{"id":1833,"date":"2016-12-07T15:19:55","date_gmt":"2016-12-07T07:19:55","guid":{"rendered":"http:\/\/www.fe.hku.hk\/hesi\/?page_id=1833"},"modified":"2019-04-18T11:03:14","modified_gmt":"2019-04-18T03:03:14","slug":"summer-institute-higher-education-for-tomorrow-2018-application-form","status":"publish","type":"page","link":"https:\/\/www.fe.hku.hk\/hesi\/summer-institute-higher-education-for-tomorrow-2018-application-form\/","title":{"rendered":"Summer Institute Higher Education for Tomorrow 2019 Application Form"},"content":{"rendered":"<div id=\"vfb-form-6\" class=\"visual-form-builder-container\"><form id=\"summer-institute-2019-application-form-copy-6\" class=\"visual-form-builder vfb-form-6 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"6\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 application-form \" id=\"item-vfb-99\"><div class=\"vfb-legend\"><h3>Application Form<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-104\"><label class=\"vfb-desc\"> <\/label>Please type or fill in the form in BLOCK letters. Please also provide one-page letter outlining why you are interested in joining Summer Institute by sending to email <a href=\"heft@hku.hk\">heft@hku.hk<\/a>. <font color='red'>The personal data provided by means of the application form will be used by the relevant parties for the purpose of processing your application.<\/font><\/li><div id=\"item-vfb-103\" class=\"vfb-section-div \"><h4>SECTION A \u2013 Personal Particulars<\/h4><li class=\"vfb-item vfb-item-text   vfb-left-third\" id=\"item-vfb-105\"><label for=\"vfb-105\" class=\"vfb-desc\">Surname  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-105\" id=\"vfb-105\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-middle-third\" id=\"item-vfb-106\"><label for=\"vfb-106\" class=\"vfb-desc\">First Name  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-106\" id=\"vfb-106\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-third\" id=\"item-vfb-107\"><label for=\"vfb-107\" class=\"vfb-desc\">Nationality <\/label><input type=\"text\" name=\"vfb-107\" id=\"vfb-107\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-radio  vfb-auto-column  vfb-left-two-thirds\" id=\"item-vfb-108\"><label class=\"vfb-desc\">Title  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-108\" id=\"vfb-108-1\" value=\"Prof.\" class=\"vfb-radio  required \" \/><label for=\"vfb-108-1\" class=\"vfb-choice\">Prof.<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-108\" id=\"vfb-108-2\" value=\"Dr.\" class=\"vfb-radio  required \" \/><label for=\"vfb-108-2\" class=\"vfb-choice\">Dr.<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-108\" id=\"vfb-108-3\" value=\"Mr\" class=\"vfb-radio  required \" \/><label for=\"vfb-108-3\" class=\"vfb-choice\">Mr<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-108\" id=\"vfb-108-4\" value=\"Mrs\" class=\"vfb-radio  required \" \/><label for=\"vfb-108-4\" class=\"vfb-choice\">Mrs<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-108\" id=\"vfb-108-5\" value=\"Miss\" class=\"vfb-radio  required \" \/><label for=\"vfb-108-5\" class=\"vfb-choice\">Miss<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-108\" id=\"vfb-108-6\" value=\"Ms\" class=\"vfb-radio  required \" \/><label for=\"vfb-108-6\" class=\"vfb-choice\">Ms<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-auto-column  vfb-right-third\" id=\"item-vfb-109\"><label class=\"vfb-desc\">Gender  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-109\" id=\"vfb-109-1\" value=\"M\" class=\"vfb-radio  required \" \/><label for=\"vfb-109-1\" class=\"vfb-choice\">M<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-109\" id=\"vfb-109-2\" value=\"F\" class=\"vfb-radio  required \" \/><label for=\"vfb-109-2\" class=\"vfb-choice\">F<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-text   vfb-left-third\" id=\"item-vfb-110\"><label for=\"vfb-110\" class=\"vfb-desc\">Organization  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-110\" id=\"vfb-110\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-middle-third\" id=\"item-vfb-111\"><label for=\"vfb-111\" class=\"vfb-desc\">Position  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-111\" id=\"vfb-111\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-email   vfb-right-third\" id=\"item-vfb-112\"><label for=\"vfb-112\" class=\"vfb-desc\">Email  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"email\" name=\"vfb-112\" id=\"vfb-112\" value=\"\" class=\"vfb-text  vfb-medium  required  email \" \/><\/li><li class=\"vfb-item vfb-item-checkbox  vfb-auto-column  vfb-left-third\" id=\"item-vfb-113\"><label class=\"vfb-desc\">How do you know this programme? <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-113[]\" id=\"vfb-113-0\" value=\"Newspaper\" class=\"vfb-checkbox  \" \/><label for=\"vfb-113-0\" class=\"vfb-choice\">Newspaper<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-113[]\" id=\"vfb-113-1\" value=\"Website\" class=\"vfb-checkbox  \" \/><label for=\"vfb-113-1\" class=\"vfb-choice\">Website<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-113[]\" id=\"vfb-113-2\" value=\"Alumni\" class=\"vfb-checkbox  \" \/><label for=\"vfb-113-2\" class=\"vfb-choice\">Alumni<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-text   vfb-middle-third\" id=\"item-vfb-114\"><label for=\"vfb-114\" class=\"vfb-desc\">Others <\/label><input type=\"text\" name=\"vfb-114\" id=\"vfb-114\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-radio  vfb-auto-column \" id=\"item-vfb-115\"><label