application form (summer scholars)2013

7/29/2019 Application Form (Summer Scholars)2013

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Candidates No.: _______( For Official Use)

APPLICATION FORMSUMMER SCHOLARS PROGRAMME

(University of Notre Dame) 2013

The completed form is to be emailed BY THURS, 14 MAR 2013, 11 PM,[email protected] with required documents (scannedin pdf version).

Please delete appropriately wherever there is an asterisk [*]. If an item is not applicable, enternot applicable" or "N/A."

A PERSONAL PARTICULARS

Name (as in NRIC) : Class: _________

Country of Birth : City of Birth :

Citizenship : NRIC No. :

Sex : Date of Birth : _______________

Home Address :

Home Tel No. : Handphone No. :

Email address :

Subjects read in JC1 :

H2 subject taken without O level background: _____________________________________

B CHOICE OF TRACKS

Please indicate the preferred track which you would like to participate in (refer to Annex B)

First Choice:

Second Choice:

Please attach arecent

photograph here
mailto:[email protected]:[email protected]:[email protected]:[email protected]


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C ACADEMIC RECORD

Details of GCE O-level results (or equivalent)

Total number of subjects taken: _____________

L1R5:

No. Subject Grade No. Subject Grade

1 English 7

2 Maths 8

3 9

4 10

5 11

6 12

* Delete where applicable.

D ADDITIONAL INFORMATION (ESSAY)

Essay 1:

Please share some of your reasons for wanting to participate in the academic track youhave selected as your first choice. In what ways do you feel prepared to contribute to theclass and what you hope to gain from your summer experience at Notre Dame?

No. of words: ____________________

Essay 2 (in about 100 words):

What are the significant experiences or accomplishments you have realized that havehelped define you as a person?

No. of words: ____________________

Please submit the following (soft copy):

Secondary School testimonial,

Secondary School CCA record,

GCE O-level Examination results or equivalent, and

Any other documents which may support your application.

Please submit ANNEX A in hard copy to your home tutor by THURS, 14 MAR 2013, 5 PM.


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ANNEX A

(To be submitted to your home tutor by THURS, 14 MAR 2013, 5 PM)

F APPROVAL OF PARENT/GUARDIAN

I, _______________________________ *parent / guardian of _________________________

have read the details of the Summer Scholars Programme organised by University of Notre Dame

(as described in Annex B) and approve my *son/daughter/wards application for participation.

I have no objection to *his / her participation if *he / she is selected.

_______________________ _______________________ __________________

Signature ofParent/Guardian

Name ofParent/Guardian

Date

G RECOMMENDATION BY TUTOR

I *support / do not support the applicant in his/her application for the Summer Scholars Programmeorganised by University of Notre Dame.

Remarks:

Name of Tutor: Signature/Date:

Tutor, please submit Annex A to Ms. Sandra Handojo by Fri, 15 Mar 2013. Thank you.

application form (summer scholars)2013

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