<p> The Chinese University of Hong Kong</p><p>FACULTY MOBILITY SCHEMES 2017-18 Endorsement Form </p><p>Please attach your online application and seek endorsement from appropriate authorities. The completed endorsement form should be submitted in pdf format via email to the Office of Academic Links (c/o Ms. Olivia Kwok–Faculty Mobility Schemes; [email protected]). </p><p>1. Personal particulars Title (Mr./Ms./Dr./Prof.) & Name (Family Name/Given Name): Position: Department/Unit/Faculty:</p><p>Chinese Name: Are you tenured?  Yes  No [Please indicate the end date of the current contract (DD/MM/YY): ______] Note: In the event that there is less than a year of employment in your current contract after the proposed visit, your application should be supported by the Department/Unit Head (and an appropriate higher authority) with specification of intention of contract renewal. Please complete section 2 in this Endorsement Form. 2. Endorsement (Please complete A and B below.) (A) Recommendation by Department Chairman/Unit Head</p><p>(a) I support the application.  Yes /  No Please provide reasons:______</p><p>(b) I confirm that the applicant represents the University/Faculty/Department to establish collaborations at the institutional/faculty/ departmental level. (This affirmation is needed to support applications for the International Partnerships Development Programme.)  Yes /  No </p><p>(c) I confirm the intention to renew the contract of the applicant so that he/she will be employed by the University within a year after the proposed visit. (Please complete if the applicant has less than a year of employment at the University in his/her current contract.)  Yes /  No /  N/A</p><p>Name in Print: ______Title: ______Signature: ______Date: ______Note: Please skip this section and complete section B only if the applicant is a Department Chairman/Unit Head.</p><p>(B) Recommendation by Faculty Dean/Supervising Officer</p><p>(a) I support the application.  Yes /  No Please provide reasons:______</p><p>(b) I confirm that the applicant represents the University/Faculty/Department to establish collaborations at the institutional/faculty/ departmental level. (This affirmation is needed to support applications for the International Partnerships Development Programme.)  Yes /  No </p><p>(c) I confirm the intention to renew the contract of the applicant so that he/she will be employed by the University within a year after the proposed visit. (Please complete if the applicant has less than a year of employment at the University in his/her current contract.)  Yes /  No /  N/A</p><p>Name in Print: ______Title: ______Signature: ______Date: ______</p><p>Faculty Mobility Schemes 2017-18 (Endorsement Form) Page 1 of 1</p>