中學生領袖訓練基礎課程 2025/26 The Foundation Course for Student Leaders 2025/26
閣下可透過填寫此表格，報讀中學⽣領袖訓練基礎課程 2025/26 。所有課程活動將以中文及廣東話授課。 This application form is applicable for those who would like to apply The Foundation Course for Student Leaders 2025/26. All the classes will be conducted in writtern Chinese and CANTONESE.
學員資料 Informationof Participant
中⽂姓名 (全名) Full Name in Chinese
*
英⽂姓⽒ Last Name / Surname in English
*
英⽂名字 First Name / Given Name in English
*
性別 Gender
*
男 Male
⼥ Female
出⽣年份 Yearof Birth
*
青協會員號碼 Your HKFYG Membership Number
如閣下並⾮青協會員，請於下⽅填寫「N/A」 If you are not a HKFYG Member, please fill in "N/A"
就讀學校 Name of School
*
請輸⼊閣下就讀的學校全名 Please fill in the FULL NAME of your school
年級 Year of Study
*
Please Select
F.2
F.3
F.4
F.5
F.6
YEAR 8
YEAR 9
YEAR 10
YEAR 11
YEAR 12
校內擔當職位 Current Leadership Post(s) at School
*
電郵地址 Email Address
*
請輸⼊有效的電郵地址，否則⽇後將無法通知閣下，已報名課程的最新資訊Please fill in a valid email address, otherwise you may not be able to receive the latestinformation related to your enrolled courses
參加者電話號碼(⼿提) Tel. No. (Mobile)
*
是否由學校⽼師推薦? Are you recommended by a school teacher?
*
是 Yes
否 No
額外聯絡人資料 (如有 If Any)
額外聯絡人姓名 Name of Additional Contact
額外聯絡人電話 Additional Contact No.
額外聯絡人電郵 Additional Email Account
額外聯絡人與參加者之關系Relationship between additional contact person and participant
我同意 / 不同意香港青年協會向我提供青協及有關單位的資訊。I wish / do not wish to receive the news and information related to the HKFYGand its service units.
同意 Agree
不同意 Disagree
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推薦⽼師資料 Nominating Teacher of Respective School
⽼師姓名 (全名) Full Name of Teacher
*
⽼師職位 Post of Teacher
*
⽼師電郵地址 Email Address of Teacher
*
⽼師聯絡電話 Tel. No. of Teacher
*
學校聯絡電話 Tel. No. of School
*
學校傳真號碼 Fax No. of School
*
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課程選擇 Courses Selection
現任領袖崗位 Current Leadership Positions
*
領袖生隊長 / 幹事 Prefect Team Leader / Committee
學生會 / 社 / 學會幹事 Student Union / House /Club Committee
課程選擇 Class selection
公眾班 A Public Class A:
領袖生隊長 / 幹事 Prefect Team Leader / Committee
課程選擇 Class selection
公眾班 B Public Class B:
學生會 / 社 / 學會幹事 Student Union / House /Club Committee
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付款資料 Payment
付款單位 Payment Unit
*
學⽣ Student
學校 School
請輸⼊優惠碼 (如有)Please fill in discount code (if any)
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你是如何得知本課程？How did you learn about this course?
透過學院網站 Via the institute's website
透過社交媒體 Via the institute's social media
透過搜尋引擎 Via search engines
透過其他網站t Via other websites
經⽼師介紹 Introduced by teacher
經親友介紹 Introduced by relatives and friends
其他 Other
我同意 / 不同意香港青年協會向我提供青協及有關單位的資訊。I wish / do not wish to receive the news and information related to the HKFYGand its service units.
同意 Agree
不同意 Disagree
Signature 簽署
Submit
Should be Empty: