2016 ENTRY / K TUYN SINH NM 2016

UNITED WORLD COLLEGES SCHOLARSHIP PROGRAM

APPLICATION FORM
To Applicant and Parent/Guardian(s):
UWC colleges deliver a challenging and transformative education experience to a diverse
cross section of students, inspiring them to create a more peaceful and sustainable future.
UWC has 15 colleges across 5 continents all with distinctive characters but sharing the
same mission and values.
Although strong academic achievement is valued highly at UWC, academic achievements
are put into perspective with a demanding mix of community engagement, international
affairs, physical activities and creative pursuits.
Our student intake is deliberately diverse and each of the colleges draws together students
from many different nations and backgrounds. Our bursaries, scholarships and fee
structures aim to ensure a broad socio-economic mix within the student body that adds value
to the student experience and the organization.
UWC depends on the dedication and expertise of a network of volunteers to promote UWC
and select future students. These are called national committees and they operate in more
than 145 countries worldwide.
The UWC National Committee in Vietnam (UWC Vietnam) is a group of volunteers in charge
of promoting UWC in Vietnam, including the selection of students and assignment for
scholarships to UWC colleges. Each year, UWC Vietnam receives from the UWC colleges a
specific number of places (which may include a scholarship, partial scholarship or fee-paying
place) for which we select students to study the International Baccalaureate (IB) Diploma.
Please make sure you find out as much as possible about UWC before going ahead with
your application. It is important that you understand the aims of the organization and the
commitment involved. For more information please go to www.uwcvn.org.
To be eligible for the program, you must meet the following criteria:

Vietnamese citizens and currently living in Vietnam,

Currently enrolled in 11th Grade, and
Born between September 10, 1998 and September 10, 2000.

Please carefully read the intructions published on our website for more information on how to
register your application online, as well as how to fill out and submit your application form.
The closing date for applications is: Wednesday, September 30th, 2015 at 23h55.
Selection Process:
Places in UWC are offered on a competitive basis. This application is carefully reviewed.
From the initial list of applicants a short list is chosen for interviews.
Nomination Process:
Successful candidates are nominated to specific UWC colleges (with or without scholarship)
based on their familys financial ability. The colleges generally accept the nominated
candidates on the recommendation of the national committee but reserve the right to make
the final decision on every candidate.
Please also note:
An application is made to UWC and not to a particular college.
Only one application can be made to UWC. You cannot apply through two different
national committees.
Applicants with disabilities who are self-sufficient in their everyday needs are
encouraged to apply.
Please contact us at info@uwcvn.org, if you have any questions.

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2016 ENTRY / K TUYN SINH NM 2016

BN NG K
CHNG TRNH HC BNG CC TRNG TH GII LIN KT
Gi Th sinh v Ph huynh:
Cc trng Th gii Lin kt (UWC) mang n mt tri nghim gio dc y tnh thch thc
v nh hnh cho nhng hc sinh vi nhng mng i khc nhau, nhm truyn cm hng
gip cc em xy dng mt tng lai ha bnh v bn vng hn. UWC gm c 15 trng ri
rc trn khp 5 chu lc vi nhiu nt ring, nhng cng chung s mnh v gi tr.
Mc d thnh tch hc tp xut sc c nh gi cao ti UWC, n lun c t song
song vi nhng kha cnh khc ca s gio dc v pht trin, bao gm: s tham gia cng
cng ng, cc vn quc t, cc hot ng th cht v theo ui sng to.
Chng trnh tuyn chn hc sinh vi nh hng a dng ha, mi trng nhn hc sinh
t nhiu quc gia v hon cnh khc nhau. Chnh sch h tr hc ph ca chng trnh l
nhm xy dng mt tp th hc sinh a dng v hon cnh kinh t - x hi, tng gi tr
cho nhng tri nghim ca hc sinh, cng nh thc y s pht trin ca chng trnh.
UWC c vn hnh nh vo chuyn mn v s cng hin ca mt mng li nhng
ngi tnh nguyn trong vic qung b v tuyn chn hc sinh cho chng trnh. Nhng
ngi ny lm vic trong cc y ban quc gia ti hn 145 nc trn ton th gii.
y ban Quc gia ca UWC ti Vit Nam (UWC Vit Nam) l mt nhm nhng ngi tnh
nguyn ph trch qung b UWC ti Vit Nam, v tuyn chn hc sinh cho cc trng
UWC. Mi nm, UWC Vit Nam nhn c mt s sut hc nht nh (trong bao gm
cc hc bng ton phn, hc bng bn phn hoc sut hc t chi tr). T , chng ti
tuyn chn hc sinh n hc ti cc trng UWC, theo chng trnh T ti Quc t (IB).
Xin vui lng tm hiu thm v chng trnh UWC trc khi bt u in n ng k tham
gia. iu quan trng l th sinh v ph huynh nn hiu c mc ch ca chng trnh v
nhng cam kt c lin quan. bit thm thng tin, xin vui lng xem ti www.uwcvn.org.
tham gia chng trnh, th sinh phi p ng cc tiu ch sau:

