Haw Par Music Foundation Limited
渣打香港150週年慈善基金虎豹夏日音樂節2016 Standard Chartered Hong Kong 150th Anniversary Community Foundation Haw Par SummerFest 2016 Summer String Orchestra Camp

APPLICATION FORM 報名表

PARTICIPANT’S INFORMATION個人資料
Name in English *
Your answer
中文姓名
Your answer
HKID身份證號碼
Your answer
Gender 性別
Nationality 國籍
Your answer
Date of Birth 出生日期 *
MM
/
DD
/
YYYY
Name of School 就讀學校
Your answer
Year of Study 就讀年級
Your answer
MUSIC TRAINING (please specify instrument) 音樂訓練(請註明樂器)
Musical Activities (e.g. School Choir) & Musical Examination (if any)
音樂活動(如:學校合唱團)及 音樂考試(如有)
Musical Activity - 1 (Name /Year(s) of Participation) 音樂活動 - 1 (活動名稱及參加年份)
Your answer
Musical Activity - 2 (Name /Year(s) of Participation) 音樂活動 - 2 (活動名稱及參加年份)
Your answer
Musical Activity - 3 (Name /Year(s) of Participation) 音樂活動 - 3 (活動名稱及參加年份)
Your answer
Musical Activity - 4 (Name /Year(s) of Participation) 音樂活動 - 4 (活動名稱及參加年份)
Your answer
Musical Examination - 1 (Name/ Level attained/ Year) 音樂考試 - 1 (考試/考獲等級/考試年份)
Your answer
Musical Examination - 2 (Name/ Level attained/ Year) 音樂考試 - 2 (考試/考獲等級/考試年份)
Your answer
Musical Examination - 3 (Name/ Level attained/ Year) 音樂考試 - 3 (考試/考獲等級/考試年份)
Your answer
Musical Examination - 4 (Name/ Level attained/ Year) 音樂考試 - 4 (考試/考獲等級/考試年份)
Your answer
GUARDIAN INFORMATION 監護人資料
(for applicants aged 17 or under) (申請人如為 17 歲或以下,必須填寫)
監護人中文姓名
Your answer
Guardian’s Name in English *
Your answer
(Mobile) 手提電話 *
Your answer
Relationship with Participant 與申請人關係
Your answer
Contact Address聯絡住址
Your answer
Email Address 電郵地址 *
Your answer
EMERGENCY CONTACT緊急聯絡人
Name 姓名
Your answer
Mobile手提電話
Your answer
Relationship with Participant 與申請人關係
Your answer
REFERENCE 推薦人
A referrer can be applicant’s school music teacher, applicant’s instrument instructor or a music practitioner with close relationship with the applicant.
推薦人可為申請人學校之音樂老師、申請人之樂器導師或與申請人關係密切之音樂家。
Name of Referrer推薦人姓名
Your answer
Contact Phone No. & Email 聯絡電話及電郵
Your answer
Relationship with Applicant 與申請人關係
Your answer
AUDITION PREFERENCE 參加意願
I wish to audition on this instrument我希望參與樂團的首選樂器 : *
Required
Audition video URL 面試影片之網址
The applicant may prefer to upload the audition video / recording via YouTube OR send a CD-ROM or DVD-ROM with an audition video / recording saved in MP4, WMV or WAV format to the Foundation by post (Address: 12/F Professional Building, 19-23 Tung Lo Wan Road, Causeway Bay, HK) together with this application form. The audition video / recording must contains 2 movements / pieces of contrasting styles for a total of 7 – 10 minutes.
申請人可透過YouTube 上載面試影片或錄音,或將面試以 MP4 、WMV或WAV格式存檔,並燒錄至 CD-ROM 或 DVD-ROM 內,連同此申請表格郵寄至本機構 (地址: 香港銅鑼灣銅鑼灣道19-23號建康大廈12樓)。面試影片或錄音需長達七至十分鐘,包含兩首風格不同的樂曲或樂章。
Name of music piece & Audition video URL - 1
Your answer
Name of music piece & Audition video URL - 2
Your answer
APPLICATION FOR BURSARY PLACE 助學名額申請
A limited number of free bursary places are provided for applicants with financial need. Please tick the box below if you would like to apply. Each bursary application will need to be supported by a recommendation form completed and submitted directly to the Foundation by the applicant’s school teacher or instrument instructor. The recommendation form can be downloaded from www.hawparmusic.org/forms/bursary.pdf.
本課程設有少量免費助學名額,以幫助經濟有困難之申請者。欲申請助學名額,請剔選以下方格,另邀請一位學校老師或樂器導師填寫推薦表,並由該老師直接將推薦表郵寄至本機構。「助學名額推薦表」可於www.hawparmusic.org/forms/bursary.pdf下載。
Name of Teacher Submitting Recommendation填寫推薦表之老師姓名
Your answer
Contact Phone No. & Email 聯絡電話及電郵
Your answer
PERSONAL DATA個人資料
申請人在招生期間所遞交之個人資料,不論取錄與否,將存放於資料庫內供內部統計及分析用途。有關聯絡資料將加入虎豹音樂基金有限公司郵件列表,以便通報最新資訊。若不欲接收有關資訊,請剔選空格。Once the application process is completed, all personal data – whether or not a candidate is chosen -- will be kept in the database of Haw Par Music Foundation Ltd. for statistical analysis. Your contact information will be added to the mailing list of Haw Par Music Foundation Limited for news updates unless otherwise stated. Please tick the below box if you do not wish to receive news updates from Haw Par Music Foundation.
DECLARATION聲明
I/We (applicant and guardian, if applicant is aged 17 or under) understand and accept all the above terms. I/We declare that the information given on this application form and supporting document(s) is accurate and complete. I/We understand that any false information will disqualify my/our application and enrollment with Haw Par Music Foundation Limited, and any fees will not be refunded.
本人/吾等(即申請人與監護人,如申請人為十七歲或以下)已明白及接受以上所有項目,亦謹此聲明在本申請表及附件中填報之資料均屬實無訛,並明白若填報之資料失實,本人/吾等之申請及註冊資格將被取消。所繳費用,概不發還。
APPLICATION METHOD報名方法:
The audition result will be announced on 7/7/2016. The applicant, once admitted to the course, will be required to pay a course fee of $3,800 within 7 days of the announcement. The Foundation reserves the right to make any necessary alternation about the course without prior consultation. The Foundation also reserves the right to cancel the course if there is insufficient number of enrolments. All affected participants will be given notice of any such change.
No make-up class and refund will be made for cancellation due to bad weather.

取錄結果將於2016年7月7日公佈。學員被通知取錄後,須於7天内繳交費用 $3,800。本機構保留隨時更改課程細則之權利。如報名人數不足,本機構有權取消該課程,並將另行通知受影響學員。
因惡劣天氣而取消之課堂將不獲退款或補課,敬請留意

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