CUHK Summer Institute 2024 - Leave of Absence

You should report all periods of leave and absences, including medical appointments and absences from activities or classes, to the Office of Academic Links on or before 12 July 2024. You should report your sick leave as soon as possible.

Application No. (SI24XXXXX):
Must be 9 characters. Currently Entered: 0 characters.
Student's Name (Full Name in English) Student's Name
(Full Name in English) First Last
Morning Course:
Afternoon Course:
Big Group
Small Group
Application of Leave of Absence

Orientation Camp (13-15 July)
Please check the box(es) for your absence.
	Morning Activity (9:00am - 1:00pm)	Afternoon Activity (1:00pm - 6:00pm)	Night Time Activity (6:00pm - 9:00pm)
13 July (Saturday)	13 July (Saturday)Morning Activity (9:00am - 1:00pm)	13 July (Saturday)Afternoon Activity (1:00pm - 6:00pm)	13 July (Saturday)Night Time Activity (6:00pm - 9:00pm)
14 July (Sunday)	14 July (Sunday)Morning Activity (9:00am - 1:00pm)	14 July (Sunday)Afternoon Activity (1:00pm - 6:00pm)	14 July (Sunday)Night Time Activity (6:00pm - 9:00pm)
15 July (Monday)	15 July (Monday)Morning Activity (9:00am - 1:00pm)	15 July (Monday)Afternoon Activity (1:00pm - 6:00pm)	15 July (Monday)Night Time Activity (6:00pm - 9:00pm)

Please let us know will you reside on CUHK campus during the orientation camp.

Please let us know will you reside on CUHK campus during the orientation camp. Yes, I will reside on CUHK camp in full. No, I will join the activities only, but not reside on campus.
Please provide additional information if you require special arrangement for you during the orientation period.

Study Period (16 - 23 July)
Please check the box(es) for your absence.
	AM course (9:00am - 11:30am)	PM course (1:00pm - 3:30pm)	Enrichment activities (4:00pm - 6:00pm)
16 July (Tuesday)	16 July (Tuesday)AM course (9:00am - 11:30am)	16 July (Tuesday)PM course (1:00pm - 3:30pm)	16 July (Tuesday)Enrichment activities (4:00pm - 6:00pm)
17 July (Wednesday)	17 July (Wednesday)AM course (9:00am - 11:30am)	17 July (Wednesday)PM course (1:00pm - 3:30pm)	17 July (Wednesday)Enrichment activities (4:00pm - 6:00pm)
18 July (Thursday)	18 July (Thursday)AM course (9:00am - 11:30am)	18 July (Thursday)PM course (1:00pm - 3:30pm)	18 July (Thursday)Enrichment activities (4:00pm - 6:00pm)
19 July (Friday)	19 July (Friday)AM course (9:00am - 11:30am)	19 July (Friday)PM course (1:00pm - 3:30pm)	19 July (Friday)Enrichment activities (4:00pm - 6:00pm)
22 July (Monday)	22 July (Monday)AM course (9:00am - 11:30am)	22 July (Monday)PM course (1:00pm - 3:30pm)	22 July (Monday)Enrichment activities (4:00pm - 6:00pm)
23 July (Tuesday)	23 July (Tuesday)AM course (9:00am - 11:30am)	23 July (Tuesday)PM course (1:00pm - 3:30pm)	23 July (Tuesday)Enrichment activities (4:00pm - 6:00pm)
24 July (Wednesday) (Make-up class) (if any)	24 July (Wednesday) (Make-up class) (if any)AM course (9:00am - 11:30am)	24 July (Wednesday) (Make-up class) (if any)PM course (1:00pm - 3:30pm)	24 July (Wednesday) (Make-up class) (if any)Enrichment activities (4:00pm - 6:00pm)

Exam and Graduation Ceremony (25 July)
Please check the box(es) for your absence.
	Absence
Exam for AM Course (if any) (9:00am - 11:00am)	Exam for AM Course (if any) (9:00am - 11:00am)Absence
Exam for PM Course (if any) (12:00pm - 2:00pm)	Exam for PM Course (if any) (12:00pm - 2:00pm)Absence
Graduation Ceremony (4:00pm - 6:00pm)	Graduation Ceremony (4:00pm - 6:00pm)Absence

Reason of Leave

Reason of Leave Competition/ Examination Family Emergency Illness School Activity/ Event Other
Please specify the leave reasons:
Upload Supporting Documents (If any)
(e.g. Competition/ examination notice, letter from parent/guardian, medical proof, school calendar etc.)

Attach Files
I affirm that

I affirm that the above information provided is valid and true.
Signature
(Draw your signature into the box below)

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Disclaimer The personal data collected will be used by Office of Academic Links (OAL) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.

CUHK Summer Institute 2024 - Leave of Absence

Application of Leave of Absence