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網上報名平台 (非香港資優教育學苑學員)
Online Application Form (Non-HKAGE Student Members)
講座
Talk		 新興科技講座系列 — 科學、機遇及挑戰2021：(2) 2019新型冠狀病毒病
Talk Series on Emerging Technologies – Science, Opportunities and Challenges 2021: (2) COVID-19
活動編號
Programme Code 		E1TEC002T
日期
Date 		2021年4月3日 (星期六)
3 April 2021 (Sat)
時間
Time 		下午14:00 – 下午15:30 (簽到時間：下午13:45)
14:00 p.m. - 15:30 p.m. (Registration: 13:45 p.m.)
地點
Venue 		網上授課: 使用平台：Zoom會議
Online lecture: Platform to be used: Zoom Meeting
語言
Medium of Instruction 		英語
English
截止報名日期
Application Deadline		 2021年3月19日(星期五) 正午12時
19 March 2021 (Fri) 12:00 noon
註：名額有限，額滿即止。
Remark: Seats are available on a "first-come, first-served" basis.
個人資料 PERSONAL INFORMATION
中文姓名:
Chinese Name:
英文姓名：
English Name:		 A value is required. A value is required.
香港身份證號碼：
HKID Number:		 A value is required.Invalid format.
性別：
Gender:		      *
請選擇 (Please make a selection)
就讀級別 （2020/2021 學年）:
Class Attending (2020/2021 school year): 		請選擇 (Please select an item)(或同等年級 or equivalent) *
電郵地址:
Email Address:		 必須填寫 (A value is required)格式錯誤 (Invalid format) *
聯絡電話號碼（八位數字）
Contact telephone number (8 digits)		 必須填寫 (A value is required)格式錯誤 (Invalid format)*
本人已得到家長／監護人的同意，報名參加上述課程
I have been given permission by my parent/guardian to register for the programme		 *  請選擇 (Please make a selection)
家長 / 監護人資料 PARENT / GUARDIAN INFORMATION
家長／監護人中文姓名：
Chinese Name of Parent/Guardian : 		必須填寫 (A value is required) *
家長／監護人英文姓名：
English Name of Parent/Guardian : 		必須填寫 (A value is required) *
家長／監護人緊急聯絡電話號碼（八位 字）:
Parent/Guardian contact telephone number for emergency purpose (8 digits) : 		必須填寫 (A value is required) 格式錯誤 (Invalid format) *
家長／監護人電郵地址：
Email Address of Parent / Guardian: 		必須填寫 (A value is required) 格式錯誤 (Invalid format) *

備註 Remarks

  1. 同學報名參加活動時必須得到家長╱合法監護人的同意。並建議同學告知家長╱合法監護人閣下在上述有關使用個人資料的聲明。
    Student applicants must obtain their parent’s / legal guardian’s approval in applying for the activity. The applicants are also recommended to inform their parents / legal guardian of the given consents on the use of your personal data in the above Declaration.

  2. 香港資優教育學苑會盡力保障學生出席活動時的安全；惟學生家長必須了解活動內容及根據子女的情況，決定是否讓子女參加活動並承擔一切後果。
    The HKAGE will do its utmost to ensure the safety of the student participants during the activities. Nevertheless, parents have the responsibility to decide whether the programme fits their children according to the nature of the programme and the situation of their children, and bear all the consequences.

  3. 惡劣天氣安排及控制傳染病措施，請參閱本苑網頁: http://www.hkage.org.hk/b5/students/important-information/bad-weather。
    For inclement weather arrangement and control measures for communicable diseases, please refer to our website: http://www.hkage.org.hk/en/students/important-information/bad-weather.


