CUHK Host Family Programme 2022-23 (For Non-local Undergraduate Students)

Have a family away from home and create fond memories with your host family!

The earlier you apply, the earlier you may be in touch with your host family.

For programme details, please visit here.

Enquiry: lces@cuhk.edu.hk

Student ID (e.g. 1155012345. If you don't have a student ID yet, please put down "N/A".) *

Full Name Full Name * First Last

Gender *

Gender Female Male

Place of Origin *

Email Address *

Contact No. (Preferably a Hong Kong number) *

College *

Programme of Study *

Year of Study (in 2022-23) *

Year of Study (in 2022-23) Year 1 Year 2 Other (please specify) Other (please specify)

Religion (if applicable)

Special dietary requirement (if applicable) e.g. vegetarian, halal

I am allergic to (if applicable)

I am allergic to (if applicable) Cats Dogs Other (please specify) Other (please specify)

Interest (You can choose more than one.) *

Interest (You can choose more than one.) Cooking Dancing Drama/Movies Photography Musical instruments Reading Singing Sports Travelling Voluntary service Outdoor activities e.g. cycling, hiking Other (please specify) Other (please specify)

Please briefly introduce yourself to your host family. *

What do you expect to gain from this programme? *

Will you be in Hong Kong in Term 1, 2022-23? *

Will you be in Hong Kong in Term 1, 2022-23? Yes No Not sure/ Not yet decided

(ONLY for students who joined in 2021-22 to answer)

(ONLY for students who joined in 2021-22 to answer) I'd like to be paired up with my host of 2021-22 again (given s/he also joins this year). I'd like to have a new host. No preference

# Data collected in this enrollment form will be used for the CUHK Host Family Programme only.

*

I have read and understand the programme details. I agree to show my commitment to the CUHK Host Family Programme as a hostee by actively joining the activities with my host and sharing my culture with him/her.

Disclaimer The personal data collected will be used by Office of Student Affairs (OSA) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.