Intern Funding Bj

THE UNIVERSITY OF HONG KONG JOURNALISM AND MEDIA STUDIES CENTRE JMSC Media Internship Fund 2009-2010 Application Form

Application deadline: 5:30pm, July 31, 2010 (summer internship)

Key notes:

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All BJ students taking part in the “JMSC Media Internship Programme 2009-2010” are eligible to apply.

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Students must submit this application form with relevant supporting documents.

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Successful applicants must submit receipts of all expenses such as air tickets, lodging, transportation, meal and others as requested (if applicable), together with samples of work from the internship, a report on the experience and an evaluation form after the internship.

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Successful applicants may be invited to attend and/or to give presentations and/or to describe internship experiences at ceremonies and/or other events.

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Awards are based on financial needs, academic achievement and participation in extra-curricular activities. The amount will vary according to individual situations. Priority will be given to students with financial needs who have not previously won internship scholarships.

Please type or use BLOCK letters. SECTION A – PERSONAL PARTICULARS Name in English (surname first):

Name in Chinese (if applicable):

HKID No. / Passport No.

Date of Birth:

Sex:

Mobile Phone No.:

Home Telephone No.:

E-mail Address:

Correspondence Address:

University No.:

Current Year of Study:

SECTION B – ACADEMIC RECORD Year 1 GPA 1st Semester: 2nd Semester: st Year 2 GPA 1 Semester: 2nd Semester: SECTION C – AWARDS / SCHOLARSHIPS (in the past 2 years)

CGPA: CGPA:

Awards / Scholarships

Date

Issuing Authority

Nature of Awards / Scholarships (eg. Sports, Academic, etc.)

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SECTION D – EXTRA-CURRCULAR ACTIVITIES / COMMUNITY SERVICES (in past 2 years) Name of Organization

Position Held

Nature of Work

Date

SECTION E – FINANCIAL NEEDS DECLARATION (please attach relevant supporting documents) a)

Government Grant & Loan Scheme in 2008/2009 Have you applied? Yes Amount of Grant: $

Amount of Loan:

$

(please attach the Notification of Results of Application for Financial Assistance under the LSFS)

No b)

Reasons:

Non-Means Tested Loan Scheme in 2008/2009 Have you applied? Yes Amount of Loan: $ No

Reasons:

c)

Other Financial Assistance (e.g. Bursary, Emergency Fund, Special Loan) Received in 2008/2009 Name of Financial Assistance: Amount: $

d)

Additional Information on Financial Situation:

SECTION F – INTERNSHIP DETAILS Local / Mainland China / Overseas Internship (please circle) Country: City: Salary/Allowance: Duties:

Print / Broadcast / Online (please circle) Company: Position: Period:

SECTION G – STATEMENT OF UNDERSTANDING 1.

I understand that the Journalism and Media Studies Centre reserves the right to discard my application if any section of this form is incomplete or the supporting document(s) is/are not submitted with this form before the application deadline.

2.

I declare that the information given here is correct and I agree to abide by the rules and requirements of the Journalism and Media Studies Centre.

Date:

Signature: 2

I attach (please tick) a copy of following document(s) in support of my application:

 

Notification of Results of Application for Financial Assistance under the LSFS Others _____________________________________________________________________________________

* All information will be kept in confidence and used according to the university policy on Personal Data Protection.

Completed application form and supporting documents should reach Programme Officer (BJ) Journalism and Media Studies Centre G24, Eliot Hall The University of Hong Kong before the application deadline.

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