1.1 Type of Programme: Please Select Academic Week Activities Week Study Tour External Exhibition Annual Performance Others - Please Specify:

1.3 Objectives of Programme:

1.4 Date of Programme:	From:	(DD/MM/YYYY)
	To:	(DD/MM/YYYY)

1.5 Number of Participants:	No. of Organizers:
	No. of Participants:	(Expected)

1.6 Expected Learning Outcome(s) for Student Participants
      (Please choose at least 1):

Learning outcomes	Examples of elements of skills/knowledge/experience to be acquired/attained
Citizenship	- to train students to be responsible citizens with an international outlook - to provide students with experience in global engagement - to develop students with a sense of ethics and civility
Knowledge	- to attain up-to-date/in-depth knowledge - to achieve a broad range of cultural & general knowledge
Learning	- to develop students into independent & life-long learners - to develop students with an open mind and an inquiring spirit
Skills	- to train students on information literacy & IT skills - to develop students' numerical and problem-solving skills
Creativity	- to develop students' critical thinking and creativity
Communication	- to enhance students' language skills (English, Chinese and Putonghua) - to develop students' ability in articulating ideas clearly and coherently
Teamwork	- to train students to be able to serve, lead and/or work in a team

1.7 Declaration: As a Programme Leader, I declare that the information given in this application form is true to the best of my knowledge. I will be in-charge of the whole programme and will be the contact person for all future matters relating to the programme.
Name (English):
Name (Chinese):
Student Number:
Contact Number:
Email Address:	@life.hkbu.edu.hk
Position in Organization:	(e.g. President, Secretary)
Name of Organization:
Date of Application:

2. Detailed Budget with Breakdown

Duration: days

For Academic Week, Activity Week, External Exhibition, etc, please fill in this section ↓	For Study Tours please fill in this section ↓
Income: Other Sources of Subsidies: $ Expenditure: 1. Board Display: $ 2: Promotion: $ 3: Seminar Preparation: $ 4: Venue Rental: $ 5: Equipment Rental: $ Surplus/Deficit: $	No. of UGC Participants: Income: Fees from Participants: $ Other Sources of Subsidies: $ Expenditure: 1. Inter-city/region/country Transportation: $ 2. Lodging: $ 3. Academic/Education Fee: $ 4. Others (Please Specify): / $

4. Bank Account for Reimbursement

Name of Organization:
Account Number:

5. File Attachments

You may attach up to 5 files for your application in the Ear-Marked Student Activities Fund. Your files should be the proposal, budget, itineraries, etc and should be of the following file extensions: .doc/.docx, .xls/.xlsx, .ppt/.pptx, .jpg, .gif, .txt

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