Staff Sponsorship for SEN-related Training

SEN Service, Wellness and Counselling Centre, Office of Student Affairs

● Please complete this application and upload relevant supporting documents (e.g. training promotional material/ enrollment confirmation, etc.) at least one month before the commencement of the training.

● Enquiries: 3943 5441 / sens@cuhk.edu.hk

Last updated: July 2023

1. Name (in English) 1. Name (in English) First Last
2. Name (in Chinese)
3. Staff No.:
4. Work Mode

4. Work Mode Full-time Part-time

Only full-time staff are eligible for this sponsorship.
5. Department/ Unit:
6. Position:
7. Year(s) of Service at CUHK:
8. CUHK Email Address:
9. Contact Number
Training Details
10. Name of the Training Activity/Course
11. Name of the Training Organizer
12. Training Date 12. Training Date / MM / DD YYYY
12a. Start Time 12a. Start Time : HH MM AM/PM
12b. End Time 12b. End Time : HH MM AM/PM
13. Number of Session in the Training (if applicable)

13. Number of Session in the Training (if applicable) There is only one session. There are more than one session.
13a. Please input all session dates.
14. Tuition/ Registration Fee (HK$):
15. Training Sponsorship Applied for (HK$):

Capped at HKD 2,000
16. Availability of Other Funding Sources

16. Availability of Other Funding Sources No Yes, please specify source(s) and the amount of subsidy:
17. Have you applied for this staff sponsorship within the same financial year (July 1 - June 30)?

17. Have you applied for this staff sponsorship within the same financial year (July 1 - June 30)? No Yes, please specify name of the training activity and the amount of subsidy:
18. Are the training details available on the organizer's webpage?

18. Are the training details available on the organizer's webpage? No, I will upload the training promotional material. Yes, please refer to the webpage below Yes, please refer to the webpage below
19. Please upload the relevant promotional material/ supplementary information of the training.

Attach Files
Endorsement by Supervisor/ Unit Head

If higher level authorization is needed in your specific unit/department, please seek endorsement for supporting you in attending the training and attach the relevant endorsement document(s) (e.g. email from your supervisor with the endorsement).
20. Endorser's Name 20. Endorser's Name First Last
21. Endorser's Position/Title
22. Proof of Endorsement

Attach Files

e.g. Endorsement email from supervisor
Disclaimer The personal data collected will be used by SEN Service (SENS) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.

Staff Sponsorship for SEN-related Training

Training Details

Endorsement by Supervisor/ Unit Head