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JA Building a Financially Capable Generation Online Workshop Application Form 2021/22
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 3426-3142/ 3426-3145 or
bfcg.ja@jahk.org
.
如有任何查詢，請致電3426-3142/ 3426-3145或電郵至
bfcg.ja@jahk.org
與JA HK聯絡
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School Information 學校資料
English Name 英文名稱
*
Your answer
Chinese Name 中文名稱
*
Your answer
English Address 英文地址
*
Street No. & Street
Your answer
*
District 地區
Your answer
*
HK/KLN/NT
Hong Kong
Kowloon
New Territories
Chinese Address 中文地址
*
Your answer
School Tel 學校電話
*
Your answer
School Fax 傳真號碼
*
Your answer
School Website 學校網址
Your answer
Link Teacher 負責老師
English Name 英文姓名
*
Sal 稱呼
Mr
Ms
Mrs
Dr
Others
*
Surname 姓
Your answer
*
First Name 名
Your answer
Chinese Name 中文姓名
*
Your answer
Position 職位
*
Your answer
Office Tel No. 辦公室電話
*
Your answer
Mobile No. 手提電話
*
Your answer
Email Address 電郵地址
*
Your answer
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
Your answer
Position 職位
Your answer
Office Tel No. 辦公室電話
Your answer
Mobile No. 手提電話
Your answer
Email Address 電郵地址
Your answer
Expected number of participating student 預算參與學生人數
Form 1 中一
Number of Student 學生人數
Your answer
Form 2 中二
Number of Student 學生人數
Your answer
Form 3 中三
Number of Student 學生人數
Your answer
Form 4 中四
Number of Student 學生人數
Your answer
Language of Instruction 授課語言
*
Cantonese 廣東話
English 英文 (For students whose first Language is NOT Cantonese 適用於學生非以廣東話為第一語言)
Preferred Program Delivery Format 授課方式
*
Online Mode 線上授課
Face to Face Mode 由商界義工到校授課
Preferred Date of the Online Class 線上授課日期
*
MM
/
DD
/
YYYY
Preferred Starting Time of the Online Class 線上授課開始時間
*
Time
:
AM
PM
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