Junior Secondary School Activity, the 55th J.S.S.E.P.C. APPLICATION FORM
The J.S.S.E.P.C. is a registered and non-profit-making organisation in Hong Kong which aims at promoting science. It comprises a group of dedicated students from over 150 local secondary schools. Our theme this year is "Vitality". We hope to encourage people to design models on .

This year, we would like to carry on this tradition and organize JSSA for secondary school students to participate and promote science to you. The details are as follows:

Date: 15th May 2022 (Sunday)
Time: 11:00-18:15#*^
Venue: Hong Kong Science Museum
Eligibility: S.1-S.3 students
Entry fee: 50 HKD (40 HKD per person if three people join together) [Including souvenirs and certificate]
Payment method: Cash

#Participants must receive at least one dose of vaccine
*There will be 3 time slots for selection; each in 1 hour and 45 minutes
^Participants are highly encouraged to arrive at the Science Museum 15 minutes before the official start of the event.

The deadline of the application is 8 May 2022. Successful applicants will be informed by email on or before 8 May 2022.

All personal information will only be used as contact and reference for JSSA. All of them will be deleted after the activities.

Should you have any enquiries, please do not hesitate to contact Mr. Elvis Wu, our Liaison Department Director, at 9505 3323 or elvis.wu.55@jsse.org.hk. Thank you for your kind attention.
Sign in to Google to save your progress. Learn more
Email *
Name of participant (English) 參加者的英文姓名 *
Name of participant (Chinese) 參加者的中文姓名 *
Name of school 學校名稱 *
Gender 性別 *
Level of study 就讀年級 *
ID card number (first 4 number) 身分證號碼 (首4位數字) *
eg. Y123
Phone number (home) 聯絡電話 (住宅)
Phone number (participant) 聯絡電話 (參加者) *
Emergency contact (name) 緊急聯絡人 *
Emergency contact (relationship) 緊急聯絡人與參加者關係 *
Emergency contact (phone number) 緊急聯絡電話 *
Please state your priority for time slot(s) that you wish to attend.  請勾選你所希望參加的活動時段(可多選)。 *
I am not available in this time slot. 我無法參與這個時段。
Do you enroll with more than two companions to join the activity? 您是否與兩個以上的同伴一起報名參加活動?(There will be a HKD10 discount per person if three students join together 三人同行,每人享有HKD10 的優惠) *
Remarks (if any, eg. join with Amy Chan) 備註 (如有,例如︰同陳小美和陳小明一齊報名參加)
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy