City University of Hong Kong · Web viewAcademic Qualification (e.g. BBA in Business Analysis):...
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Cyberport University Partnership Programme Application Form Notes to Applicant: Principal Applicant should submit the following documents by email to [email protected] . 1. A completed application form in pdf format 2. Copies of CityU student cards of all team members (in one pdf file) 3. CVs of all team members (in one pdf file) 4. A 2-minute video of your pitching in mp4 format An email notification will be sent to the Principal Applicant to acknowledge the receipt of the application. Section A: Principal Applicant Information (who will join the Entrepreneurship Boot Camp overseas) Name in English (Surname in CAPITAL letters): Click here to enter text. Name in Chinese: Click here to enter text. Email: Click here to enter text. Mobile: Click here to enter text. Student ID: Click here to enter text. (Expected) Graduation Year: Click here to enter text. Department: Click here to enter text. Academic Qualification (e.g. BBA in Business Analysis): Click here to enter text. Aged between 18 and 30: ☐Yes ☐No Hong Kong Permanent ID Card Holder : ☐Yes ☐No Relationship with CityU: ☐Current student (undergraduate) ☐Current student (postgraduate) ☐Alumnus (graduated within 3 years) Section B: Team Member Information Team Member(s) who will join the Entrepreneurship Boot Camp overseas Team Member 2 Team Member 3 Name in English Click here to enter text. Click here to enter text. Version: 201903 1
Transcript of City University of Hong Kong · Web viewAcademic Qualification (e.g. BBA in Business Analysis):...
Cyberport University Partnership ProgrammeApplication Form
Notes to Applicant:
Principal Applicant should submit the following documents by email to [email protected] .
1. A completed application form in pdf format2. Copies of CityU student cards of all team members (in one pdf file)3. CVs of all team members (in one pdf file)4. A 2-minute video of your pitching in mp4 format
An email notification will be sent to the Principal Applicant to acknowledge the receipt of the application.
Section A: Principal Applicant Information (who will join the Entrepreneurship Boot Camp overseas)
Name in English (Surname in CAPITAL letters):Click here to enter text.
Name in Chinese:Click here to enter text.
Email: Click here to enter text. Mobile: Click here to enter text.
Student ID: Click here to enter text. (Expected) Graduation Year: Click here to enter text.
Department: Click here to enter text. Academic Qualification (e.g. BBA in Business Analysis):Click here to enter text.
Aged between 18 and 30: ☐Yes ☐No Hong Kong Permanent ID Card Holder :☐Yes ☐No
Relationship with CityU: ☐Current student (undergraduate) ☐Current student (postgraduate) ☐Alumnus (graduated within 3 years)
Section B: Team Member Information
Team Member(s) who will join the Entrepreneurship Boot Camp overseas
Team Member 2 Team Member 3
Name in English (Surname in CAPITAL letters): Click here to enter text. Click here to enter text.
Name in Chinese: Click here to enter text. Click here to enter text.
Email: Click here to enter text. Click here to enter text.
Mobile: Click here to enter text. Click here to enter text.
Student ID: Click here to enter text. Click here to enter text.
(Expected) Graduation Year: Click here to enter text. Click here to enter text.
Department: Click here to enter text. Click here to enter text.
Version: 2019031
Academic Qualification (e.g. BBA in Business Analysis):
Click here to enter text. Click here to enter text.
Relationship with CityU:☐Current student (undergraduate) ☐Current student (postgraduate) ☐Alumnus (graduated within 3 years)
☐Current student (undergraduate) ☐Current student (postgraduate) ☐Alumnus (graduated within 3 years)
Team Member(s) who will NOT join the Entrepreneurship Boot Camp overseas
Team Member 4 Team Member 5
Name in English (Surname in CAPITAL letters): Click here to enter text. Click here to enter text.
Name in Chinese: Click here to enter text. Click here to enter text.
Email: Click here to enter text. Click here to enter text.
Mobile: Click here to enter text. Click here to enter text.
Student ID: Click here to enter text. Click here to enter text.
(Expected) Graduation Year: Click here to enter text. Click here to enter text.
Department: Click here to enter text. Click here to enter text.
Academic Qualification (e.g. BBA in Business Analysis):
Click here to enter text. Click here to enter text.
Relationship with CityU:☐Current student (undergraduate) ☐Current student (postgraduate) ☐Alumnus (graduated within 3 years)
☐Current student (undergraduate) ☐Current student (postgraduate) ☐Alumnus (graduated within 3 years)
Section C: Project Details
Project Name in English: Click here to enter text.
Project Name in Chinese: Click here to enter text.
Version: 201903 Page 2 of 4
Project Summary in English (within 300 words):
Click here to enter text.
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Section D: Achievement(s) of Team Members
Academic Achievement:
Click here to enter text.
Award Received:
Click here to enter text.
Entrepreneurship Experience:
Click here to enter text.
Section E: DeclarationI, on my own behalf and on behalf of the Team, hereby declare and acknowledge the below declaration:
The information provided in this application form is true and accurate up to the day of submitting this application form and to the best of my/our knowledge.
The projects ideas proposed in this application are original and without infringement of intellectual property rights of any others.
I agree and understand that the information provided in this application form will be vetted by KTO staff and/or external advisors for assessment and record purpose.
I give my/our consent to KTO staff to carry out necessary due diligence/reference check for the purpose of assessing this application.
I have obligations to update the information submitted in this form and inform KTO staff immediately if there are any changes to the information I have provided to KTO.
I hereby acknowledge that CityU can make use of my/our case for promotional purposes if my/our application is approved.
Click here to enter a date.
Signature by Principal Applicant(for and on behalf of the Team)
Date
Version: 201903 Page 4 of 4
