a diverse background? How has your background helped to shape who you are?
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