CITY UNIVERSITY OF HONG KONG Alumni Civility Hall (Hall 3) JUMP Scholarships Regulations Alumni Civility Hall of Cornwall Street Student Residence is committed to the pursuit of wholeperson development. To encourage residents to balance their personal development in academic, intellectual, social and physical aspects, a scholarship scheme has been established with the regulations as follows for the academic year 2011/2012: 1. The Scholarships will be known as the "Alumni Civility Hall JUMP Scholarships”. 2. The total number of scholarships awarded will be FIVE for each awarding year. The maximum amount of each scholarship shall not exceed the amount of hall fees payable for one semester of double-room occupancy during the awarded year. 3. Payment shall be made to the scholarship recipients by offsetting the recipients’ hall fees payable for either Semester A or Semester B, whichever is appropriate, of the awarded year. If the scholarship recipient is not required to pay for the hall fee in the following academic year, the hall- fee grant will automatically be forfeited. 4. The Scholarships will be awarded to the Alumni Civility Hall residents who have achieved significant academic improvements or excellent academic performance and demonstrated an outstanding contribution to Alumni Civility Hall. 5. The Scholarships shall be offered to residents with: a. b. c. 6. Significant academic improvement measured by their changes in GPA or excellent academic performance with an overall GPA of no less than 3.3, and Contributions to the hostel life in Alumni Civility Hall; and Other personal achievements or qualities. All interested applicants should complete an application form and send it to the Residence Master of Alumni Civility Hall by March each year. An applicant must meet the following requirements: (1) be a non-final year student at the time of application; and (2) be a resident of Alumni Civility Hall at the time of application; and (3) have resided at Alumni Civility Hall for no less than 2 semesters (summer term is not considered); and (4) will continue to reside in one of the semesters in Alumni Civility Hall in the following academic year. 7. Shortlisted candidates may be requested to have an interview with a selection panel on a date to be announced later. The selection panel will comprise the Residence Master of Alumni Civility Hall, Director of SRO or her designate, a member of the Convocation and a faculty member or teaching staff or other administrative equivalent staff of the university. The results will be announced by May each year. 8. All successful awardees are expected to play an active role in organizing academic-related activities in the following academic year. 1 9. Should the scholarship recipient fail to meet the requirements as stated in the Regulations of Hall Scholarships or violate Code of Student Conduct / Regulations at Student Residence, the scholarship selection panel reserves the right to withdraw the hall scholarship for the recipient. Remarks: 1. The scholarship scheme is not applicable to those residents whose hall fees have already been covered by any other scholarship / award scheme. 2. With an objective to nurture our students and to promote caring culture, the Community Relations Committee of the University Council has recommended that each award recipient is expected to make an annual donation of at least HK$200 to City University of Hong Kong for student support via CityU Alumni Giving Club when they are in employment after graduation. This term has been incorporated into all scholarship/prize/award/bursary schemes, whether they are donated by external donors or contributed by University funding, with effect from February 2008. Jan 2012 2 CITY UNIVERSITY OF HONG KONG Alumni Civility Hall (Hall 3) JUMP Scholarships 2011/2012 Part I Personal Particulars Name (in English) : * Mr. / Miss (in Chinese): *Department / Division : Programme Title / Year : Student I. D. no. : Starting Date of Residence at ACH: Room Number at ACH: Email Address: Telephone Number at Hall : Mobile Phone Number : * Delete as appropriate Part II Academic Performance Applicant’s GPA : _________________ (Semester A, 2011/2012) _________________ (Overall GPA in 2010/2011) (Please attach a copy of academic report.) Part III Extra-curricular Activities / Community Services (1) Extra-curricular Activities# (e.g. Students’ Union, departmental societies, interest clubs, class associations, sports activities and any activities unrelated to the course of study.) Year / Duration Event / Activity / Organization Position Held / Achievements 3 (2) Volunteer / Community Services# (e.g. Red Cross, St. John Ambulance Association & Brigade, fund-raising projects for the underprivileged.) Year / Duration Event / Activity / Organization Position Held / Achievements # A separate sheet can be used if the space provided is insufficient. Part IV Additional Information In support of the application, please provide one page summary on : i. ii. your contribution to the Hall / and Floor; and your personal achievement, include academic and non-academic areas, or qualities for the selection panel’s consideration Part V Declaration by Applicant 1. 2. 3. 4. I declare that the details given above are true, complete and correct and I understand that any misrepresentation of facts would lead to disqualification of the captioned scholarship. I agree that should there be any subsequent changes of my personal data, or change of my status as a CityU student (e.g. withdrawal, termination of studies), I should inform the Residence Master of Alumni Civility Hall immediately. I agree to the data usage as mentioned below. I understand that the University reserves the right to withdrawn the scholarship, partially or in full, should they fail to fulfil the obligation (s) as required compile the code of student conduct/regulations at Student Residence. Signature : _____________________________ Date : ___________________________ Data Usage The information that students provide in the nomination form(s) will be used for the following purpose: - as a basis for selection of applicants by the University or donors for scholarships / prizes available. - for transferring to the Award System in SDS and the University if and when the nomination is successful. 4