Junior Secondary School Activity 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 "Journey". We hope to encourage people to design models on how to improve travelling experiences by analyzing factors affecting the quality of journey and utilizing science to adapt with possible inconveniences.

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: 4 May 2019
Time: 12:00-18:00*^
Venue: St. Joseph’s College

Eligibility: S.1-S.3 students
Entry fee: $60 HKD (Including materials and insurance)

*There will be 3 time slots for selection; each in 2 hours
^Participants are highly encouraged to arrive the venue 15 minutes before the official start of the event.

The deadline of the application is 29 April 2019. Successful applicants will be informed by email on or before 1 May 2019.

All personal information will only be used as contact and reference for JSSA. All of them will be deleted after the activities.
Your group leaders will contact you in May, after the confirmation of your participation.  
 
 Should you have any enquiries, please do not hesitate to contact Miss Rainbow Wang, our Liaison Department Director, at 93744663 or rainbow.wang.52@jsse.org.hk. Thank you for your kind attention.
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Name of Participant (Chinese) *
Name of Participant (English) *
School *
Gender *
Level of Study *
Home Address *
Date of Birth *
MM
/
DD
/
YYYY
ID Card Number *
Phone Number (Home) *
Phone Number of Participant (Mobile) *
Emergency Contact (Name) *
Emergency Contact (Relationship) *
Emergency Contact (Mobile Phone Number) *
Please state your priority for time slot(s) that you wish to attend. Please do not indicate your priority for the time slot(s) that you are not able to attend.
(1 is the most favorable; 3 is the least favorable)
1
2
3
12:00-14:00
14:00-16:00
16:00-18:00
Remarks (If Any)
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