L cng dn Vit Nam v ang sinh sng ti Vit Nam,

Hin ang hc lp 11, v
Sinh trong khong t ngy 10.09.1998 n ngy 10.09.2000.

Vui lng c k Hng Dn trn trang web ca chng trnh bit thm thng tin v vic
ng k tham gia chng trnh, cng nh v cch in v np b h s ng k. Hn cht
np h s l: Th t, 30.09.2015, lc 23h55.
Quy Trnh Tuyn Chn:
Hc bng c cp trn c s cnh tranh gia cc th sinh. B h s ng k ny s c
xem xt mt cch cn thn. Nhng th sinh ni bt s c chn vo vng phng vn.
Quy Trnh C:
Nhng th sinh trng tuyn s c c cho sut hc ti cc trng UWC (vi hc bng
ton phn, bn phn hay t tc) da theo kh nng ti chnh ca gia nh cc em. Cc
trng ny thng chp nhn cc ng c vin c c bi cc y ban quc gia, tuy
nhin quynquyt nh cui cng v mi ng c vin vn hon ton ph thuc vo trng.
Cng xin lu :
H s ng k c np n chng trnh UWC, khng phi n mt trng UWC
c th no.
Mi th sinh ch c np mt b h s ng k n chng trnh UWC. Th sinh
khng c php np h s thng qua hai hay nhiu y ban quc gia khc nhau.
Chng ti khuyn khch th sinh khuyt tt c th t chm sc bn thn np n.
Xin vui lng lin h vi chng ti ti a ch info@uwcvn.org nu c thc mc.

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2016 ENTRY / K TUYN SINH NM 2016

Section 1: Applicant Background Information
Phn 1: L Lch Th Sinh

to be completed by applicant
do th sinh hon thin

Personal Information
Thng tin C nhn

Last Name:

___________________________________________

H:

First Name:

(in Vietnamese / ghi ting Vit)

___________________________________________
(in Vietnamese / ghi ting Vit)

Tn:

Middle Name(s):

___________________________________________

Tn m:

Date of Birth:

(in Vietnamese / ghi ting Vit)

___________________________________________

Ngy Sinh:

Gender Identity:

___________________________________________

Gii Tnh:

Passport:
H Chiu:

Country of Birth:

No.
Khng.

Yes. Number: _____________________

C. S:

___________________________________________

Quc Gia Ni Sinh:

City of Birth:

___________________________________________

Thnh Ph Ni Sinh:

Home Address:

___________________________________________

a Ch Nh:

(in Vietnamese / ghi ting Vit)

____________________________________________________
____________________________________________________

Home Phone:

___________________________________________

in Thoi Nh:

Cell Phone:

___________________________________________

in Thoi Di ng:

Mailling Address, if different from Home Address: __________________________________

a Ch Th Tn, nu khc vi a Ch Nh:

(in Vietnamese / ghi ting Vit)

___________________________________________
___________________________________________
Information about Applicants School
Thng tin v Trng hc ca Th Sinh

Current School:
Trng ang Theo hc:

Address of School:
a Ch Trng:

