Mental Health Youth Ambassador Program 2019-2020 Registration
Your English Full Name *
(1) Surname in Block letter. (2) This name will be shown on Certificate.
Your Chinese Full Name *
Surname first.
Your School Name *
Please write your school name in full and in English.
Your Gender *
Currently Studying Form *
Your Contact Number *
Please leave us your mobile number.
Your Email Address *
How did you know about the Mental Health Youth Ambassador Program? *
Declaration 聲明 *
Parent consent form will be sent you if you will pursue for 2-Star or above levels of this programme.
Required
Will you attend the 4th kickoff information session on 6 July 2019 (Sat) 10:00-12:00? *
Students are encouraged to join to learn more about the program, and 1-time attendance will be counted.
Please take 10 minutes to complete the Pre 1-Star survey at the link below. Thanks for your time in advance!
Click this link bit.ly/mhyapsurvey2019-20 for completing the survey.
Then submit the form by clicking button below.
Submit
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