Innovation and Technology Scholarship 2024 Application Form

Please prepare the following documents (digital copy) before you fill-in the form:
1. A recent photo
2. Transcript
3. English test result
4. Certificates of public examinations
5. Other supporting documents (if any)
*You are recommended to read through the form before filling in. You may take more than 15 minutes to complete this form. There is no 'save and resume' function for the form. Please make sure you have submitted your application before you leave your computer/ electronic device. Do not use a public computer/ electronic device to fill-in this form. Once you have submitted the form, you cannot amend the form anymore.
*The internal deadline for students of The Chinese University of Hong Kong to apply for the InnoTech Scholarship 2024 is 28 December 2023. Please submit your completed application form and supporting documents before the deadline.

You are also required to submit a video clip and a CV to complete your application. Requirements and submission methods of video and CV are available at:

http://www.cuhk.edu.hk/adm/sfas/inno-2024-Video_CV_requirements.pdf

Please contact the Office of Admissions and Financial Aid of CUHK (Email: sfas@cuhk.edu.hk) for enquiries.
Read and follow the Application Procedures and Eligibility & Criteria carefully prior to submitting your application. (details) Suitable candidates are required to attend a selection interview to be held by CUHK in late January / early February 2024. Shortlisted candidates must attend a Selection Interview by the Scholarship Secretariat in March or April 2024 (TBC) in person.
Read and understand the Application Procedures and Eligibility & Criteria .*

Yes, I have
Are you student from The Chinese University of Hong Kong?*

Yes, I am
If no, please click here to select the correct form of your unviersity for application.
How did you know the InnoTech Scholarship?*

InnoTech Scholarship websiteUniversity websiteLeaflet/ PosterFacebook/ InstagramAdvertisements in MTR StationsEmail/ announcement from CUHKRecommended by teaching staffRecommended by previous awardee
I. Personal Data:
Name in English:*

SurnameGiven Name
Name in Chinese:

姓名
Gender:*

MaleFemale
E-mail Address (permanent) :*
Where the confirmation will be send to
Phone Number:*
Mobile No.
Home Tel No.
Mailing Address :*

Street Address

Street Address Line 2

LocationState / Province

Postal / Zip Code
Please upload a recent colour photograph showing full frontal face:*
At least 600 px(W) x 800 px(H) - .jpg / .png / .gif
II. Programme Information:
Your focusing "InnoTech Area":*
*Your choice is essential to the selection procedures. Please make sure your Scholarship Plan is related to your focusing "InnoTech Area".
You may refer to this list for suggestions on choosing the InnoTech Area
Faculty / Department:*
Programme of Study:*
Major:
Student ID:*
Year of Study:*

current yeartotal years of study for graduation
III. Academic Record:
Transcript

Cumulative GPA / CGA or class ranking Max point / class size
English Test Undertaken:

HKDSE English LanguageTOEFL (Internet-based test)IELTS (Academic Module)Cambridge IGCSE English as a Second Language 0511Cambridge IGCSE First Language English 0522Pearson Edexcel IGCSE English Language (Specification A or B)Pearson Edexcel IGCSE English as a Second LanguageIB English A Language and Literature Standard LevelIB English A Language and Literature High LevelIB English B Standard LevelIB English B High Level
English Test Score:
(Overall)
(Listening and Integrated Skills)
(Reading)
(Writing)
(Speaking)
(Transcripts for both GPA/CGA and English Test should be submitted together as supporting documents)*

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Qualifications and Open Examinations Result
Qualifications / Open Examinations (1):*
Secondary School / Institution (1):*
Results (1)*
Qualifications / Open Examinations (2):
Secondary School / Institution (2):
Results (2)
Qualifications / Open Examinations (3):
Secondary School / Institution (3)
Results (3)
(Certificates of public examinations should be submitted together as supporting documents)*

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Academic Awards or Scholarships Received (secondary school, college and university)–
(Supporting documents / proofs if any)

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IV. Experience (secondary school, college and university)
Provide maximum 6 Extra-Curricular Activities and Community Services for reference:*
Provide maximum 3 start-ups, researches or internships experience for reference:
(Supporting documents / proofs if any)

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V. Scholarship Plan :
*Your Scholarship Plan should be related to your focusing "InnoTech Area".
1. Preliminary Indication of University/Institution for Attachment Programme :
Number of Attachment Programme to be proposed:*
Notes:

1. Please note that the Scholarship period is 1 June 2024 to 31 July 2025. Your Attachment Programme(s) must be within the Scholarship period.