___________________________________________
(in Vietnamese / ghi ting Vit)

___________________________________________
(in Vietnamese / ghi ting Vit)

___________________________________________
___________________________________________

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2016 ENTRY / K TUYN SINH NM 2016

Head of School:

___________________________________________

Hiu Trng:

Telephone:

___________________________________________

in Thoi:

Email Address:

___________________________________________

a Ch Th in T:

Fax Number:

___________________________________________

S Fax:

Applicants Statement
Xc Nhn ca Th Sinh

I certify that the information given in this application is complete, authentic and accurate to
the best of my knowledge. If admitted to a UWC college, I agree to comply with any
necessary regulations set by the College and to contribute to and support UWC Vietnam to
the best of my ability.
Ti xc nhn l nhng g ti a ra trong bn ng k ny l y v ng s tht. Nu trng tuyn, ti ng
tun theo cc quy nh ca Trng m ti c chn; v cam kt s ng gp v h tr ht sc mnh cho hot
ng ca UWC Vit Nam.

Applicants Signature:

___________________________________________

Ch K ca Th Sinh:

Date:

___________________________________________

Ngy:

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2016 ENTRY / K TUYN SINH NM 2016

Section 2: Applicant Information
Phn 2: Thng Tin Th Sinh

to be completed by applicant
do th sinh hon thin

List and describe your level of interest, participation and achievements in school activities (in
class, clubs, atheletics, arts, etc.).
Hy lit k v m t s yu thch, mc tham gia v thnh tch ca em trong cc hot ng trng (hc tp,
cu lc b, th thao, ngh thut, v.v.).

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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_________________________________________________________________________
List and describe your level of interest, participation and achievements in activities, groups
and hobbies not associated with school.
Hy lit k v m t s yu thch v mc tham gia ca em vo hot ng, nhm, s thch ngoi trng hc.

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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_________________________________________________________________________
Please elaborate more on one activity that demonstrates at least one of the following: your
leadership skills; your willingness to help others; your creativity; or your greatest strength.
Hy ni r hn v mt hot ng em tham gia th hin c t nht mt trong nhng phm cht sau ca em:
kh nng lnh o; s sn sng gip ngi khc; kh nng sng to; hoc phm cht ni bt nht ca em.

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

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2016 ENTRY / K TUYN SINH NM 2016

What academic achievement are you most proud of? Why?
Em t ho nht v thnh tch hc tp no ca mnh? Ti sao?

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
In addition to Vietnamese, what other language(s) do you know? Please indicate by ticking the
appropriate square: 4 = excellent, 0 = not at all.
Ngoi ting Vit, em bit nhng ngn ng no na? Hy nh du mc thnh tho vo cc sau: 4 = rt thnh
tho, 0 = khng bit g.

English

4 3 2 1 0

Ting Anh
Listening

.................
..............

Nghe

Listening

Speaking

Ni

Reading

Writing

Vit

4 3 2 1 0

.................
..............

Nghe

Listening

Speaking

Ni

Speaking

Ni

Reading

Reading

Writing

Vit

Writing

Vit

4 3 2 1 0

Nghe

Do you enjoy physical activities or sports? Do you have a strong musical, craft or artistic
interest? List up to 5 areas of interest, indicate level and time of involvement.
Em c thch tham gia hot ng th cht/th thao khng? Em c yu thch m nhc, hi ha hay cc hot ng
ngh thut khng? Hy lit k ti a 5 lnh vc m em yu thch, nu r mc v thi gian m em tham gia
vo cc hot ng ny.

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Is there any other thing you want UWC Vietnam to know more about you?
Em c iu g mun trnh by thm vi UWC Vit Nam khng?

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

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2016 ENTRY / K TUYN SINH NM 2016

Section 3: Essays
Phn 3: Bi Lun

to be completed by applicant
do th sinh hon thin

In the space provided below, please write a statement explaining why you are interested in
attending a United World College and reflecting on UWCs mission and values, what you
might contribute to the college, and what you would hope to gain from the experience.
Trong khong trng di y, hy vit mt on vn gii thch ti sao em mun theo hc ti mt Trng Th
gii Lin kt, s mnh v nhng gi tr ca chng trnh c ngha nh th no vi em, em c th ng gp
nhng g v em mong mun thu nhn c g t tri nghim ny.

_________________________________________________________________________
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_________________________________________________________________________
_________________________________________________________________________
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2016 ENTRY / K TUYN SINH NM 2016

In the space provided below, please describe how your day goes on April 29, 2025.
Trong khong trng di y, hy m t mt ngy ca em: ngy 29 thng 4 nm 2025.

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
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2016 ENTRY / K TUYN SINH NM 2016

Section 4: Academic Report

to be completed by applicant

Phn 4: Bo co Hc tp

do th sinh hon thin

Please provide us with information regarding your academic performance in the table below.
You are not asked to submit any records at this point. Should you be invited to the
interviews, you can bring the original copies of your school records to verify this information.
Trn bng di y, ngh th sinh cung cp cho chng ti kt qu hc tp ca em ti trng. Th sinh khng
cn phi np km bng im. Nu c mi vo vng phng vn, th sinh c th mang theo bn chnh hc b
i chiu.
9th Grade

Subjects
Mn Hc

10th Grade

Lp 9

1st term
HK I

2nd term
HK II

Remarks

Lp 10

Full Year
C Nm

1st term
HK I

2nd term
HK II

Full Year

Ghi Ch

C Nm

Mathematics
Ton hc

Physics
Vt L

Chemistry
Ha Hc

Biology

Sinh Hc

Technology

K Thut/Cng Ngh

Informatics
Tin Hc

Physical education
Th Dc

Literature
Vn Hc

History
Lch S

Geography
a l

Civic Education
GDCD

Foreign Language
Ngoi Ng

Other: ..................
Khc:

Other: ..................
Khc:

Average
Trung Bnh

You may use this space for additional remarks regarding your academic performance.
Th sinh c th dng khong trng ny b sung ghi ch v kt qu hc tp ca em.

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

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2016 ENTRY / K TUYN SINH NM 2016

Section 5: Family Information

to be completed by applicants parent/guardian(s)

Phn 5: Thng Tin Gia nh

Parent / Guardian 1
Ph Huynh 1

Full Name:

do ph huynh th sinh hon thin

Father.
B.

Mother.
M.

Khc.

___________________________________________

H Tn:

Contact Number(s):

Other: ____________

(in Vietnamese / ghi ting Vit)

___________________________________________

in Thoi Lin H:

Email Address:

___________________________________________

a Ch Th in T:

Occupation:

___________________________________________

Ngh Nghip:

Parent / Guardian 2
Ph Huynh 2

Full Name:
H Tn:

Contact Number(s):

Father.
B.

Mother.
M.

Other: ____________
Khc.

___________________________________________
(in Vietnamese / ghi ting Vit)

___________________________________________

in Thoi Lin H:

Email Address:

___________________________________________

a Ch Th in T:

Occupation:

___________________________________________

Ngh Nghip:

Familys Mailing Address:

a Ch Th Tn ca Gia nh:

___________________________________________
(in Vietnamese / ghi ting Vit)

___________________________________________
___________________________________________

How many siblings does the applicant have? _____________________________________

Th sinh c bao nhiu anh ch em?

Please give a brief summary of any medical problems, serious illnesses, hospitalization or
allergies the applicant have had in the past or is having.
Hy nu vn tt bt c mt vn no v sc khe (bnh tt, nm vin hoc d ng) m th sinh hoc ang
mc phi.

_________________________________________________________________________
_________________________________________________________________________
Is there any food that the applicant can not or does not eat for religion or health reasons?
C loi thc n no m th sinh khng th n c hoc khng n v l do tn gio hay sc khe khng?

_________________________________________________________________________
_________________________________________________________________________

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2016 ENTRY / K TUYN SINH NM 2016

Parents Statement
Xc Nhn ca Ph Huynh

I/we have read and understood the information section at the beginning of this application
form and the application for entry to UWC made by my son/daughter/ward; I/we have
discussed all aspects of the commitment involved and this application has my/our full
approval.
Should the application be successful, I/we hereby undertake for myself/ourselves and for
him/her to observe the rules, regulations and guidelines of the college. I/we recognize that
the college has the right to exclude my son/daughter/ward for violations of such rules,
regulations and guidelines.
While my/our son/daughter/ward is in residence at a UWC college, I/we authorize the college
to act in loco parentis in decisions directly effecting his/her health and welfare when it is
neither possible nor practical to contact me/us beforehand.
Ti/Chng ti c v hiu thng tin v chng trnh c ghi phn u ca b h s ng k ny v
xem qua ni dung ca b h s np vo chng trnh UWC do con ca ti/chng ti chun b. Ti/Chng ti
tho lun vi chu v tt c nhng cam kt c lin qua. B h s ng k ny nhn c s ng ca
ti/chng ti.
Nu nh con ca ti/chng ti c nhn theo hc ti Trng UWC, ti/chng ti cam kt rng ti/chng ti v
c chu s tun theo nhng quy nh v hng dn ca Trng. Ti/Chng ti hiu rng Trng c quyn loi
tr con ca ti/chng ti trong trng hp vi phm nhng quy nh v hng dn ni trn.
Trong thi gian con ti/chng ti sng ti Trng UWC, ti/chng ti y quyn cho Trng thay th ti/chng ti
trong cc quyt nh lin quan n sc khe v phc li ca chu, trong trng hp Trng khng th lin lc
ngay vi ti/chng ti.

Parent/Guardian 1s Signature:

___________________________________________

Ch K ca Ph Huynh 1:

Date:

___________________________________________

Ngy:

Parent/Guardian 2s Signature:

___________________________________________

Ch K ca Ph Huynh 2:

Date:

___________________________________________

Ngy:

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2016 ENTRY / K TUYN SINH NM 2016

Section 6: List of Recommenders

to be completed by applicant

Phn 6: Danh Sch Ngi Gii Thiu

do th sinh hon thin

You are requested to ask two recommenders who know you very well to each write a letter
of recommendation. One of the recommenders must be a teacher who has taught or is
teaching you. The other needs to be a person with whom you have worked outside the
classroom. Letters of recommendation from family friends or family members will not be
accepted.
Th sinh hy ngh hai ngi bit r v mnh vit th gii thiu cho th sinh. Mt trong hai ngi gii thiu phi
l gio vin hoc ang dy em. Ngi th hai l mt ngi cng lm vic cng em, bn ngoi phm vi lp
hc. Th gii thiu t bn ca gia nh v ngi trong gia nh s khng c chp nhn.

Please provide names of the Recommenders:

Hy lit k tn ca nhng Ngi Gii Thiu:

Recommender 1
Ngi Gii Thiu 1

Full Name:

Teacher.
Gio vin.

Other.
Khc.

___________________________________________

H Tn:

Organization:

(in Vietnamese / ghi ting Vit)

___________________________________________

T Chc:

Contact Number(s):

___________________________________________

in Thoi Lin H:

Email Address:

___________________________________________

a Ch Th in T:

Time of Aquaintance:

___________________________________________

Thi Gian Quen Bit:

Enclosed Letter:

No.

Yes. Number of Pages: __________

Th c nh Km:

Khng.

Recommender 2

Teacher.

Ngi Gii Thiu 2

Full Name:

Gio vin.

C. S trang:

Other.
Khc.

___________________________________________

H Tn:

Organization:

(in Vietnamese / ghi ting Vit)

___________________________________________

T Chc:

Contact Number(s):

___________________________________________

in Thoi Lin H:

Email Address:

___________________________________________

a Ch Th in T:

Time of Aquaintance:

___________________________________________

Thi Gian Quen Bit:

Enclosed Letter:
Th c nh Km:

No.
Khng.

Yes. Number of Pages: __________

C. S trang:

Note: Please provide each of your recommenders with a copy of the next page. If your
recommenders prefer to send their letter directly to UWC Vietnam via email, please provide
them with your Reference Number for them to include in their email.
Ghi ch: Hy a cho Ngi Gii Thiu ca em mt bn sao ca trang k tip. Nu Ngi Gii Thiu gi th
in t trc tip n UWC Vit Nam, hy cung cp cho h S Bo Danh ca em h ghi ch trong th.

