Graduate Mentor Scheme (GMS) 2010 Application Form Jointly Presented by H.K.U. Engineering Alumni Association (HKUEAA) & Engineering Society, HKUSU Application deadline: 12th Feb 2010 SECTION I – PERSONAL PARTICULARS Name in English (Surname First): Name in Chinese: University Number: Current Year / Graduation Year: Curriculum / Discipline: Gender: E-mail Address: Contact Number (Mobile): Hall (if appropriate): Religion: Interests: Current Residential Address: Home Address(leave it blank if same as above): I prefer my mentor to be in (1)engineering field (2)non-engineering field (3)either field . Will you be joining overseas internship or exchange programme in the next academic year (for current students)? (1)Yes (2)No . Will you be working overseas for more than half year from Mar-10 to Feb-11 (for graduates)? (1)Yes (2)No . I am a full-time undergraduate / Are you an exchange student? (1)Yes full-time postgraduate / (2)No graduate in the Faculty of Engineering. . If so, how long will you be staying in HK? I want to be an student member of H.K.U. Engineering Alumni Association (1)Yes SECTION II – EXTRA-CURRICULAR ACTIVITIES SECTION III A – EXPECTIONS TOWARDS GMS Please write a short paragraph of around 50 words SECTION III B – HOW TO GET ALONG WITH YOUR MENTOR Please write a short paragraph of around 50 words (2)No . SECTION IV – GMS APPLICATION INSTRUCTIONS Please return the completed form to enginsoc@hkusua.hku.hk or hkueaa.gms@gmail.com . Shortlisted applicants would be invited to attend the interview on 27th February 2010. Applications can be considered as unsuccessful if no notice is received 2 weeks after the deadline of application period. An administration fee of $20 will be charged to each applicant and will be collected in the interview session. Student applicants can register for student membership for free upon submission of the fee. Graduate applicants can receive a discount of $20 for registration of graduate membership upon submission of the fee. Unable to attend the scheduled interview will be considered disqualified. Please make sure you can present in the interview before application. The results of final mentees selection will be released within two weeks after the interview session. All successful mentees should join our Inauguration on 27th March 2010. SECTION V – REMARKS For further enquiries, please contact Henry Wong or at wykblade@hotmail.com or Patrick Chu at hkueaa.gms@gmail.com . Information regarding GMS can also be found at our official websites at http://www.hku.hk/hkueaa (H.K.U. Engineering Alumni Association). Selection of mentees would be done based on (1) matching basis according to mentor preferences (2) data provided in this form and (3) performance during the interview. Application is opened to all full-time students and graduates of engineering graduated less than 3 years. Selections of students and graduates are considered separately and no competition will exist between the two groups. Under the Personal Data (Privacy) Ordinance, all the above personal information provided by you should merely be used for the GMS mentees selection process and the admission process of relevant GMS activities. Your personal data would be kept confidential. Date: Signature: