Outward Bound Training 2019
Application Form
» Form
» Review
» Thankyou
(I) PERSONAL PARTICULARS
Full Name (English)
*
(e.g. CHAN Tai Man)
Full Name (Chinese)
(e.g. 陳大文)
Student ID
*
(e.g. 15XXXXXX)
Email
*
(e.g. youremail@domain.com)
Faculty/ School
*
Faculty of Arts
School of Business
School of Chinese Medicine
School of Communication
Faculty of Science
Faculty of Social Sciences
Academy of Visual Arts
Schoolo of Continuing Education
Graduate School
Study
*
(e.g. Business Administration)
Year
*
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
cGPA
*
(e.g. 3.99)
Date of Birth
*
(e.g. dd/mm/yyyy)
Place of Birth
*
(e.g. Hong Kong)
Mobile
*
(e.g. 66665555)
Home Contact
(e.g. 54326789)
(II) EXTRACURRICULAR INVOLVEMENT (UNIVERSITY / COMMUNITY / SECONDARY SCHOOL), IF ANY
1. Period (mm/yyyy to mm/yyyy)
(e.g. 07/2017 to 08/2017)
Organization
Position
2. Period (mm/yyyy to mm/yyyy)
(e.g. 07/2017 to 08/2017)
Organization
Position
3. Period (mm/yyyy to mm/yyyy)
(e.g. 07/2017 to 08/2017)
Organization
Position
4. Period (mm/yyyy to mm/yyyy)
(e.g. 07/2017 to 08/2017)
Organization
Position
5. Period (mm/yyyy to mm/yyyy)
(e.g. 07/2017 to 08/2017)
Organization
Position
6. Period (mm/yyyy to mm/yyyy)
(e.g. 07/2017 to 08/2017)
Organization
Position
7. Period (mm/yyyy to mm/yyyy)
(e.g. 07/2017 to 08/2017)
Organization
Position
8. Period (mm/yyyy to mm/yyyy)
(e.g. 07/2017 to 08/2017)
Organization
Position
ACHIEVEMENT, IF ANY
1. Date (mm/yyyy)
(e.g. 07/2017)
Honours/ Awards/ Prizes/ Distinctions
Awarded by (organization)
2. Date (mm/yyyy)
(e.g. 07/2017)
Honours/ Awards/ Prizes/ Distinctions
Awarded by (organization)
3. Date (mm/yyyy)
(e.g. 07/2017)
Honours/ Awards/ Prizes/ Distinctions
Awarded by (organization)
4. Date (mm/yyyy)
(e.g. 07/2017)
Honours/ Awards/ Prizes/ Distinctions
Awarded by (organization)
5. Date (mm/yyyy)
(e.g. 07/2017)
Honours/ Awards/ Prizes/ Distinctions
Awarded by (organization)
(IV) OTHERS
Why are you interested in this Program? (around 200 words)
*
500 word limit.
remaining words
What challenge(s) do you expect to encounter in this Porgram? (around 200 words)
*
500 word limit.
remaining words
(V) PLEASE INDICATE YOUR AVAILABLE INTERVIEW TIME-SLOT ON 27-28, 2019 (CHOOSE AS MANY AS POSSIBLE TO ENSURE SESSION COULD BE ARRANGED FOR YOU)
Feb 27 (Wed), 9:30-10:30 a.m.
*
Yes
No
Feb 27 (Wed), 10:30-11:30 a.m.
*
Yes
No
Feb 27 (Wed), 11:30-12:30 p.m.
*
Yes
No
Feb 27 (Wed), 2:30-3:30 p.m.
*
Yes
No
Feb 27 (Wed), 3:30-4:30 p.m.
*
Yes
No
Feb 27 (Wed), 4:30-5:30 p.m.
*
Yes
No
Feb 27 (Wed), 5:30-6:30 p.m.
*
Yes
No
Feb 28 (Thur), 9:30-10:30 a.m.
*
Yes
No
Feb 28 (Thur), 10:30-11:30 a.m.
*
Yes
No
Feb 28 (Thur), 11:30-12:30 a.m.
*
Yes
No
Feb 28 (Thur), 2:30-3:30 p.m.
*
Yes
No
Feb 28 (Thur), 3:30-4:30 p.m.
*
Yes
No
Feb 28 (Thur), 4:30-5:30 p.m.
*
Yes
No
Feb 28 (Thur), 5:30-6:30 p.m.
*
Yes
No
(VI) THIS TRAINING IS PHYSICALLY AND MENTALLY DEMANDING. DO YOU HAVE ANY CONCERNS TO YOUR HEALTH AND/OR PSYCHOLOGICAL CONDITIONS?
Yes/ No
*
Yes
No
(if your answer is "Yes", please specify as below)
Details, if any
(VII) WILL YOU ATTEND THE INFORMATION SESSION ON JANUARY 28, 2019 (MON) AT 6:00PM AT ROOM 402L (LEARNING COMMONS), ACADEMIC AND ADMINISTRATIVE BUILDING, BUR CAMPUS?
Yes/ No
*
Yes
No