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號碼 Applicant Identity Document Number *
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 1 Contact No 1 *
聯絡電話 2 Contact No 2
職業 Occupation *
通訊地址 Correspondence Address *
緊急聯絡人姓名(中文) Name of Emergency Contact Person (CHI) *
需與身分證明文件相同 Same as Identity Document
緊急聯絡人姓名(英文) Name of Emergency Contact Person (ENG) *
需與身分證明文件相同 Same as Identity Document
緊急聯絡人與申請人之關係 Relationship with applicant of Emergency Contact Person *
緊急聯絡人聯絡電話 Contact No of Emergency Contact Person *
辦事處名稱 Name of Workplace
辦事處地址 Workplace Address
辦事處電話 Contact No. of Workplace
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? *
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)
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
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是否擁有有效之拯溺證書? Do you possess a valid *Live Saving Certificate"? *
該拯溺證書的簽發機構 The Live Saving Certificate mentioned above were issued by
該拯溺證書有效期至 The Live Saving Certificate is Valid Through
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有否任何需要關注的醫療狀況,如敏感症、藥物敏感或進行中之醫療程序。Any medical issues that attention should be drawn (e.g. Allergies, asthma, )? *
請認真填寫此問題 Please reply this question without fruad.
請註明是否有任何刑事罪行紀錄 — 根據《罪犯自新條例》(第297章)被認為已失去效力的判罪毋須申報。Please specify any Criminal records - No information is required to be given concerning any conviction which is considered "spent" under the Rehabilitation of Offenders Ordinance (Cap 297). *
請認真填寫此問題 Please reply this question without fruad.
申請人聲明 Applicant's Declaration *
本人現申請加入香港少年領袖團,並願意遵守貴團一切章程及守則。 本人明白貴團活動可能涉及體能運動或歷險成份,如本人於參與貴團活動期間遭遇意外,貴團及有關人仕將毋須付上任何責任。本人並無任何健康或其他理由導致不宜參與貴團活動。本表格上填報之所有資料,均屬正確無誤。本人同意透過所提供的個人資料接收貴團有關訓練、活動、籌募及其他宣傳的信息。I hereby apply for enlistment in the Hong Kong Adventure Corps as a volunteer member and will conform to the Rules and Regulations of the Corps. I understand that the Corps activities may involve physical exercise and adventure, and agree that the Corps and the persons involved shall not be held responsible for accidents, if any, occurred to me during Corps activities. I have no health problem or otherwise which prevents me from participating in Corps activities. I confirm that all information provided in this application form is accurate. I have no objection to receiving training programmes, activities details, appeals for donation or other promotional materials through the personal data provided in this form.
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