社區友師申請表 Community Mentor Application Form
請用心填寫表格。我們會嚴格按照《個人資料(私隱)條例》的要求對申請表中的資料保密。以下資料,將用作突破匯動青年(下稱:本機構)與閣下聯絡、配對友員,以及傳遞本機構資訊之用。如不同意上述之用途,請與本機構聯絡。

計劃期間,任何相片、短片之版權將由本機構擁有。本機構保留修改及公開發表作宣傳活動等用途之權利,而無須事先獲得參加者同意,亦不會繳付任何費用予參加者。

Please fill out the form carefully. All information in the application form will be kept confidential in strict accordance with the requirements of the Personal Data (Privacy) Ordinance. The following information will be used for our organization(Youth Global Network Limited) to contact you, to match youth mentees, and to disseminate information about our organization. If you do not agree with the above use, please contact us.

During the project period, the copyright of any photos and videos will be owned by the organization. The organization reserves the right to modify and publish publicly for promotional activities and other purposes, without prior consent of the participants, and will not pay any fees to the participants.
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Email *
姓名 Name *
請填寫全名 Please fill in full name
性別 Sex *
年齡 Age *
手提電話 Cell phone no. *
地址 Address *
國籍 Nationality *
學歷 Education *
您通過以下哪一個途徑認識“師友同行”計劃? Which of the following ways did you learn about the Mentorship Programme? *
Required
如您是通過機構/組織/團體,或朋友/同事/其他人認識本計劃,請標明:If you are aware of the scheme through an institution/organisation/group, or a friend/colleague/other person, please indicate.
運用以下語言表達自己的程度 Mastery of the below language to express yourself *
流暢 Fluent
尚可 Conversational
不懂 Not Fluent
廣東話 Cantonese
普通話 Mandarin
英語 English
您總共投入職場的時間(包括自僱/自由職業)是多少?What is the total amount of time you devote to your workplace (including self-employment/freelance)? *
您現在有工作嗎(包括自僱/自由職業)?Are you currently employed (including self-employed/ freelance)? *
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