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初心慈善基金義工隊成員申請表 Beginning Mind Charity Fund Volunteer Team Member Application Form
請追蹤我們的社交媒體, 已獲得最新義工服務最新資訊;
Facebook:初心慈善基金 Beginning Mind Charity Fund
IG:@beginningmindcharityfund
電話:6125-7525
Website:Https://www.BeginningMind.Org
Email:info@BeginningMind.Org
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* Indicates required question
請填寫你報名的目的 Please select your objective:
*
Choose
加入義工隊 Joining Volunteer Team
其他 Others
如選擇其他,請註明 If chose Others @ #1, please state:
Your answer
個人資料 Personal Information:
中文姓名 Chinese Name
*
名字將列印在義工証書上 Name will be printed on volunteer certificate (根據服務時數頒發 According to service hours
)
Your answer
英文姓名 English Name
*
名字將列印在義工証書上 Name will be printed on volunteer certificate (根據服務時數頒發 According to service hours)
Your answer
暱稱 Nickname
*
Your answer
性別 Gender
*
男 Male
女 Female
年齡 Age
*
14歲以下 Below 14
14 - 17 Age between 14 and 17
18 - 29 Age between 18 and 29
30 - 49 Age between 30 and 49
50 - 64 Age between 50 and 64
65歲或以上 Age 65 or above
出生日期 Birth Date
*
(月份 Month,日期 Date)
MM
/
DD
手提電話 Mobile Number
*
建議提供 Whatsapp 號碼 Whatsapp number is recommended
Your answer
聯絡電郵 Email
*
Your answer
居住地區 Residental District
*
Choose
香港 - 中西區 HK - Central and Western
香港 - 東區 HK - Eastern
香港 - 南區 HK - Southern
香港 - 灣仔區 HK - Wan Chai
九龍 - 深水埗區 KLN - Sham Shui Po
九龍 - 九龍城區 Kowloon City
九龍 - 觀塘區 KLN - Kwun Tong
九龍 - 黃大仙區 KLN - Wong Tai Sin
九龍 - 油尖旺區 KLN - Yau Tsim Mong
新界 - 離島區 NT - Islands
新界 - 葵青區 NT - Kwai Tsing
新界 - 北區 NT - North
新界 - 西貢區 NT - Sai Kung
新界 - 沙田區 NT - Sha Tin
新界 - 大埔區 NT - Tai Po
新界 - 荃灣區 NT - Tsuen Wan
新界 - 屯門區 NT - Tuen Mun
新界 - 元朗區 NT - Yuen Long
推薦人名字 Name of Referral:
Your answer
緊急聯絡人 Emergency Contact Person:
聯絡人必須為 18 歲以上的成年人。 Contact person must be aged over 18 years old.
Your answer
與申請人關係 Relationship with Applicant:
Your answer
未滿18 歲之參加者須由家長/監護人填寫此表格 (監護人與緊急聯絡人需為同一人)
Participant Aged Under 18 Consent and Declaration from Parent/Guardian (Parent/ Guardian must be the same as Emergency Contact Person)
有沒有同行的朋友/ 親人需安排同一組? Do you have any friends or relatives need to be arranged in same group?
如有, 請回答下一條。 If yes, please answer the next questions.
有 Yes
沒有 No
Clear selection
如有, 請在此填寫其名字和關係。 If yes, please fill the name and relationship below.
例子 : 陳大文, 父子 eg : Chan TaiMan,Father and son
Your answer
從如何得知我們的活動? Ways of knowing activities.
朋友介紹 Referred by friends
社交媒體 Social Meida
其他 Others
Clear selection
備註 Remarks:
Your answer
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