Record Form for the 'Self and The Significant Others' Scheme
(2026–27)
Submission Deadline: 5 Dec 2026 (last day of Term 1, 23:59)
To enhance students’ interactions with people from different social and cultural backgrounds, the ‘Self and The Significant Others’ Scheme has been introduced to students since the academic year 2023–24.
Students are encouraged to invite a significant person who coms from one of the following categories to join a
non-CWC-organized cultural activity
during Term 1, 2026-27:
o Any CWC student from a different year;
o Any CWC student from a different major;
o Any CWC student who speaks a different native language;
o Any relative (e.g., cousin) or member in the student’s immediate family (e.g., grandparent); this person should not be a CWC student;
o Any CUHK student from a different college.
Students engaging in this Scheme and submitting the online form by the deadline (see above), will have their attendance at one cultural activity counted as double (i.e., 1 cultural activity = 2 attendance records), given that the attendance proofs and photos required are submitted and approved by the College.
Each invitee must not have previously participated as the invitee of the same student in any prior activities.
In addition, students joining this Scheme with genuine financial needs supported by proofs may apply for a one-off subsidy (HK$200 per CWC student per activity) from the College on reimbursement basis. The College will handle all subsidy applications in one go in December 2026.
Part I) Personal Particulars
Name
Name
*
First
Last
Student ID
*
Year of Study
*
Email
*
Part II) Record of Activities Attended
Note that DO NOT submit participation record for activities arranged by the College Office, Residential Tutors (RTs), and student bodies. These are NOT considered for this Scheme, and the attendance will be recorded by the College directly, for one activity each.
Activity 1
Name of the Significant Other
*
Relationship with you (e.g. Family member/ College-mate/ CUHK student)
*
Activity Name
*
Organiser (Please state full name)
*
Nature of activity (e.g. concert/ opera/ play/ drama/ exhibition/ talk show/ cultural tour/ art fair/ museum tour)
*
Event Date and Time
*
Activity 1. Attendance Proofs
To confirm your activity attendance, please submit
1. Event ticket, e-mail/ WhatsApp registration issued by the organizer, other forms of registration/ confirmation notice
*
Attach Files
Activity 1. Attendance Proofs
To confirm your activity attendance, please submit
2. A photo of you and your significant other(s) taken during participation of this activity at the event venue.
*
Attach Files
Activity 2
Name of the Significant Other
Relationship with you (e.g. Family member/ College-mate/ CUHK student)
Activity Name
Organizer (Please state the full name)
Nature of activity (e.g. concert/ opera/ play/ drama/ exhibition/ talk show/ cultural tour/ art fair/ museum tour)
Event Date and Time
Activity 2. Attendance Proofs
To confirm your activity attendance, please submit
1. Event ticket, e-mail/ WhatsApp registration issued by the organizer, other forms of registration/ confirmation notice
Attach Files
Activity 2. Attendance Proofs
To confirm your activity attendance, please submit
2. A photo of you and your significant other(s) taken during participation of this activity at the event venue.
Attach Files
Activity 3
Name of the Significant Other
Relationship with you (e.g. Family member/ College-mate/ CUHK student)
Activity Name
Organizer (Please state the full name)
Nature of activity (e.g. concert/ opera/ play/ drama/ exhibition/ talk show/ cultural tour/ art fair/ museum tour)
Event Date and Time
Activity 3. Attendance Proofs
To confirm your activity attendance, please submit
1. Event ticket, e-mail/ WhatsApp registration issued by the organizer, other forms of registration/ confirmation notice
Attach Files
Activity 3. Attendance Proofs
To confirm your activity attendance, please submit
2. A photo of you and your significant other(s) taken during participation of this activity at the event venue.
Attach Files
Activity 4
Name of the Significant Other
Relationship with you (e.g. Family member/ College-mate/ CUHK student)
Activity Name
Organizer (Please state the full name)
Nature of activity (e.g. concert/ opera/ play/ drama/ exhibition/ talk show/ cultural tour/ art fair/ museum tour)
Event Date and Time
Activity 4. Attendance Proofs
To confirm your activity attendance, please submit
1. Event ticket, e-mail/ WhatsApp registration issued by the organizer, other forms of registration/ confirmation notice
Attach Files
Activity 4. Attendance Proofs
To confirm your activity attendance, please submit
2. A photo of you and your significant other(s) taken during participation of this activity at the event venue.
Attach Files
Part III) Application for One-off College Subsidy
1. Please inform the College on the type(s) of financial aid that you have applied for/ been granted for the academic year 2026–27 with the amount approved (if applicable)
Put N/A if not applicable
Tertiary Student Finance Scheme – Publicly-funded Programmes
Application status and amount granted (HK$):
*
Government Non-means-tested Loan Scheme
Application status and amount granted (HK$):
University Bursaries and Loans
Application status and amount granted (HK$):
College Bursaries
Application status and amount granted (HK$):
Others (please specify), with application status and amount granted (HK$):
I have not applied for any of the above financial aid for the following reason(s)
2. I would like to apply for one-off subsidy from the College
*
2. I would like to apply for one-off subsidy from the College
Yes
No
Reason(s) of applying for this one-off subsidy
Supporting proof, including the receipts of event(s) for reference
Attach Files
Declaration
I declare that all information provided above and in the supporting proof(s) attached are valid and complete to the best of my knowledge. I understand that I should take full responsibility if I knowingly supply false information to CW Chu College, and the College reserves the right to refer my case to the Dean of Students/ relevant Committee for investigation should this happen.
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.
Enquiries:
Ms Rosanna So, Executive Officer
Tel: 3943 1943
Email: rosannaso@cuhk.edu.hk
Disclaimer
The personal data collected will be used by CW Chu College (CWC) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.