Be a change-maker 2020: 網上報名

Address地址

Language(s) that you have good command of:精通語言

How did you hear about this programme?您如何得知此活動Website/網頁Social Media/社交媒體Email/電郵Friends/朋友School/學校

Section:2 Emergency Contact第二部分: 緊急聯絡人資料

Section:3 Travel Documents第三部分:證件資料

Section:4 Health Condition第四部分:健康狀況

Any major or chronic medical conditions?, if yes please give details:以往曾否患有嚴重 / 長期性的疾病?

Any surgery or hospitalizations you have had in the past?, if yes please give details:以往曾否因病入院接受治療、檢查或大小手術?

Any regular prescriptions?, if yes please give details:是否需要長期服藥?

Any allergies to food, medications, conditions, etc?, if yes please give details:是否有食物、藥物或其他敏感?

Any special dietary needs?, if yes please give details:是否需要特別膳食安排?

Section:5 Additional Questions第五部分:附加問題

1. Have you ever joined any overseas exposure/service trips in the past?, if yes, please give the specify year, destination, and organizer1. 你過往有參加過海外體驗/服務團嗎?

2. Why would you like to join ‘Be a Change-maker 2020’, and what are your expectations for the programme? (Not more than 200 words in English or Chinese)2. 請簡述你參加「Be a Change-maker 2020」的原因及對此次活動的期望。

3. Plan an activity for you and other participants to share your learnings upon returning from the exposure trip with your family, friends, and schoolmates, and to enhance their understanding towards girl’s rights and child protection issues. (Not more than 200 words in English or Chinese. Hint: You could consider describing the aims, format, content, and materials needed for the activity)3. 試策劃一個活動,讓你及其他參加者於回程後與身邊的家人朋友同學分享旅程中的學習成果,加深他們對女童權益及
保護兒童議題的了解。(300 字以內,中英不限。提示..可簡述初步構思如活動目的、活動形式及內容、活動對象及
人數等。)

Final Section: Attachments附件部分

*文件大小上限:2mb

Photocopy of HKID香港身體證副本

Photocopy of travel document (personal information page)旅遊證件(個人資料頁)副本

School calendar of academic year 2019-20 19-20年度校曆副本

Parent / Guardian Consent (for applicants under the age of 18)家長同意書(十八歲以下之申請人必須填寫)Download下載

Recommendation forms completed by school teacher/ affiliated organization (if applicable)就讀學校老師/所屬團體推薦表格 (如有)Download下載

Financial aid application (if applicable)財政資助申請表 (如有)Download下載

If you do not wish to receive upcoming promotional materials of Plan International Hong Kong, please put a tick ‘√’ in this box.勾選，如不欲收取由培幼會發出之推廣資料

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