學生領袖體驗活動 Student Leadership Taster Programmes Application

2022-2023年夏季至春季學生領袖體驗活動（TP07） Student Leadership Taster Programmes

報名表格 Application Form
Today

Day Month Year
閣下可透過填寫此表格，報讀2022-2023年夏季至春季「學生領袖體驗活動」(TP07)。

This application form is applicable for applicants who would like to apply 2022－2023 Summer - Spring Student Leadership Taster Programmes (TP07).
報名方法 Application Method *

個人報名 Individual Application 學校/團體報名 School/Group Application (5名學員或以上報名適用 Applicable for 5 or more applicants)

學員資料 Student Information
中文姓名 Chinese Name *
英文姓名 English Name *

First Name Last Name
性別 Gender *

男 Male 女 Female
出生日期 Date of Birth *

Day 日 Month 月 Year 年
年齡 Age
是否青協會員？Are you an HKFYG Member? *

是 Yes 否 No
青協會員號碼 HKFYG Membership No.
就讀學校 Name of School *
年級 Year of Study *
校內擔當職位（如有）Current Leadership Post(s) at School (if any)
電郵地址 Email Address *

Confirmation Email example@example.com
電話號碼(手提) Tel. No. (Mobile) *
電話號碼(住宅) Tel. No. (Home)
是否由學校老師推薦? Are you recommended by a school teacher? *

是 Yes 否 No

推薦老師資料 Nominating Teacher of Respective School
請按此開啟並下載學校/團體報名專用試算表。
Please click here to open and download the dedicated Excel file.
老師姓名 Name of Teacher *
老師職位 Post of Teacher *
老師電郵地址 Email Address of Teacher *

Confirmation Email example@example.com
學校名稱 Name of School *
學校聯絡電話 Tel. No. of School *
學校傳真號碼 Fax No. of School *

學員資料及課程選擇 Student Information & Courses Selection
請以Excel檔案形式上載學校/團體報名表格。 Please upload the Excel file of school/group application form. *
如尚未取得學校/團體報名專用試算表，請按此下載。
Please click here to download the school/group application form in Excel format.

付款資料 Payment
付款單位 Payment Unit *

學生 Student 學校/團體 School/Group
*

我同意我提供之個人資料將用作參與活動的相關用途、簽發收據、收集意見、資料分析，及其他配合本會宗旨及使命的事項。我有權查閱及更改個人資料，如需查閱或更改個人資料，可電郵至 SLS@leadershipinstitute.hk。Upon completing and signing this application form, I confirm that I agree that my personal data will be used for the purposes related to the participation in different programmes and activities, the issuance of receipts, collecting user feedback, conducting analyses, and any other initiatives in relation to the aims and objectives of the Federation. I have the right to request access to and correction of my personal data. For inquiry or updating personal data, please email to SLS@leadershipinstitute.hk .
我不同意香港青年協會向我提供青協及有關單位的資訊。I do not wish to receive the news and information related to the HKFYG and its service units, please check the box.
簽名 Signature *

Clear
備註 Remarks：
1. 學院會於截止報名日期後的五個工作天內，以電郵向申請人確認取錄結果。
  A confirmation email will be sent to participant within 5 working days after the deadline.
2. 成功申請者須於指定期限前，A). 以劃線支票（抬頭寫上「香港青年協會」），B). 透過網上平台，或 C). 以現金繳付費用。若未能於指定期限前繳付費用，本中心保留取消申請者取錄資格之權利，而無須發出事先通知。
  Applicants who are successfully enrolled on the course must pay the fees A). by crossed cheque made payable to "The Hong Kong Federation of Youth Groups", B).through online platform or C). by cash. If payments are not received by the fee payment deadline, students may be dropped from the course with prior notification.
3. 凡成功報名的人士將獲本學院分發一個網上學習平台帳戶，以瀏覽課堂相關資料。Upon the successful application of the programme, a one-stop online learning portal account will be activated for each participant.
Should be Empty:

2022-2023年夏季至春季學生領袖體驗活動（TP07） Student Leadership Taster Programmes

學員資料 Student Information

推薦老師資料 Nominating Teacher of Respective School

課程選擇 Courses Selection

學員資料及課程選擇 Student Information & Courses Selection

付款資料 Payment