JA Planning with Purpose Application Form 2022/23 JA財策為未來學校報名表格 2022/23
Please complete this form and submit to JA.
請填妥以下表格,並交回JA。

If you require any assistance, please contact JA HK at 3426-3146 or pwp.ja@jahk.org.
如有任何查詢,請致電3426-3146或電郵至pwp.ja@jahk.org與JA HK聯絡。
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School Information 學校資料
English Name 英文名稱 *
Chinese Name 中文名稱 *
Link Teacher 負責老師
Sal 稱呼 *
English Surname 姓 (英文) *
English First Name 名(英文) *
Chinese Name 中文姓名 *
Position 職位 *
Office Tel No. 辦公室電話 *
Mobile No. 手提電話 *
Email Address 電郵地址 *
Contact person (if not the same as the Link Teacher) 聯絡人 (如與負責老師不同)
English Name 英文姓名
Position 職位
Office Tel No. 辦公室電話
Mobile No. 手提電話
Email Address 電郵地址
Expected number of participating student 預算參與學生人數
Student Form 學生級別 *
Number of Student 學生人數 *
Class Details 活動詳情
Language of Instruction 授課語言 *
Preferred Program Delivery Format 授課方式 *
Required
Preferred Program Schedule 課程日期及時間
Preferred Seminar Date  講座舉行日期 *
First Choice 第一選擇
MM
/
DD
/
YYYY
Second Choice 第二選擇
MM
/
DD
/
YYYY
*
Third Choice 第三選擇
MM
/
DD
/
YYYY
Start Time 開始時間 *
Time
:
End Time 結束時間 *
Time
:
Declaration 聲明
I declare that the information given in this application is true and accurate, and confirm that this application has been endorsed and supported by the school. I hereby authorise Junior Achievement Hong Kong (JA) to contact relevant parties and verify information given in this application form.

本人聲明此申請表格內之資料屬實及準確,並確定此申請已得到校方認可及支持。本人謹此授權青年成就香港部與有關人士聯絡,核實申請表格內之資料。
Notes 備註:
* JA reserves all rights to change the workshop dates. JA 保留權利更改工作坊日期
* Please print a copy of this completed form for your record before submitting this form. 遞交前,請先列印已填妥的申請表以作記錄。
*
How do you know about this program? 從哪渠道得知此課程? *
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