List of Non-Academic Achievement for APSS Scholarship Application
Name of Applicant:
Student ID:
Applicants are advised to provide the below supporting information, together with scanned copy of certificates
or proof for APSS Scholarship Application. Please insert additional rows when necessary.
Scholarship/ Award
Please list any scholarship and award that you have received from PolyU and the community.
Date of Award
Hosted by
Name of Scholarship/ Award
Form of Scholarship/Award
(Month / Year)
(ie: HKD 5K, certificate, trophy )
Community / Extra-curricular Activities:
Please list the extra-curricular activities and community activities that demonstrate your outstanding nonacademic achievement and leadership potential involvement in PolyU and also the community. (e.g. Sports,
community, voluntary activities, extra-curricular activities, etc.)
Date (Month
/ Year)
Date (Month /
Year)
Form
to
Organization /
Agency
Position Held
Responsibilities
(e.g. Ambassador /
Member)
(please specify projects, events & service
nature)
Training Courses / Professional Qualifications:
Please list any courses, training programs you have taken outside campus or any professional qualifications you
have attained.
Date of
Complete
Name of Professional
Institution
Name of Award / Course
How is it obtained
(e.g. by examination)
(Month / Year)
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List of Non-Academic Achievement for APSS Scholarship Application
Name of Applicant:
Student ID:
Personal Statement (around 500 words in English)
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A Letter/Essay format describing your motivation and ability
Explain why you are eligible
Your most outstanding academic/non-academic achievement /leadership potential
Outline of your intended profession, your ambitions and your career plan
Referee
Please seek One Referee from someone who is familiar with you, preferable a mentor, a teacher, an employer,
or a co-worker. The referee should not be a friend or a family member. The Department will only contact the
referees with your prior consent.
Name of Referee:
Position of Referee:
Company / Organization of Referee:
Tel No.:
E-mail:
Relationship with applicant:
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