Stair Climber Programme – Application Form

Applicants please watch the following video guidelines before filling in the Form:

https://youtu.be/hQLCbchlcvs                          

Stair Climber in Tenement Houses

Vision: To enable the users to enjoy a barrier-free life and integrate into the community again by helping them move up and down stairs safely within tenement buildings so that they can go outdoor for fresh air, shopping, meeting friends and relatives.

Organizers: Build & Wish Voluntary Team + Hong Kong Fire Services Department Voluntary Team

Co-organizers: Foot Print Voluntary Team + Social Career + Hong Kong Church Network for the Poor

Workling Partners: Architectural Services Department Volunteer Team +  Kowloon West PHAB Centre + we care voluntary Love Alliance

Working Partners in Kowloon City: i. Sheng Kung Hui Holy Trinity Cathedral ii. The Faith Church, To Kwa Wan iii. Hung Hom Baptish Church

Acknowledgements: Shih Wing Ching Foundation


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Q1. Applicant’s name (Note: the form should be filled in by a social worker or user's family/friends apply on behalf of the user *

Q2. Relationship with the user

 *
Q3. Applicant’s mobile phone number (with whatsapp function)
 *
Q4. User’as name
 *
Q5. User’s age
 *

Q6. User’s gender

 *

Q7. User’s contact phone number

 *
Q8. user’s address
(XXX St, XX/F, RoomXX
 *
Q9. The name and relationship of the accompanying person on the action day
(An accompanying person should be presented to provide necessary assistance on the action day)
Note: Under a very special circumstance, the social workers can apply for our volunteers as accompanying person to assist the user, say to go shopping nearby
 *
Q10. Mobile Phone number of the accompanying person
 *

Q11. The accompanying person can access whatsapp?

 *

Q12. To suit the narrow stairway, a Strut Type stair machine is used. The user should be able to move from their wheelchairs to the stair climber machine by themselves or with the assistance of their family members.

The user should use their own wheelchair after arriving ground floor. We apologize for our limited resource. 

 *

Q13. The user’s physical condition/communication skill/mental status..etc

 *
Q14. The whole services is free of charge even there is last minute cancellation due to any illness on the action day. 
 *

Q15. District applied

The application for each District begins two months before the action day of that District.For example: For Sham Shui Po District, the action day starts in "late May", the application will commence in "late March", and the application period will last for three weeks.

 *

Q16. Dates of Services:

Saturdays, Sundays, and Public Holidays in Jan ＆ Feb 2023

(except 21-25 Jan 2023 [i.e. the eve and the first four days of Lunar New Year )

Since the services are operated in order of streets within the district, the exact schedule of the services provided will be decided by us upon receiving the applications. Please accept our apologies for limited resources.

Our First Service Point – Kowloon City

Application Deadline (together with video on stairway submission): 15 December 2022

Date of Announcement of Results : on or before 25 December 2022 via whatsapp to the applicant.

[Other Districts]

Submit the video on stairway 2 months in advance.

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Q17. Preferred time for going out

[remarks: the time our voluntary operators arrived the premises]

 *

Q18. Preferred time of returning home

(remarks: the time arrived the ground floor of tenement house)

 *
Q19. The purpose and place where the user planned to go to
 *

Q20. For Kowloon City cases, please submit the video before 15 December 2022. To control the size of the video, each video clip should take condition of one floor only with clear description on the floor number, and send the videos via whatsapp to our volunteer in charge (tel 6387 3540)

For cases in other Districts, please submit the videos two months in advance the action day.un

 *
Q21. To facilitate our operation, users should be ready to offer an area of a chair size for storage and for parking the stair climber overnight and to allow necessary power recharge in their premises.
 *
Q22. The users should be able to move from their wheelchairs to the stair climber machine by themselves or with the assistance of their family members/accompanying persons.
 (the volunteer team is unable to assist as we are not trained for this service) 
 *
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