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2016 ENTRY / K TUYN SINH NM 2016

Section 7: Letter to Recommenders

to be presented to recommenders

Phn 7: Th cho Ngi Gii Thiu

Applicant Name:

gi n Ngi Gii Thiu

___________________________________________

H Tn Th Sinh:

(in Vietnamese / ghi ting Vit)

To the applicants recommender:

The above student is applying to attend a UWC college.
UWC colleges deliver a challenging and transformative education experience to a diverse
cross section of students, inspiring them to create a more peaceful and sustainable future.
UWC has 15 colleges across 5 continents all with distinctive characters but sharing the
same mission and values.
Although strong academic achievement is valued highly at UWC, academic achievements
are put into perspective with a demanding mix of community engagement, international
affairs, physical activities and creative pursuits.
Our student intake is deliberately diverse and each of the colleges draws together students
from many different nations and backgrounds. Our scholarships and fee structures aim to
ensure a broad socio-economic mix within the student body that adds value to the student
experience and the organization. Please go to www.uwcvn.org for further information.
Places are offered on a competitive basis. UWC Vietnam would greatly appreciate your
comments on the applicant. Your frank assessment of the student would be invaluable.
In your letter, written in English or Vietnamese, please comment on the students
performance and participation at school, personality and character and consider the
following aspects: academic motivation and interests; ability to organize work and time;
interaction with others; maturity; adaptability; initiative; communication and listening skills;
ability to deal with stress; and other strengths and weaknesses.
You may attach your letter in an email and send it to us at admissions@uwcvn.org, or give it
to the applicant to enclose in his/her application package. Thank you for your
recommendation.
------------------------------------------------------------------Knh gi Ngi Gii Thiu ca th sinh:
Th sinh nu trn ang np n theo hc ti mt trng Th gii Lin kt (UWC).
Cc trng UWC mang n mt tri nghim gio dc y tnh thch thc v nh hnh cho hc sinh vi nhng
mng i khc nhau, nhm truyn cm hng gip cc em xy dng mt tng lai ha bnh v bn vng hn.
UWC gm c 15 trng ri rc trn khp 5 chu lc vi nhiu nt ring, nhng cng chung s mnh v gi tr.
Mc d thnh tch hc tp xut sc c nh gi cao ti UWC, n lun c t song song vi nhng kha
cnh khc ca s gio dc v pht trin, bao gm: s tham gia cng cng ng, cc vn quc t, cc hot
ng th cht v theo ui sng to.
Chng trnh tuyn chn hc sinh vi nh hng a dng ha, mi trng tip nhn hc sinh t nhiu quc gia
v nhiu hon cnh khc nhau. Chnh sch h tr hc ph ca chng trnh l nhm xy dng mt tp th hc
sinh a dng v hon cnh kinh t - x hi, tng gi tr cho nhng tri nghim ca hc sinh, cng nh thc
y s pht trin ca chng trnh. bit thm thng tin, xin vui lng xem ti www.uwcvn.org.
Hc bng c cp trn c s cnh tranh gia cc th sinh. UWC Vit Nam nh gi rt cao nhn xt ca
ng/b v th sinh ny. Nhng nhn xt thng thn ca ng/b l v cng qu gi.
Trong th, vit bng ting Anh hoc ting Vit, xin ng/b hy a ra nhn xt v s th hin v tham gia ca
th sinh ti trng, v c v tnh cch ca th sinh, ch trng vo nhng ni dung nh: ng lc v hng th hc
tp; kh nng sp xp thi gian, ln k hoch; s tng tc vi nhng ngi khc; s trng thnh; kh nng
thch ng; s ch ng, sng to; k nng lng nghe v giao tip; kh nng i ph vi cng thng; v nhng
im mnh, im yu khc.
ng/b c th gi th trc tip n chng trnh, di dng tp tin nh km vo hm th in t
admissions@uwcvn.org, hoc a th th sinh np cng vi b h s ng k ca mnh. Chn thnh cm n.

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