參加課程小組同意書 (Consent in participation of Small Groups):
我明白及同意讓拉法基金會,將根據我有關提供的資料,用作搜集統計,並絕對保密。 I understand and agree that Rapha Foundation Ltd will compile statistics based on my related release information, and all individual statistics will remain confidential.
我明白及同意拍攝及記錄我的圖像、聲音、所繪的圖畫/油畫,讓拉法加拿大基督教發展中心拍攝及的事工 之用。I understand and agree to take photographs of and/or record my image, voice, and drawing/painting for the use by RAPHA ministry.
我明白所有教材均屬版權所有,若我未經許可錄影或錄音,或使用任何教材內容,經勸阻無效,我將邀請停止參與或離開此課程。I understand the copyright of all course materials, and if I use the Course materials and audio/video record, any content of the course without permission, I will be required to terminate my involvement and leave the course upon repeated warnings.
我明白組長會將小組討論中的有關資料諮詢葛琳卡博士,以作督導及檢討之用。除此之外,小組討論中所有 資料絕對保密。I understand that information discussed with the Group leader in the Group, will be shared and consulted during supervision/debriefing meeting with Dr. Katherine Kot. Otherwise, all information discussed in the group will remain confidential.
如果小組分享的內容洩及下列的情況,組長必須依照當地的法例要求作出報告及處理 : Group leaders are legally required to report/respond to the following incident, according to the local law regulations:
1. 任何懷疑對兒童及長者的虐待 (包括身體、情緒、性虐待、疏忽或暴力的危險) 事件,必須立即通知警 方或有關保護兒童服務部。Any suspected incidents of child or elderly abuse (include the risks of physical, emotional, sexual abuse, neglect or violence) shall be reported immediately to the Police or appropriate Child Protectives Services Department.
2. 任何意圖或去傷害自己或其他人,必須通知警方。Any incident or intent to hurt self or others shall be reported to the Police.
簽署這份同意書聲名時,已明白上述課程簡介丶課程目的及參加小組的解釋資料。並同意參加這項研究學習 而填寫問卷。By signing this Consent Form, I agree that I understand the explanation concerning the above Course Description and Objectives, as well as the participation of Small Groups. And I have agreed to participate in the research by completing the Questionnaires.