The Hong Kong University of Science & Technology - seng, hkust
The Hong Kong University of Science & Technology - seng, hkust
The Hong Kong University of Science & Technology - seng, hkust
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<strong>The</strong> <strong>Hong</strong> <strong>Kong</strong> <strong>University</strong> <strong>of</strong> <strong>Science</strong> & <strong>Technology</strong><br />
Student Housing Office<br />
Application for On-campus Accommodation 2012 / 2013<br />
(Exchange-in Undergraduate Students – Spring Term)<br />
Serial No: ______________<br />
Residential Period: 25 January 2013 to 3 June 2013, both nights inclusive<br />
<strong>The</strong> information obtained will be used for the admission exercise for on-campus residence 2012 / 2013, and<br />
will also be kept as resident / applicant records for administrative purposes.<br />
Please read the following instructions carefully before completing this application:<br />
1. This form MUST be completed in ENGLISH and in BLOCK LETTERS.<br />
2. Completed application form should be returned to the Student Housing Office on G/F <strong>of</strong> UG Hall II either by<br />
fax (852) 2719 5455 or by email to shoug@ust.hk .<br />
3. Each applicant is allowed to submit only ONE application; applicant found submitting more than one<br />
application will be disqualified without notice.<br />
4. Deadline <strong>of</strong> application: 30 November 2012<br />
5. Unless with the certification <strong>of</strong> the school <strong>of</strong> study here at HKUST that the applicant’s exchange program will be<br />
extended beyond 3 June 2013; otherwise, all exchange students are required to check out <strong>of</strong> the student halls<br />
before 1200 noon on 4 June 2013. Applicant should take this into account when planning your flight home<br />
or arrange other sources <strong>of</strong> accommodation on your own if you are going to stay in <strong>Hong</strong> <strong>Kong</strong> after the<br />
above-mentioned date.<br />
6. If you apply for Hall VII iVillage LLC residence, you MUST complete Section F or else your application for<br />
Hall VII residence will NOT be considered.<br />
By signing hereunder, I certify that the data provided in this application form are accurate and complete. I understand<br />
that provision <strong>of</strong> false information may lead to disqualification <strong>of</strong> the application and possible disciplinary action.<br />
Signature:<br />
Date:<br />
Section A:<br />
Personal Information<br />
Name in English: _____________________ , ___________________ Name in Chinese: _______________<br />
(in BLOCK letters) (surname) (first name) (if applicable)<br />
Country <strong>of</strong> Citizenship: _______________ Program <strong>of</strong> Study (if any): ________________ Gender: _______<br />
Section B:<br />
Address<br />
Home Address (All correspondences will be directed to this address unless otherwise specified):<br />
______________________________________________________________________________________<br />
___________________________________________________________ Country: ___________________<br />
Correspondence Address (if different from above): _____________________________________________<br />
______________________________________________________________________________________<br />
Phone No.: _________________ E-mail (for result notification):_________________________________<br />
ExIn-App-SS13
Section C:<br />
Academic Information<br />
Name <strong>of</strong> Home Institution: _________________________________________________________________<br />
Year <strong>of</strong> Study at Home Institution in the 2012 / 2013 Academic Year:<br />
Year 1 (Freshman) Year 2 (Sophomore) Year 3 (Junior) Year 4 (Senior)<br />
I will be participating in an exchange program to HKUST for the Spring Term 2013 organized by the School<br />
<strong>of</strong>:<br />
School <strong>of</strong> Business & Management<br />
School <strong>of</strong> <strong>Science</strong><br />
School <strong>of</strong> Engineering<br />
School <strong>of</strong> Humanities and Social <strong>Science</strong><br />
Section D:<br />
Preference <strong>of</strong> Room Type and Roommate (Please “” whichever appropriate)<br />
Preference <strong>of</strong> Room Type (please select one only):<br />
Double room (HKD$6,175 for Spring 2013)<br />
Bunk-bed room (HKD$5,129 for Spring 2013)<br />
Triple room (HKD$4,627for Spring 2013)<br />
Double room in Hall VII (HKD$7,729 for Spring 2013)<br />
Preference <strong>of</strong> Roommate (please select one only):<br />
I prefer to stay with a local student<br />
I prefer to stay with a non-local student, including student from Mainland China<br />
I prefer to stay with another exchange-in student<br />
I prefer to stay with _____________________________________________ who is also an exchangein<br />
student in the Spring Term 2013<br />
I do not have any preference for a roommate<br />
Section E: Other information you wish HKUST to note in arranging on-campus accommodation, if<br />
any.<br />
ExIn-App-SS13
Section F:<br />
Living Learning Communities (LLC) Application<br />
<strong>The</strong> <strong>University</strong> believes that the halls should <strong>of</strong>fer diverse residential life experiences. To facilitate the<br />
learning and development <strong>of</strong> its residents in a holistic manner, the Living Learning Communities (LLC)<br />
Program was launched in Spring Term 2009. In the Spring Term 2013, iVillage Living Learning<br />
Community will <strong>of</strong>fer bed spaces for exchange-in students.<br />
For information on LLC: http://llc.ust.hk/<br />
If you have any question regarding the LLC Program and the iVillage LLC, please contact the LLC Coordinator<br />
at (852) 2358 5797 or email to ivillage@ust.hk<br />
______________________________________________________________________________________<br />
- Applicants for Hall VII iVillage LLC MUST complete this section or else your application will not be<br />
considered.<br />
- Please submit your resume (no more than 1 page) in a separate .pdf format.<br />
- Your application will be assessed by the iVillage LLC Admission Panel.<br />
Please write the answers <strong>of</strong> all questions in no more than a total <strong>of</strong> 200 words in the spaces provided.<br />
1. Tell us about recent experiences you have had with cultures other than your own and what have you<br />
learned If you haven't, what would you hope to gain<br />
2. What expectations do you have for your iVillage experience<br />
3. What contributions can you make to the iVillage community<br />
Pledge (Please “” the boxes below to show your acknowledgement <strong>of</strong> the conditions listed)<br />
I understand that by completing Section F, I am requesting to reside in the iVillage LLC for the Spring Term 2013.<br />
I understand that if selected for the iVillage LLC, I will be required to reside in a room designated and change <strong>of</strong><br />
room is not permitted unless with the authorization <strong>of</strong> the Residence Master.<br />
I understand that I am expected to be an active participant in programs and activities organized by the community.<br />
I understand that if I do not meet the expectations <strong>of</strong> the community or if I do not follow the rules <strong>of</strong> conduct <strong>of</strong><br />
the community, my residence in UG Hall VII may be terminated and I will not be assigned to reside in other<br />
student halls for the rest <strong>of</strong> the residential year.<br />
September 2013<br />
SHO<br />
ExIn-App-SS13