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2019 Lingnan W.T. Chan Fellowships
Los Angeles or Berkeley, California, USA
| Full-time
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Application Form
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Your full name as it appears on your passport or official ID - with first name listed first and last name (family name) listed last in all capital letters. *
First Name in Pinyin *
Last Name in Pinyin *
Email *
Phone *
Wechat ID *
Chinese Name *
University *
--Select--
Lingnan University (HK)
Sun Yat-sen University
School or Department of your Major *
Major *
Current Class Standing (e.g 2nd year undergraduate, 1st year graduate) *
Current GPA *
Mailing Address (Home) *
Mailing Address (University) *
Date of Birth (MM/DD/YYYY) *
Age (as of December 1, 2018) *
Place of Birth (City, Country) *
Country of Citizenship *
Gender (M/F) *
--Select--
Male
Female
Emergency Contact Name in Pinyin: *
Emergency Contact Name in Chinese *
Emergency Contact Email
Emergency Contact Telephone Number *
Have you applied to this program before? ( Yes or No) *
--Select--
Yes
No
Completed Application Form with Essay Questions & Signature. This form can be downloaded from the Lingnan Foundation website:
http://lingnanfoundation.org/how-to-apply/
*
Name, title, organization and email of person who is providing the letter of recommendation for you. *
Recommendation Letter. Please upload the SIGNED recommendation letter here. Please have the Recommender use the Recommendation form provided on the Lingnan Foundation Chan Application Website:
http://lingnanfoundation.org/how-to-apply/
Transcripts / reports *
Passport photo *
SYSU Faculty Approval Form - This form can be downloaded from the Lingnan Foundation website:
http://lingnanfoundation.org/how-to-apply/
Campus you primarily attend *
--Select--
Lingnan University Hong Kong
SYSU - South Campus
SYSU - North Campus
SYSU - Zhuhai Campus
SYSU - East Campus
Other
Do you have any plans for the months of February through July 2019 that might prevent you from applying for a visa to the United States (e.g. will you be on an international exchange program or traveling)? If so, please describe. *
Have you ever applied for a visa to the United States before? If yes, please indicate the type of visa and circumstances. *
Do you have any plans for June 21-23, 2019 that could prevent you from attending the mandatory Orientation Program? If so, please describe. *
Do you have any plans for summer 2019 that would prevent you from starting the program as early as August 1st? If so, please describe. *
Do you have any plans for January 2020 that would prevent you from staying in the Fellowship program until mid-January? If so, please describe. *
How/where did you find out about this program (Select all that apply.)? *
Poster on Campus (small)
Poster on campus (large)
Former Chan Fellows
Friends
Teachers/University Staff
Lingnan Foundation Website (direct to overseas website)
University Official Website
WeChat Official account (SYSU clubs)
Chan Fellowship Program WeChat official account
WeChat group chat/chat with friend/moment
QQ mail/group mail
QQ group chat/chat with friend
Others, please specify
If you learned about the Program from another source other the options listed above, please list the source.
If applicable, please list the name(s) of teachers or staff who told you about the program.
Which was the FIRST place you remember learning about this program? (Choose only one.) *
--Select--
Poster on Campus (small)
Poster on Campus (large)
Former Chan Fellow(s)
Friends
Teacher(s)/University Staff
Lingnan Foundation Website (direct to overseas site)
University Official Website
Chan Fellowship Program WeChat Account
WeChat Group chat/chat with friend/moment
QQ mail/group mail
QQ group chat/chat with friend
Other (please specify)
If you FIRST learned about the Program from another source other the options listed above, please list the source.
Do you have any feedback about the application process?
Thanks for your time
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