香港少年領袖團網上導師申請表格 Hong Kong Adventure Corps Online Instructor Application Form
請注意!此網上申請僅供本團人員加快處理閣下的申請,申請人於稍後時間或需填寫本團導師申請表格。如在填寫本申請表格時有任何問題,請致電2792 6486或電郵至achq@hkac.org 與團總部職員聯絡。Attention is drawn that the online application is for the purposes of accelerate the handling of your application, the signed application are still to be submitted at later times.Please contact the Staff of Hong Kong Adventure Corps should there be any queries when completing the Online Instructor Application Form at 2792 6486 or by email (achq@hkac.org).
申請人個人資料 Applicant's Personal Particulars
申請人姓名(中文) Applicant Name (CHI) *
需與身分證明文件相同 Same as Identity Document
申請人姓名(英文) Applicant Name (ENG) *
需與身分證明文件相同 Same as Identity Document
申請人性別 Sex of Applicant *
申請人香港身分證明文件頭4位英文字母及數字 Applicant First 4 Alphabet and Digit of Identity Document (如 A123 For example A123) *
申請人出生日期 Applicant's Date of Birth *
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電郵地址 Email Address *
本團會回函確認收到閣下申請 Acknowledge Receipt will be sent to the designated mail
聯絡電話 Contact No *
手機號碼 Mobile No.
通訊地址 Correspondence Address *
傳真Fax
職業 Occupation *
辦事處名稱 Name of Workplace
辦事處電話 Contact No. of Workplace
辦事處地址 Workplace Address
其他紀律隊伍/青少年工作經驗 Experience in other Uniformed Groups / Disciplinary Force / Youth Works
需於稍後時間提交有關證明副本(Proofs are to be submitted in later times)
你是如何得知香港少年領袖團 How do you know us ?
Clear selection
過往戶外/歷奇活動經驗 Previous experience in outdoor/adventure activities
是否懂得游泳? Can you swim? *
是否擁有有效之拯溺證書? Do you possess a valid Life Saving Certificate? *
該拯溺證書的簽發機構 The Life Saving Certificate mentioned above were issued by
該拯溺證書簽發日期 The Life Saving Certificate is Issued on
MM
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DD
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YYYY
該拯溺證書有效期至 The Live Saving Certificate is Valid Through
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是否擁有有效之急救證書? Do you possess a valid First Aid Certificate? *
使你為根據香港法例第509章《職業安全及健康條例所》所訂明的「曾受急救訓練的人」To turns you become "A person trained in first aid" as stated at the Cap 509 Occupational Safety and Health Regulation, Laws of Hong Kong
該急救證書的簽發機構 The First Aid Certificate mentioned above were issued by *
該急救證書根據香港法例《職業安全及健康條例所》(第509章)簽發。The First Aid Certificate is issued uner the Cap 509 Occupational Safety and Health Ordinance, Laws of Hong Kong
該急救證書簽發日期 The First Aid Certificate is Issued on
該*急救證書根據香港法例《職業安全及健康條例所》(第509章)簽發。The First Aid Certificate is issued uner the Cap 509 Occupational Safety and Health Ordinance, Laws of Hong Kong
MM
/
DD
/
YYYY
該急救證書有效期至 The First Aid Certificate is Valid Through
該*急救證書根據香港法例《職業安全及健康條例所》(第509章)簽發。The First Aid Certificate is issued uner the Cap 509 Occupational Safety and Health Ordinance, Laws of Hong Kong
MM
/
DD
/
YYYY
請註明是否有任何敏感症、藥物敏感、或進行中之醫療程序,請另附函說明詳情。 Please state any allergies or current medical treatment and give full details. *
請認真填寫此問題 Please reply this question without fruad.
請問您曾否被香港或其他地方的法庭被判定有刑事罪行? Have you been found guilty of any criminal offence in a court of law in Hong Kong or elsewhere? *
請認真填寫此問題 Please reply this question without fruad.
請問您曾否在香港或其他地方被起訴性侵犯/或侵犯青少年罪行,或因涉嫌該等罪行而需協助警方調査? Have you been charged and/or have you been required by the police to assist in any investigation of any complaint made against you of any offence connected with sexual abuse and/or abuse on young person whether in Hong Kong or elsewhere?
Clear selection
緊急聯絡人姓名(中文) *
需與身分證明文件相同
Name of Emergency Contact Person (ENG) *
Same as Identity Document
緊急聯絡人聯絡電話 Contact No of Emergency Contact Person *
緊急聯絡人與申請人之關係 Relationship with applicant of Emergency Contact Person *
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