class=\"vfb-desc\">Do you need to apply for HKSAR and China entry visas? <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-115\" id=\"vfb-115-1\" value=\"Yes\" class=\"vfb-radio  \" \/><label for=\"vfb-115-1\" class=\"vfb-choice\">Yes<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-115\" id=\"vfb-115-2\" value=\"No ( visa waiver for short stay)\" class=\"vfb-radio  \" \/><label for=\"vfb-115-2\" class=\"vfb-choice\">No ( visa waiver for short stay)<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><\/div><div class=\"vfb-clear\"><\/div><div id=\"item-vfb-116\" class=\"vfb-section-div \"><h4>SECTION B \u2013 Education Background<\/h4><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-117\"><label for=\"vfb-117\" class=\"vfb-desc\"> <\/label><div><span class=\"vfb-span\"><label>Dates of attendance (month\/year),  Name of Institution (including secondary schooling), Qualifications obtained (with classification if any),  Date of award (month\/year)<\/label><\/span><textarea name=\"vfb-117\" id=\"vfb-117\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><\/div><div class=\"vfb-clear\"><\/div><div id=\"item-vfb-118\" class=\"vfb-section-div \"><h4>SECTION C \u2013 English Language Proficiency<\/h4><li class=\"vfb-item vfb-item-checkbox  \" id=\"item-vfb-119\"><label class=\"vfb-desc\">I confirm that I am proficient in using English as the medium of communication. <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-119[]\" id=\"vfb-119-0\" value=\"Yes\" class=\"vfb-checkbox  \" \/><label for=\"vfb-119-0\" class=\"vfb-choice\">Yes<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><\/div><div class=\"vfb-clear\"><\/div><div id=\"item-vfb-120\" class=\"vfb-section-div \"><h4>SECTION D \u2013 Professional Membership<\/h4><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-121\"><label for=\"vfb-121\" class=\"vfb-desc\"> <\/label><div><span class=\"vfb-span\"><label>Name of professional body, Name of award, How it is obtained (e.g. by examination), Date of award (month\/year)<\/label><\/span><textarea name=\"vfb-121\" id=\"vfb-121\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><\/div><div class=\"vfb-clear\"><\/div><div id=\"item-vfb-122\" class=\"vfb-section-div \"><h4>SECTION E \u2013 Work Experience<\/h4><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-123\"><label for=\"vfb-123\" class=\"vfb-desc\"> <\/label><div><span class=\"vfb-span\"><label>Date (dd\/mm\/yy), Name of Employment Institution, Position held (if part-time please state this clearly)<\/label><\/span><textarea name=\"vfb-123\" id=\"vfb-123\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><\/div><div class=\"vfb-clear\"><\/div><div id=\"item-vfb-124\" class=\"vfb-section-div \"><h4>SECTION F \u2013 Declaration<\/h4><li class=\"vfb-item vfb-item-checkbox  \" id=\"item-vfb-125\"><label class=\"vfb-desc\">  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-125[]\" id=\"vfb-125-0\" value=\"I declare that the information I have given in this application is correct and complete to the best of my knowledge and belief.\" class=\"vfb-checkbox  required \" \/><label for=\"vfb-125-0\" class=\"vfb-choice\">I declare that the information I have given in this application is correct and complete to the best of my knowledge and belief.<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><\/div><div class=\"vfb-clear\"><\/div><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-126\"><label for=\"vfb-126\" class=\"vfb-desc\">Text <\/label><input type=\"text\" name=\"vfb-126\" id=\"vfb-126\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-127\"><label class=\"vfb-desc\">Instructions <\/label><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-128\"><label for=\"vfb-128\" class=\"vfb-desc\">Email <\/label><input type=\"email\" name=\"vfb-128\" id=\"vfb-128\" value=\"\" class=\"vfb-text  vfb-medium   email \" \/><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-129\"><label for=\"vfb-129\" class=\"vfb-desc\">Email <\/label><input type=\"email\" name=\"vfb-129\" id=\"vfb-129\" value=\"\" class=\"vfb-text  vfb-medium   email \" \/><\/li><li class=\"vfb-item vfb-item-url  \" id=\"item-vfb-130\"><label for=\"vfb-130\" class=\"vfb-desc\">URL <\/label><input type=\"url\" name=\"vfb-130\" id=\"vfb-130\" value=\"\" class=\"vfb-text  vfb-medium   url \" \/><\/li><li class=\"vfb-item vfb-item-html  \" id=\"item-vfb-131\"><label for=\"vfb-131\" class=\"vfb-desc\">HTML <\/label><div><textarea name=\"vfb-131\" id=\"vfb-131\" class=\"vfb-textarea ckeditor  vfb-medium  \"><\/textarea><\/div><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 verification \" id=\"item-vfb-100\" style=\"display:block\"><div class=\"vfb-legend\"><h3>Verification<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-101\" class=\"vfb-desc\">Please enter any two digits <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-101\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-101\" id=\"vfb-101\" value=\"\" class=\"vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><label>Example: 12<\/label><\/span><li style=\"display:none;\"><label>This box is for spam protection - <strong>please leave it blank<\/strong>:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-102\">\n\t\t\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-102\" value=\"Submit\" class=\"vfb-submit \" \/>\n\t\t\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/hesi\/wp-json\/wp\/v2\/pages\/1833\" \/><\/form><\/div> <!-- .visual-form-builder-container 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