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課程意向表格
請填寫下列問題，以便提供最合適課程予學生。
In order to provide most suitable lessons to learners, please complete this form.
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* Indicates required question
Email
*
Your email
學生中文姓名
Name of Learner(in Chinese)
Your answer
學生英文姓名
Name of Learner(in English)
*
Your answer
學生出生日期
Birthday of Learner
MM
/
DD
/
YYYY
學習中文目的﹕(可多選)
Why you want to learn Chinese?(select all that apply)
*
對繁體字/中國語言文化感興趣 wanting to know Traditional Chinese or Chinese Language culture
銜接香港課程 keep learning Chinese
有意回港就讀 for further studies in Hong Kong/China
可自行認讀中文 eligible to read Chinese
Other:
學生中文程度﹕
Has the learner learnt Chinese before?
*
從未學習中文(如否可直接回答聯絡人事項) Never (Please jump to answer questions about Contact person information)
曾經學習中文 Yes
請選擇就能描寫學生程度之答案
How would you describe the learners level of Chinese
在家自學 self-learing
曾到其他學習中心學習 has been learning Chinese in other language learning center before
曾經就讀香港中、小學 has been studied in Hong Kong or China local school before
本地學校中文課 New Zealand local school Chinese Lesson
Other:
Clear selection
如曾在香港中、小學就讀，最後就讀年級為﹕
The last level of the leaner attend in Hong Kong/China local school is:
Your answer
聯絡人姓名﹕Name of Contact person
*
Your answer
聯絡人電話﹕ Phone Number
*
Your answer
聯絡人電郵﹕Email
*
Your answer
請選擇可上課時間﹕(可多選)Please select all the time slots that would be suitable for you.
*
星期一(Mon) 3:30至4:30
星期一(Mon) 4:45至5:45
星期二(Tue) 3:30至4:30
星期二(Tue) 4:45至5:45
星期三(Wed) 3:30至4:30
星期三(Wed)4:45至5:45
星期四(Thu) 3:30至4:30
星期四(Thu) 4:45至5:45
星期五(Fri) 3:30至4:30
星期五(Fri) 4:45至5:45
星期六上午 (Sat) Moring
星期六下午(Sat) Afternoon
Other:
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