Checklist for HKUST Application 1. Check available modules on the HKUST website: http://publish.ust.hk/prog_crs_ar/index.html (Course Catalog) or http://science.ust.hk/exchange/ust_bound/overview.html 2. Discuss module options with the relevant subject/course co-ordinators before filling out the application form. This is to ensure you select modules with equivalent content to the material you would be studying at NUI Galway. Students are advised to select a maximum of 4 HKUST modules (with a weighting of either 3 or 4 HKUST credits) which is equivalent to approx. 30 ECTS. 3. Following agreement on HKUST module choices with your subject coordinators, fill out Part I, Section C: Course Selection. 4. Ensure you sign Part I, Section D: Declaration 5. Part II must be completed by one of your subject co-ordinators. 6. List your 1st Year results and, where available, your grade achieved for your Semester 1 examinations. (Please note: Successful candidates would be expected to have achieved an overall average of 60% at the first sitting in their first and second year examinations) 7. Complete the Personal Statement Deadline for Submission of Application: Friday, 22nd February 2013 to [email protected] using subject line: your_name_HKUST_application Application Number (For office use) The Hong Kong University of Science and Technology School of Science Application Form for International Student Exchange Program Notes to Applicant: 1. 2. Please complete all sections. Please send the completed application form together with the following supporting documents to the program coordinator of the exchange program at home institution: (i) Official academic transcript (with English translation if necessary) (ii) Photocopy of the photo page of the national passport (iii) Photocopy of HK ID Card (if any) (iv) Letter of recommendation from program advisor or equivalent (if any) PART I (To be completed by applicant) A) Applicant’s Particulars Name: (as printed on passport) Passport Number: (Last) HK ID Number: (if any) (First) (Middle) Nationality: Date of Birth: Gender: Male Home University: Faculty/Department: Program/Major: Year of Study: Correspondence Address: Contact Number*: Email Address*: Emergency Contact Person: Relationship: Contact Number*: (please specify country/area code) Country of Residence: (in case of medical evacuation) * Please provide extra numbers or e-mail addresses where necessary. B) Preferred Host Division/Department and Exchange Period Preferred Host Division/Department: Preferred Term: Chemistry Life Science Mathematics Physics Fall Spring Academic Year: Fall & Spring Female Application Number (For office use) C) Course Selection Points to note: 1. Please refer to the Course Catalog at http://publish.ust.hk/prog_crs_ar/index.html for the course list. 2. Exchange students under School of Science (SSCI) are required to take at least one course offered by SSCI each term. 3. Course codes beginning with CHEM, LIFS, MATH and PHYS are offered by SSCI. 4. Exchange students under SSCI have priority in taking courses offered by the school, while enrollment in courses offered by other Schools will be subject to the course quota and approval of the course instructor. 5. Exchange students are expected to take mainly courses at undergraduate level. Enrollment in postgraduate-level courses (i.e. course codes starting with the digit ‘5’ or above, e.g. PHYS 5210) may still be possible subject to the approval of the course instructor, course quota, etc. 6. Exchange students are expected to enroll in at least 12 credits and not more than 18 credits per term. Requests to deviate from these regulations are subject to approval. (i) Courses offered by School of Science at HKUST Priority Course Code Course Title Credits 1 2 3 4 5 6 7 8 Total Credits: (ii) Courses offered by other Schools at HKUST Priority Course Code Course Title Credits 1 2 3 4 5 6 Total Credits: D) Declaration I hereby declare that the information provided above is to the best of my knowledge, accurate and complete. Signature of Applicant Date Application Number (For office use) PART II (To be completed by program advisor at Home University) Decisions/Recommendations of Home University Point to note: 1. Applicant who chooses to attach a letter of recommendation from program advisor (or equivalent) to the completed application form is not required to fill out this section. Recommendations: The applicant is recommended to apply for the exchange program. The applicant is not recommended to apply for the exchange program. Name of Program Advisor Sep 2011 Signature of Program Advisor Date Subjects & Grades 1. Please give subjects and grades taken in 1st year. SUBJECT GRADE 2. Please give second year subjects and grades up to Christmas. SUBJECT GRADE 3. Please state your subject preferences for 3rd year. SUBJECT PREFERENCE Personal Statement Please state in 250 words or less why you are interested in this study abroad programme.