application_form2007 - The Friends of Cambridge University in

advertisement
UNIVERSITY OF CAMBRIDGE
No. ...............
THE PRINCE PHILIP SCHOLARSHIP
APPLICATION FORM
This form is to be completed by candidates applying for the Prince Philip
Scholarship for entry as undergraduates to the University of Cambridge.
(You must read the Application Guidelines and Notes carefully before completing
this application form. Both this form and the Application Guidelines and Notes
can be downloaded from the website of The Friends of Cambridge University in
Hong Kong: http://www.cambridge.org.hk/PrincePhilip/index.shtml. The website
also contains useful information about the Prince Philip Scholarship.)
NAME IN CHINESE CHARACTERS ........................
AFFIX RECENT
PHOTOGRAPH HERE
(WRITE YOUR NAME ON
THE BACK OF THE
PHOTOGRAPH)
(PLEASE PRINT IN BLOCK CAPITALS)
SURNAME ..........................................
FIRST NAME .......................................
OTHER NAMES ......................................
I.D. Card/Passport # .............................
PREFERENCE COLLEGE ...............................
(Write “Open” if making an open application)
PROPOSED SUBJECT OF STUDY AT UNIVERSITY OF CAMBRIDGE
....................................................................
CATEGORY OF APPLICANTS
Please tick the appropriate box:



I am a Form 6 student in secondary school in Hong Kong (ie. an
“S6 Candidate”). I am applying for admission to the University
of Cambridge in 2008.
I am a Form 7 student in secondary school (ie. an “S7 Candidate”).
I am applying for admission to the University of Cambridge in 2007.
I belong to neither of the above categories (ie. an “Other
Candidate”). I am applying for admission to the University of
Cambridge in 2007. I *have already taken / have not taken the Hong
Kong Advanced Level Examinations, the GCE Advanced Level
Examinations or the International Baccalaureate Examinations.
(*Please delete as appropriate.)
NB. The final closing date for applications is 15th October, 2006
for all three categories of applicants.
-1-
Please print clearly in block capitals.
1.
Candidate's name
............................
............................
2.
Gender
8.
(Delete as appropriate.)
Male / Female
3.
Full names of parents*
guardians (and address
different from 5)
or
if
............................
Age
............................
Enter date of birth using figures:
Day
Month
.......
.......
............................
Year
............................
......
Occupation
guardians*
Age on 1st October 2006:
of
parents*
or
....... years ....... months
............................
4.
............................
Place and country of birth
............................
5.
(*Delete as appropriate.)
Home address
9.
............................
Name and full postal address
of school
............................
............................
............................
............................
............................
............................
Home telephone number
............................
............................
Fax number
Telephone number
............................
Mobile Phone number
............................
Fax number
............................
E-mail address
............................
............................
6.
Name of Principal
............................
Residence
Place
residence
Present school
of
permanent
10.
Which address should be used
for term-time correspondence
with the candidate?
.........................
Number
of
years
in Hong Kong
Correspondence address
resident
HOME/SCHOOL*
(*Delete as appropriate.)
7.
............................
Nationality
-2-
11.
Schools attended since age 11
(please list in chronological order)
Name of schools and grade attended
12.
Date
left
.......................................
.............
..........
.......................................
.............
..........
.......................................
.............
..........
.......................................
.............
..........
.......................................
.............
..........
H.K. A-Levels or G.C.E. A-Levels taken or to be taken.
(If taking
International Baccalaureate Examinations, please give details of
subjects to be taken at both Higher and Subsidiary levels.)
Subjects
13.
Date
entered
Board
Year
Grade
....................................
.........
........
........
....................................
.........
........
........
....................................
.........
........
........
....................................
.........
........
........
....................................
.........
........
........
....................................
.........
........
........
....................................
.........
........
........
....................................
.........
........
........
....................................
.........
........
........
H.K.C.E.E. or G.C.S.E. taken.
Subject
Date
Grade
Subject
Date
Grade
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
................. ...... ......
-3-
14.
Public examinations (other than those in 12 & 13 above) taken or to be
taken (e.g. Associated Board Music Examinations). If already taken, give
date and result of only the highest grade taken.
.....................................................................
.....................................................................
.....................................................................
.....................................................................
15.
Have you previously applied for the Prince Philip Scholarship? (If yes,
please state which year and whether you were shortlisted for an
interview.)
.....................................................................
16.
Please list any University(ies) to which you have applied or will apply
for entry in 2007 and state which, if any, have accepted you.
.....................................................................
.....................................................................
.....................................................................
17.
Should you be selected for interview, please state whether you will be
in Hong Kong from 30th November to 8th December 2006 for the interviews,
and also on 29th November 2006 for taking the requisite written test(s)
(if any is required for your proposed subject). (Please note that all
applicants will be interviewed in Hong Kong except those who are currently
studying in the U.K./Europe who may be required to attend interviews
in Cambridge (see para 18 below)).
Yes / No (state reasons) .............................................
.....................................................................
