同心抗疫-義工報名表 Fight Coronavirus Together- Volunteer Application Form
鑑於新型冠狀病毒(Covid-19)的疫情持續,香港特區政府正透過向非政府機構(包括本局)作出呼籲,邀請義工參與對抗疫情的義務工作。本局呼籲屬下香港義工團會員及合作夥伙團體攜手參與「同心抗疫」義工服務,發揮助人自助的精神,為紓緩疫情出一分力!服務資料如下:

The HKSAR Government is soliciting urgent support from NGOs and their volunteers to join its effort in tackling the exigency brought by the novel coronavirus infection. The Agency for Volunteer Service, as a pivotal organization in the promotion of volunteerism, is appealing to volunteers and organizations under our network to join forces with us in the “Fight Coronavirus Together” campaign. Volunteers can contribute by taking up logistical tasks that are of a non-medical/ non-professional nature. Details of the service are as below:
義工可能會被安排擔任的工作 Tasks which the volunteers may be invited to take up
請注意工作安排可能會因實際情況而有所變動,但所有工作均與抗疫有關 The exact duties to be assigned will change from time to time depending on operational needs, but all are related to combating the epidemic


(A) 為在家居及指定場地/營舍接受檢疫的人士/家庭採購和運送膳食及日用品(物品)。有關工作包括:

(i) 以電話/傳真/電郵等方式向供應商訂購物品;親身向供應商採購物品;以及把採購記錄存檔;

(ii) 以電話/傳真/電郵等方式安排運送物品;以及把運送記錄存檔;

(iii) 與供應商、派送員及接受家居檢疫人士╱家庭聯繫,確保第(i)及(ii)項運作暢順;以及

(iv) 為位置偏遠的指定場地╱營舍安排運送物資;以及

(B) 處理與指定場地╱營舍管理相關的後勤和協調工作。


(A) Assist in procurement and delivery of meals and daily necessities ("items") for persons / households put under Home Quarantine ("HQ") and at designated sites / camps by -

(i) placing orders with suppliers through telephone / fax / email etc; procuring in person the items from suppliers; and keeping records of the procurements;

(ii) arranging deliveries of the items through telephone / fax / email etc., and keeping records of the deliveries; and

(iii) liaising with the suppliers, delivery agents and persons / households under HQ to ensure smooth operation of (i) and (ii) above. Liaison with persons / households under HQ will be conducted through telephone / email, etc

(iv) In respect of designated sites / camps in remote locations, arranging deliveries of the items; and

(B) Handle the logistical and coordinate work incidental to the management of designated sites/ camps.
義工須知 Notes for Volunteers
1. 有興趣參與的義工將被轉介至相關政府部門,相關政府部門會直接與義工聯繫和安排工作
2. 義工需自行到達指定場地/營舍進行義工服務
3. 相關政府部門將為義工提供適切的裝備及服務指引
4. 本局只為香港義工團會員提供團體意外保險
5. 此服務屬自願參與,相關政府部門會以安全為原則進行服務。義工於服務當日須自行留意個人身體狀況,衡量是否合適參與工作。相關政府部門不會為義工的任何意外承擔任何責任。
6. 本局保留限制或拒絕接受義工報名的權利
7. 義工一經報名即表示同意相關政府部門的一切安排

1. Volunteers who are interested will be referred to the related government departments for direct contact and work arrangements
2. Volunteers shall arrange their own transportation to the designated sites / camps for the volunteer services
3. Related Government Departments will provide protective equipment and service guidelines to volunteers
4. AVS will take out Group Personal Accident Insurance for HKCV members
5. Participation in this service is entirely voluntary. Related Government Departments have tried their best to plan and organise a safe service. Volunteers shall take into consideration their own physical fitness before participating. Related Government Departments shall not be held responsible for any accident volunteers may suffer from as a result of this service.
6. AVS reserves the right to limit or decline any person's enrollment without providing any reasons
7. By enrolling in this service, volunteers imply their consent to the related Government Departments' arrangements
A:類別 Category
1. 義工類別 Categories of Volunteers *
2. 如您隸屬於其他組織,請列明 (只適用非香港義工團會員) Are you a member of any other organizations? If yes, please specify (for Non-HKCV members only)
Your answer
B:機構/團隊/小組登記(如適用) Register as Organization/ Team/ Group (if applicable)
1. 機構/團隊/小組的名稱(英文)Name of Organization/ Team/ Group (in English)
Your answer
2.機構/團隊/小組名稱(中文) Name of Organization/ Team/ Group (in Chinese)
Your answer
3. 香港義工團團體會員編號 (如適用)(例: CM0123) HKCV Corporate Member No. (if applicable)( e.g. CM0123 )
Your answer
4. 聯絡人姓名 Contact Person
Your answer
5. 聯絡電話 (手機) Contact No. (Mobile)
Your answer
6. 電郵地址 E-mail Address
Your answer
7. 預計義工人數 (義工個人資料將稍後收集) Estimated Number of Volunteers (personal particulars of the individual volunteers will be collected later)
Your answer
C:個人義工登記(如適用) Register as Individual Volunteer (if applicable)
1. 英文姓名 Name in English
Your answer
2.中文姓名 Name in Chinese
Your answer
3. 香港義工團個人會員編號 (如適用) (例: VM0123) HKCV Membership No. (if applicable)( e.g. VM0123 )
Your answer
4. 年齡 Age
Your answer
5. 性別 Sex
6. 住址(區域) Residential Address(District)
7. 聯絡電話 (手機) Contact No. (Mobile)
Your answer
8. 電郵地址 E-mail Address
Your answer
9. 專門技能及資格(例如急救、輔導等)Knowledge and Skill (e.g. First aid, counselling etc.)
Your answer
10. 可服務時段 Availability Period
日間 Daytime
晚間 Night
午夜 Midnight
特定時間段 Specific period of time
平日 Weekday
週末 Weekend
11. 特定時間段(可選擇填寫)Specific Period of Time (Optional)
Your answer
12. 較有興趣的義務工作 Preferred Voluntary Duties
13. 較有興趣服務的地區 Preferred Volunteer Location
14. 緊急聯絡人 Emergency Contact Person
Your answer
15. 緊急聯絡電話 Emergency Contact Number
Your answer
16. 與緊急聯絡人的關係 Relationship with Emergency Contact Person
Your answer
聲明及個人資料收集 Declaration and Collection of Personal Information
本人謹此聲明本人在此表格自願填報的個人資料,均屬真確及最新資料。本人明白及同意此等資料將用於是項活動/服務之申請,如本人所提供的資料不足,義務工作發展局可能無法處理此申請。

茲證明我是自願參加這項工作,以及接受由此產生的所有風險和責任。

本局擬保存及使用你的個人資料以便日後作為收集意見、數據分析及統計、推廣或籌款用途。如閣下同意,請於以下方格加上「✓」號。如欲查詢、更改或要求停止使用你的個人資料,請致電2546 0694與本局職員聯絡。

I declare that the information in this application form has been given by me voluntarily and is correct and up-to-date. I understand and agree that such data will be used for purposes related to this service. If the information provided is inadequate, AVS may not be able to process this application.

I certify that I participate in this service on a voluntary basis and I accept all the risks and responsibilities arising from it.

AVS may use your personal data for conducting survey, data analysis, promotion or fundraising purpose. Please put a "✓" in the box below if you agree to the above arrangement. For correction, access to or cessation the use of your personal data, please contact us at 2546 0694.
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