主辦及贊助:
Organizer & Sponsor:
合辦:
Co-organizer:

學生報名表格 Application Form for Students

填表須知Notes:
(1) 申請人須提供正確資料。Please ensure that the information provided is accurate.
(2) 申請人如未能提供所需資料,申請可能不獲辦理。Your application may not be considered if you fail to provide the requested information.
(3) 申請人所提供的資料,將用於上述實習計劃有關事宜上。The information provided will be used for purposes related to the above-mentioned Program.
(4) 提交報名表後,如欲更改或查詢個人資料,請致電2876 2437查詢。For correction of or access to personal data after submission of the application form, please contact 2876 2437.

第一部分–個人資料(請以英文正楷填寫)
Part 1–Personal Particulars (Please fill in the form using ENGLISH with block letters)

姓名 Name: (中文Chi)
姓氏   名字
(英文Eng)                   
Surname   Given Name
所屬大學 University: 
學生編號 Student no.:
學院 Faculty: 
中文
English

現時就讀年級 Current Year of Study:
年級 Year
是否持學生簽証 A student-visa holder:
主修學科 Major Study:  
中文
English
性別 Gender:
出生日期 Date of Birth: 
香港身份證號碼 HKID No. :
國籍 Nationality: 聯絡電話(住所) Residential Tel. No.:
電郵 Email: 流動電話 Mobile No.:
通訊地址 Correspondence Address:
緊急聯絡人 Emergency Contact:  關係Relationship:   電話Tel:



第二部分–實習/工作/義務工作經驗
Part 2–Relevant Experience on Internship/Work/Volunteer Community Services


1. 你有否參與過任何實習計劃? (請按參與日期順序列出最近三項)
Have you ever joined any internship program? (Please place the 3 most recent items in chronological order.)
日期 Date
由From 至 To
實習計劃名稱
Name of Internship Program
工作內容
Responsibilities
機構/公司
Organization/Company
-
-
-

2. 你有否任何工作經驗 (包括暑期工及兼職)? (請按任職日期順序列出最近三項)
Do you have any previous working experience (including summer employment & part-time jobs)? (Please place the 3 most recent items in chronological order.)
日期 Date
由From 至 To
職位
Position
工作內容
Responsibilities
機構/公司
Organization/Company
-
-
-

3. 請簡述你過往曾參與的義務工作、課外活動經驗,以及你所負責的工作: (請按參與日期順序列出最近三項)
Briefly describe your past volunteer community service, extracurricular activities experience and your responsibilities:
(Please place the 3 most recent items in chronological order.)
日期 Date
由From 至 To
義務工作、課外活動經驗及角色
Description of the volunteer work, extracurricular activities and your responsibilities
機構/公司
Organization/Company
-
-
-

4. 你曾否獲得由學術機構、非政府機構或政府機構所頒發的獎項或嘉許? (請按獲嘉許日期順序列出最近三項)
Have your ever received any honors or recognitions awarded by any academies, non-governmental organizations or government departments?
(Please place the 3 most recent items in chronological order.)
日期 Date
由From 至 To
獎項/嘉許
Honor/Recognition
頒發機構
Awarding Organization
-
-
-


第三部分–語言/其他技能
Part 3– Language/Other Skills


1. 你書寫語言的熟練程度:
Please indicate your proficiency in the following WRITTEN languages:
英語 English
中文 Chinese

2. 你能操的口語言熟練程度:
Please indicate your proficiency in the following ORAL languages:
  說話
Speaking
聆聽
Listening
英語 English (說話能力 Ability to Speak)
廣東話 Cantonese (說話能力 Ability to Speak)
普通話 Putonghua (說話能力 Ability to Speak)

3. 與是次申請相關的其他技能 (如:電腦知識、特別技能等):
Other information and particular skills you feel are relevant to this application (e.g. computer knowledge, special skills, etc.)

4. 最近學業成績表上顯示的GPA
GPA: GPA as shown on the most recent semester academic transcript: ( ) /滿分 full score : ( )

第四部分–實習工作的意向
Part 4– Preference on Internship

請列出你最有興趣參與的5間實習機構編號以作內部參考,請按此參閱有關實習詳情。閣下的資料將提供予相關實習機構。
Please indicate codes of 5 placement organizations that are of your interest. For details, please click here for relating placement information. Your information will be sent to relevant placement organizations.
志願 Priority 編號 Prog No. 機構名稱 Name of NGO
第一志願 1st priority
第二志願 2nd priority
第三志願 3rd priority
第四志願 4th priority
第五志願 5th priority


聲明 Declaration













遞交表格前,請確保已填妥報名表格,並同時附上以下附件:
Please make sure you have completed the Application Form and also attached the following attachments before submitting the form:

由所屬大學工商管理學院教職員填寫的推薦表格
Recommendation Form completed by a referee from your Business Faculty.
* 檔案名稱請根據以下的格式。(英文全名_大學簡寫)
* Please name your form in this format. (English Full Name_U initial, e.g.ChanTaiMan_UST)
* 可於遞交表格後一星期內補交並電郵至 cip@hkcss.org.hk ,請於電郵上註明學生姓名、所屬大學及網上遞交日期,惟補交日期需於實習報名截止日期( 2019年4月18日) 前遞交才獲受理。
Recommendation Form can be submitted by email within 1 week after online application form submission. Please email to cip@hkcss.org.hk and state your name, university and online submission date in the email. Please note that the recommendation form will only be accepted before the internship application deadline ( 18th April, 2019).
最近學業成績表副本
Copy of recent academic transcript
500-800字 (英文) 的簡介詳述以下內容:
A statement with 500-800 words (in English) that addresses the following:
  1. 對將來工作的理想及抱負
    Your career aspirations
  2. 最希望在哪個服務類別的非牟利服務機構實習及原因
    Your most interested aspect of service with a non-profit organization and its reasons
  3. 獲得此實習機會的原因
    Reasons of deserving this internship opportunity
  4. 根據你的性格、態度、學歷、工作技能及專長、興趣等,說明你適合參加此實習計劃的原因?
    Why your personality, attitude, education background, special work skills and interests are ideally suited for an internship?



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