心光盲人院暨學校—個人義工服務申請表 Ebenezer School and Home for the Visually Impaired-Volunteer Application Form
2023_11版
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申請人中文姓名： *
Applicant’s Chinese Name:
申請人英文姓名：
Applicant's English Name:
申請日期：
Date:
MM
/
DD
/
YYYY
年齡：
Age (yrs):
Clear selection
性別：
Gender:
地址：
Address:
聯絡電話： *
Phone Number:
電郵：
E-mail:
教育程度：
Education:
Clear selection
服務經驗：
Have you done any voluntary service before?
Clear selection
如「有」，請列出：
If ‘yes’, please describe:
個人專長：
Personal expertise:
有意服務工作部門（請填寫優次：1及2）：
Which unit you would like to serve? (Please set your preference 1 and 2)
心光學校 Ebenezer School
心光恩望學校 Ebenezer New Hope School
心光幼兒中心 Ebenezer Child Care Centre
心光護理安老院 Ebenezer Care and Attention Home
視障幼兒教育支援服務 Early Intervention Programme for Visually Impaired Childred
心光視障音樂專才計劃 Ebenezer Music Academy
中央行政部 Central Administration
心光學校宿舍 Ebenezer School Boarding
心光福音事工 Christian Ministry
心光點字部 Ebenezer Braille Product Unit
「有作為」計劃 Project WORKS
１
2
3
4
5
6
7
8
9
10
11
Clear selection
有意服務工作對象（請填寫優次：1及2）：
Who would you like to serve?  (Please set your preference 1 and 2 )
視障幼兒"Visually impaired children (below 6)"
視障學生"Visually impaired students"
視障兼智障學生"Visually and intellectual disability students"
視障長者"Visually impaired elderly"
視障校友"Visually impaired alumni"
1
2
3
4
5
Clear selection
有意服務工作類別 （請填寫優次：1及2）：
Service interested: (please set preference: 1, 2 )
補習"Tutoring"
協助活動"assisting in activities"
文書處理"Word processing"
報讀"Reading service"
錄音"Recording"
宗教服務"Religious services"
護送"Escorting services"
設計"Design"
協助物理治療/職業治療運動"Sports"
運動"Assist in Physiotherapy or Occupational therapy exercises"
音樂活動/教授樂器"Music / teaching Musical Instruments"
其他"Others"
1
2
3
4
5
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9
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11
12
Clear selection
可提供服務時段／時間：
Availability: (You may select more than one category.)
你是否曾在香港或其他地方被裁定干犯刑事罪行？ *
Have you been convicted of any criminal offence in Hong Kong or elsewhere?
承上題，如果答「有」請提供詳情：
If "Yes", please provide details:
你是否涉及任何在進行中的刑事訴訟或調查（包括但不限於警方逮捕或拘捕）？ *
Have you ever involved in any ongoing criminal proceedings or investigations (including but not limited to arrest or apprehension by the police)?
承上題，如果答「有」請提供詳情：
If "Yes", please provide details:
本人特此聲明，本人沒有任何性罪行刑事定罪紀錄。 *
I declare that I did not have any criminal conviction of sexual offenses.
本人特此聲明，本人於義工服務期間會遵守香港維護國家安全法。 *
I declare that I will respect National Security Law during my services here.
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