THE MERCATOR FOUNDATION GRANT

THE MERCATOR FOUNDATION GRANT

THE MERCATOR FOUNDATION Post Office Box 121, Tung Chung, Lantau, Hong Kong Tel: +852 5808 8645 enquiries@mercatorworld.com www.mercatorworld.com Treat people as if they were what they ought to be and you help them to become what they are capable of becoming. 1.0 INSTRUCTIONS APPLICATION FOR AN EDUCATIONAL GRANT 1.1 Applicants must complete this Form by writing in large capitals letters in ink. 1.2 The Form must be accompanied by the following documents: (a) (b) (c) (d) A copy of any completed educational certificates attained so far e.g. primary school, secondary school, college or University. A true copy of the Applicant s Birth Certificate. Two recent passport-size photographs with the full name of the candidate written on the back. (One photograph should be stapled (not glued or gummed) securely to this form in the space provided). Candidates must request two referees to complete their statements on the prescribed Supporting Letters and send them attached to this application. 1.3 The Form must be submitted via post to The Mercator Foundation, Post Office Box 121, Tung Chung, Lantau, Hong Kong. 1.4 The completed Form may also be submitted via email to enquiries@mercatorworld.com Page 1

2.0 PERSONAL DETAILS 2.1 Name in Full 2.2 Age 2.3 Sex PHOTOGRAPH 2.4 Nationality 2.5 Citizenship 2.6 Place of birth 2.7 Town City Province 2.7 Home telephone 2.8 Office telephone 2.9 Mobile/Cell Number : Country Code Area Code Local Number 2.10 Address (for correspondence about the application) 2.11 Email address Page 2

2.12 Current Residential Address 2.13 (a) My native language is (b) I have a working knowledge of English and* (*Insert any other language(s) in which you claim to be proficient) 2.14 (a) * Single or married (* Delete wherever not applicable) Name of spouse (if applicable) (b) Number of children (if any), with ages Page 3

(c) Name of parents Father Mother 2.15 Province and country 2.16 Intended course of study 2.17 How long will the course last 2.18 Approximate cost of course Page 4

3.0 EDUCATION RECORD 3.1 Name of school/college 3.2 Location of school/college 3.3 Address of school/college 3.4 Secondary School(s), College, University attended, with dates 3.5 Degree or other qualifications obtained (with classes of honours, etc.) Page 5

3.6 If intending to sit for an examination (public or university) or to complete a qualification before taking up the grant, give particulars and date when result expected. 3.7 Other distinctions gained or offices held during your time at University / College / School. 3.8 Present occupation or employment, and previous appointments (give details including dates and description of experience gained) 3.9 What academic award/professional qualification do you intend to seek? Subject or field of study Special topic, if any, within the subject or field of study Page 6

(a) At which academic institution do you intend to take the course? (b) Have you received any professional place offer? (If yes, attach a copy of the offer document such as primary school secondary school, University, Apprentice ship, Technical School, Other). 3.10 How do you see your training fitting into your future career? 3.11 Give any other information which you consider relevant to this application. Page 7

3.12 Have you applied for any other grants, bursary or financial assistance? If so, please give full details. 4.0 REFEREES Name two persons (not relatives who have agreed to give confidential reference about you. One of them should, if possible, be a person under whom you have studied. The second may be a person with whom you have worked professionally. Their reference letters should accompany this application and the application will not be considered without such Letters of Reference. NAME POSITIONS ADDRESS Page 8

5.0 DECLARATION BY APPLICANT I declare that the statements made in this application are, to the best of my belief, true, complete and correct. If awarded a Grant I undertake to observe all the conditions of the award for which I now apply. I understand the Grant is subject to my regular proven attendance at the intended Institution and the Grant is conditional on achieving and satisfactorily passing each and every academic examination and test stipulated by the Institution. I understand the Grant may be terminated at any time by at the sole discretion of The Mercator Foundation. Date: Signature: Page 9

SUPPORTING LETTER CONFIDENTIAL STATEMNT BY FIRST REFEREE Note to Referees In making nominations for a Mercator Foundation Grant the Selection Committee will take into account the applicant s academic record and require a clear outline of how this Grant will benefit the applicant and the community in general. As a Referee I understand I will be personally required to also guarantee any Grant provide by The Mercator Foundation We are particularly interested in any practical comments you as Referee are able to make concerning the candidate s academic ability, personality and qualifications. I have known the Applicant for years Name of Referee: Signature: Position: Date : Referee Address: Email : Telephone/Cell Page 10

SUPPORTING LETTER CONFIDENTIAL STATEMNT BY SECOND REFEREE Note to Referees In making nominations for a Mercator Foundation Grant the Selection Committee will take into account the applicant s academic record and require a clear outline of how this Grant will benefit the applicant and the community in general. As a Referee I understand I will be personally required to also guarantee any Grant provide by The Mercator Foundation We are particularly interested in any practical comments you as Referee are able to make concerning the candidate s academic ability, personality and qualifications. I have known the Applicant for years Name of Referee: Signature: Position: Date : Referee Address: Email : Telephone/Cell Page 11