個人資料收集說明
閣下向香港資優教育學苑（「資優學苑」）提供的個人資料將會用作：
  • 考慮及處理閣下的申請；
  • 正式記錄；
  • 在適用情況下籌劃有關的節目及活動；以及
  • 研究及統計。
閣下必須提供個人資料，若未能提供所需資料，閣下的申請處理程序及結果或閣下參加的節目╱活動的機會可能會受影響。閣下隨後提供個人資料亦可能作上述任何一個或更多的用途。
資優學苑可能酌情決定向第三者披露閣下提供的個人資料作上述一個或更多的用途。
閣下有權向資優學苑要求一份個人資料副本，此副本乃根據《個人資料（私隱）條例》並遵照資優學苑的資料私隱政策及行政安排的規定向閣下提供，閣下有權要求改正副本中任何不準確之處。

任何有關查詢請聯絡：
香港新界沙田沙角邨
香港資優教育學苑
高級設施管理及行政主任（機構事務）

Personal Data Collection Statement
The personal data you provide to The Hong Kong Academy for Gifted Education (HKAGE) will be used:
  • for considering and processing your application;
  • for the official record;
  • where applicable, for the purpose of organising programmes and activities; and
  • for research and statistical purposes.
The provision of personal data is obligatory. Failure to provide the requested information may affect your chance of participation in the programmes / activities. Personal data that is subsequently provided by you may also be used for any one or more of the stated purposes.
You have the right to request a copy of your personal data held by the HKAGE and to request the correction of any inaccuracy in the copy of the personal data that is provided to you in accordance with the Personal Data (Privacy) Ordinance and subject to the data privacy policy and administrative arrangements of the HKAGE.

Any such enquiry should be made to :
Senior Facilities Management and Administration Officer(Corporate Services)
The Hong Kong Academy for Gifted Education
Sha Kok Estate, Shatin, N.T.,Hong Kong

本人已得到家長／監護人的同意，報名參加上述課程。
I have been given permission by my parent/guardian to register for the programme		 是 Yes *請選擇 (Please make a selection)
為配合課程發展的需要，學苑將會在個別課堂進行觀課、拍攝/攝錄上課實況或/及保留學生作品作為示例，以供教學評估及研究用途。
HKAGE will carry out class observation, photo/video-taking in some programmes and/or keep students’ work for the purposes of programme evaluation and research.		 同意 Agree *請選擇 (Please make a selection)
學苑將會在個別課堂拍攝/攝錄上課實況及/或保留學生作品作為示例，以供公開展示及/或推廣學苑的教育活動之用。
HKAGE will carry out photo/video-taking in some programmes and/or keep students’ work for the purposes of demonstration and/or promotion of HKAGE’s education activities.		 同意 Agree
不同意 Disagree *請選擇 (Please make a selection)
學苑矢志為學員和職員締造安全、愉快正面、平等機會的學習和工作環境，免他們受到騷擾、欺凌、歧視、誹謗和傷害。
學苑的成員須竭力追求個人誠信; 承諾以尊重的態度待人; 尊重他人權利和財產; 為個人和團體行為克盡己任; 立志成為具責任感的公民，建設自由學習社區，並把這些信念推展至社會各個層面。 學苑會就成員違反承諾作出回應。在有需要的情況下，會採取適當行動，防止上述情況出現，並會就違紀行為進行處分。
The HKAGE is committed to providing a safe, positive and pleasant environment which enable students and staff to learn and work with equal opportunity and are free of harassment, bullying, discrimination, vilification and victimisation. Every member of the Academy should make a commitment to strive for personal integrity; to treat others with dignity and respect; to honour the rights and property of others; to take responsibility for individual and group behaviour; and to act as a responsible citizen in a free learning community and in the larger society. The Academy will respond to reports of violation of such commitment and will take appropriate action to prevent, and if necessary, to discipline behaviour that violates this policy.		 我認同上述政策。 I hereby agree to accept the above mentioned policy. *請選擇 (Please make a selection)
學生的責任：準時上課；行經走廊、樓梯時，須保持安靜。在課堂進行期間，關掉手提電話、錄音器材及任何響鬧裝置；保持課室地方整潔；在導師同意下方可使用課室內的視聽器材及電腦；小心保管個人財物，如有任何遺失或損壞，學苑概不負責。
Responsibilities of Students: Be punctual for classes and be quiet in corridors outside the classrooms. Respect the interests of other participants by switching off their mobile phones, audio recording devices and any alarms during classes. Keep the classroom clean and tidy. Do not use any computer or AV equipment in the classroom without the permission of the course instructor. Take care of their own belongings. The HKAGE assumes no responsibility for any loss or damage of property.		 我認同上述責任。 I hereby agree to accept the above mentioned responsibilities. *請選擇 (Please make a selection)