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2008 Summer Internship Program

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2013 <strong>Summer</strong> Students Attachment <strong>Program</strong> in Hospital Authority (Kowloon West Cluster)<br />

Application Form<br />

University/ College: Mode of Study: Full Time Part Time<br />

Personal Particulars<br />

Name: (English) (Chinese)<br />

<strong>Program</strong> Name:<br />

Major in:<br />

Level of Award: Degree(UGC-funded) Degree(Top-up/Self-financed/others) Associate Degree<br />

Higher Diploma Diploma Others (Please specify)<br />

Student ID No.:<br />

HKID No.:<br />

Age: Sex: Male Female<br />

Contact Telephone No.:<br />

E-mail Address:<br />

Address:<br />

Preference on Attachment Hospital (Please indicate your preference by setting priority: 1,2,3,etc……)<br />

Caritas Medical Centre Kwong Wah Hospital Kwai Chung Hospital(Psychiatric Hospital)<br />

Our Lady of Maryknoll Hospital Princess Margaret Hospital TWGHs Wong Tai Sin Hospital<br />

Yan Chai Hospital<br />

(You may visit HA website: www.ha.org.hk for more details about each hospital.)<br />

Preference on Attachment Unit (Please indicate your preference by setting priority: 1,2,3,etc……)<br />

Nursing (Back Office) Administrative Services Human Resources<br />

Finance<br />

Information Technology<br />

Skills and Knowledge<br />

Computer Skills: Excel PowerPoint Access Photoshop<br />

Other Statistical Software<br />

Others (Please specify)<br />

Language Proficiency: Written English Fluent Fair<br />

Special skills/knowledge:<br />

(e.g. Graphic Design, Photo-editing, etc……)<br />

Spoken English Fluent Fair<br />

Putonghua Fluent Fair<br />

1


Education (in chronological order)<br />

Schools, Universities, etc.<br />

Attended/Attending<br />

Faculty/Major<br />

Area of Study<br />

<strong>Program</strong>me and Year of Study<br />

From<br />

(MM/YYYY)<br />

To<br />

(MM/YYYY)<br />

Academic Attainment (in chronological order)<br />

Institute/Issuing Authority<br />

(e.g. Hong Kong Examinations<br />

and Assessment Authority)<br />

Date Issued<br />

(MM/YYYY)<br />

Qualifications<br />

(e.g. Hong Kong Certificate of<br />

Education Examination)<br />

Subjects Passed and Level Attained<br />

(e.g. Grade, Pass, Credit, Class, Division,<br />

Major, Minor, etc.)<br />

Work Experience (including voluntary work, summer employment & part-time jobs) (in chronological order)<br />

Name of Organization Position Held Nature of Work<br />

From<br />

(MM/YYYY)<br />

To<br />

(MM/YYYY)<br />

Extra-Curricular Activities<br />

Any information that may be useful for considering your application<br />

Signature :<br />

Date:<br />

2

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