The 3rd Summer Course on Environmental and Human Health: Impact Assessment
Hong Kong, China, 4 – 17 July 2010
申请表Application Form
姓名(Name)学生类别
(Student type)
□ 硕士研究生(Master student)
□ 博士研究生(PhD student)
□ 其他专业人士(Other professional)
专业(Major)单位名称
(University/Institute)
单位地址(Address)
电子邮箱(Email) 联系电话(Phone)
英文能力(English Skills)
Reading WritingListening and
speaking□excellent □good □fair
□excellent □good □fair
□excellent □good □fair
是否愿意做口头报告或墙报展示?Do you like to give an oral/poster presentation?
□ 口头 oral□ 否 No
□ 墙报 poster
是否申请经费资助?Do you want to apply for financial support?
□ 是 Yes
□ 否 No陈述您的研究兴趣及申请资助理由(可加页,如有相关证明,可附于申请表后):A personal statement of your research interests and advantages (Additional information or materials can be attached to the application form):
State Key Laboratory in Marine Pollution (City University of Hong Kong)海洋污染國家重點實驗室
(香港城市大學)
Department of Biology and Chemistry
The 3rd Summer Course on Environmental and Human Health: Impact Assessment
Hong Kong, China, 4 – 17 July 2010
推荐信LETTER OF RECOMMENDATION
申请人姓名(Name or Applicant):推荐人姓名(Name of Referee)
与申请人关系(Relationship with the Applicant)
职务(Position and Title)
所在单位(Institution)
电话(Phone) 邮箱(Email)To the Referee: You are named by the applicant as a referee for his/her application for joining the Summer Course on
Environmental and Human Health : Impact Assessment which will be held in Hong Kong, 4-17 July, 2010. We would
appreciate your opinion of his/her academic performance. Please fill this form, sign your name and return it to the applicant.
Recommendation:
Signature Date
To the Applicant: Applicant should have at least one reference letter from advisor or others, and should send
this letter to the secretariats either by fax or email.
Mainland students: to Ms. Vera Shi (email: [email protected] or fax: 86-592-2184101)
Overseas & Hong Kong students: to Ms. Grace Ng (email: [email protected] or fax: 852-2788 7406)
State Key Laboratory in Marine Pollution (City University of Hong Kong)海洋污染國家重點實驗室
(香港城市大學)
Department of Biology and Chemistry