.....................................................................
18.
Applicants who are studying in England or elsewhere in Europe may be
asked to attend interviews at Cambridge on Saturday,25th November 2006.
Please state if you will be able to attend such interviews, and give
your address, email and telephone number in the U.K.
.....................................................................
.....................................................................
.....................................................................
19.
Please list all other awards, scholarships, etc. for which you have
applied or are intending to apply for your University studies, stating
whether these applications have been successful (if known).
.....................................................................
.....................................................................
.....................................................................
.....................................................................
-4-
20.
Subjects studied in Form 6 but not taken as subjects for a public
examination.
.....................................................................
.....................................................................
.....................................................................
21.
Positions of responsibility held at school
.....................................................................
.....................................................................
.....................................................................
.....................................................................
.....................................................................
22.
Achievements and interests, such as: HKYAP Awards, Contests (e.g.
mathematical or debating etc), hobbies, sports and games.
.....................................................................
.....................................................................
.....................................................................
.....................................................................
23.
If you have travelled abroad, please give particulars (e.g. places, dates,
purposes, etc.)
.....................................................................
.....................................................................
.....................................................................
.....................................................................
24.
Possible future career (if known)
.....................................................................
PERSONAL STATEMENT
Use some or all of the space on this page (but no more) to write a short account
of why you wish to study your chosen degree subject, what you hope to achieve
by doing so, and why you wish to come to Cambridge to do it. If your chosen
university course is different from your ‘A level’ subjects, include a short
statement about the ways in which you think your ‘A level’ studies may be
significant for your intended degree course. This must be written in your own
hand, clearly enough to be photo-copied; it must not be typed.
Signature of candidate ...................................
Date ...........
This page is to be completed by the candidate’s School Principal.
[N.B. Please refer to the “Guidelines For Writing Reports For Candidates” printed
on the reverse of this page.]
CERTIFICATION BY SCHOOL PRINCIPAL
To:
The Prince Philip Scholarship Selection Board
I certify that the information given in this form is, to the best of my
knowledge, correct.
I enclose a confidential report by me/a teacher who has known the candidate
well for the past year, that includes comments on the following points:
(i)
The candidate’s academic achievements, both as reflected in his/her
school record to date and an assessment of the grades likely to be
achieved by the candidate in his/her A-level examinations, or other
equivalent examinations.
(ii)
The intellectual potential of the candidate for higher studies and,
I particular, in his/her proposed subject of study specified in this
form.
(iii) The candidate’s interests and personal achievements.
(iv)
The qualities of the candidate’s personality and character which will
enable him/her to settle into and enjoy life in a community subject
to intense academic and social pressures.
(v)
A comparison of the candidate’s ability and character with that of
other students in my School who have been awarded or offered a Prince
Philip Scholarship.
Signature ................................... Date .........................
.............................................
NAME OF SCHOOL PRINCIPAL (IN BLOCK LETTERS)
.............................................
NAME OF SCHOOL (IN BLOCK LETTERS)
UNIVERSITY OF CAMBRIDGE
The Prince Philip Scholarship
GUIDELINES FOR WRITING REPORTS FOR CANDIDATES
The Selection Board would be grateful for as full a report on the candidate
as possible. In writing the report, Principals may find the following a helpful
guide to the aspects of the candidates’ performances and potential that the
Board would expect to be covered.
(i)
Academic achievements
·
·
(ii)
Achievement in H.K.C.E.E. or G.C.S.E.
If this does not reflect the candidate’s potential ability, then
please explain.
Assessment of A and AS Level grades expected (H.K.E.A., UK A Levels,
International Baccalaureate Examinations, etc).
If this does not reflect the candidate’s potential ability, please
explain.
Intellectual potential
Please indicate your estimate of the candidate’s potential for
higher studies in his/her proposed subject of study, with particular
reference to the following:
·
·
·
·
·
Ability to think independently and to work on his/her own.
Power of analysis.
Fluency and accuracy in English. Power of expression (written and
oral).
Ability to present a coherent argument.
Imagination, creativity, inventiveness.
(iii) Interests and personal achievements
·
·
·
·
·
(iv)
·
·
·
·
·
·
·
·
(v)
Interest in and suitability for the chosen course.
Interest in and motivation for academic studies.
Extra-curricular activities.
Breadth of interests including music, drama, sports, hobbies, etc.
Concern for others, both within and outside the school, including
community service, youth work, etc.
Character and personality
Independence, self-determination.
Industry, determination, perseverance.
Initiative.
Reliability, sense of responsibility, etc.
responsibility held.
Civic awareness.
Social abilities and personal relationships.
Health.
Personal circumstances.
Positions
of
Suitability for life and study in Cambridge
Qualities of character possessed by the candidate which indicate
that he/she would both gain from and contribute to life at Cambridge.
(vi)
Comparison
A comparison of the candidate’s abilities and character with other
members of your School who have been awarded or offered the Prince
Philip Scholarship in the past.
Updated 04/09/2006
Download