2. At least one of the Attachment Programmes must take place in Mainland China.

Please estimate the cost of the Attachment Programmes based on the following items that may covered by the Scholarship:
1. Tuition and application fee (exclude the CUHK tuition fee for exchange programme)
2. Accommodation and board
3. Books and other supplies
4. Airfare and visa application
5. Other mandatory cost
Summary of the Attachment Programmes:

(Please list in ascending chronological order.)
*
Total estimated cost:*
(Supporting documents / proofs if any)

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(If the overseas university/institution of the proposed Attachment Programmes is not on the approved “List of Suggested Overseas/Mainland Universities”, sucessful applicants will be required to provide a letter from a faculty member of CUHK supporting the awardees to participate in that Attachment Programme in the overseas university/institution AND relevant documents of the proposed university/institution and programme/course.)

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VI. Local Internship Programme (Optional):
(Note: successful applicants will be required to provide a letter from a faculty member of CUHK supporting them to participate in that Attachment Programme in the overseas or Mainland university/ institution AND relevant documents of the proposed university/ institution and programme/ course when they apply for funding for the Attachment Programme.)
2. Local Internship Programme (Optional):
Do you wish to join the optional internship programme if you are successfully awarded with the Scholarship? (please jump to 3. if your answer is No)*

YesNo
Preference of nature / field of the internship:
Preferred duration for internship:
weeks (4 - 12 weeks)
Preferred period for internship:
(DD/MM/YYYY - DD/MM/YYYY) *The period should not be overlapped with attachment programmes and must be between 1 June 2024 and 31 July 2025
VII. Mentorship Programme:
3. Mentorship Programme:
Do you have preference for your mentor if you are successfully awarded with the Scholarship? (please jump to 4. if your answer is No)*

YesNo
Preference of the academic field of your mentor:
Preference of learning aspects from the mentor:
(e.g. entrepreneurships, research, leadership skills)
(e.g. entrepreneurships, research, leadership skills)
4. Ideations and Achievements Showcase (Optional):
Do you wish to utilise the scholarship to support your ideations if you are successfully awarded the Scholarship? (please jump to session VI if your answer is No)*

YesNo
Name of your ideation:
Please estimate the cost of the ideations based on the following items that may covered by the Scholarship:
1. Equipment or programme material;
2. Venue or equipment rental fee;
3. Transportation; and
4. Additional insurance incurred

Expenses will not be covered, including but not limited to:
- Manpower; and
- Catering
Summary of the expenses on ideation:
Total estimated cost:
(Supporting documents / proofs if any)

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Brief description of the plan of the ideation (maximum 150 words):

0/150
VI. Statement of Interest - for Paper Vetting
Please share:

(1) your plan of using the scholarship (e.g. Attachment Programme, Internships, Ideations, etc.) related to your focusing "InnoTech Area";

(2) your long-term career aspirations in your focusing "InnoTech Area";

(3) how would you contribute to the betterment of our society relating to your focus "InnoTech Area"; and

(4) your views on the topic and possible actions related to environmental protection or long-term sustainable development in your focus "InnoTech Area".

(maximum 150 words for each part)
(1) Scholarship plan:*

0/150
(2) Long-term career aspirations:*

0/150
(3) Potential contributions to the society:*

0/150
(4) Environmental protection or long-term sustainable development in your focus "InnoTech Area":*

0/150
VII. Declaration
1. I certify that all the information provided in this application is true and accurate to the best of my knowledge. In the event that any information is found untrue or inaccurate in the future, the Scholarship Secretariat reserves the right to invalidate any application, withdraw the scholarship approved and require any payment made to be refunded.

2. I agree that information provided in this application will be used and/ or disclosed by the Scholarship Secretariat to relevant parties to process the application as well as for related purposes, such as conducting selection interviews, monitoring of progress, etc.

3. I understand that if I am awarded the Innovation and Technology Scholarship, I will automatically become a member of "Hub for the Future" programme, which is a talent hub for HSBC Scholars jointly organised by HSBC and HKFYG. The information provided in this application will be used for communications and event promotion purposes of "Hub for the Future".

4. I've read and agree with the personal information collection statement and privacy policy of HKFYG.

By signing in the space below, you agree with the above declaration. Please print the form for your records and retain it as verification of your application.
E-Signature:*

Clear
To submit the form, please click "Preview Answers", then click "Submit Form" at the end of the preview page.
Should be Empty:

I. Personal Data:

II. Programme Information:

III. Academic Record:

IV. Experience (secondary school, college and university)

V. Scholarship Plan :

VI. Local Internship Programme (Optional):

VII. Mentorship Programme:

VI. Statement of Interest - for Paper Vetting

VII. Declaration