Collaboration Request Form (Community Engagement)

Note 注意事項：

1. Each form allows up to two activity entries. If needed, you may submit an additional form.
每份表格最多可填寫兩個活動。如有需要，請另行提交表格。

2. Once the form is submitted, the system will automatically send a copy of the response. Please save the electronic copy for your records. Our Office will follow up and respond to your request within seven working days.
提交表格後，系統將自動發送回覆副本。請妥善保存電子副本以作記錄。本辦公室將於七個工作天內跟進並回覆您的申請。

Name of the Organization
機構名稱
Type of the Organization
機構類型

Type of the Organization 機構類型 Education 教育 Government 政府 NGO 非政府組織 Public Organization 公營機構 Other 其他 Other 其他
Organization Website
機構網址
Name of Contact Person
聯絡人姓名
Email of Contact Person
聯絡人電郵
Contact Number
聯絡電話
Must be 8 digits. Currently Entered: 0 digits.
Collaboration Details 合作項目詳情
Is it internship related?
是否為實習活動？(1)

Is it internship related? 是否為實習活動？(1) Yes 是 No 不是
Activity Name
活動名稱 (1)

(e.g. Internship on outreach education 如外展教育實習）
Number of Places Offered
可提供的名額 (1)
Activity Details
活動詳情 (1)
Requirement
相關要求 (1)

(e.g.targeted programmes of our student teachers, qualifications etc. 如本院學員所修讀的課程要求、所需資格等)
Is the activity related to any sustainable development goals (SDGs)?
此活動是否涉及任何可持續發展目標（SDGs）？ (1)

Is the activity related to any sustainable development goals (SDGs)? 此活動是否涉及任何可持續發展目標（SDGs）？ (1) No Poverty 終結貧窮 Zero Hunger 消除飢餓 Good Health and Well-being 確保健康及促進福祉 Quality Education 提供優質教育 Gender Equality 實現性別平等 Clean Water and Sanitation 確保水資源和衛生條件 Affordable and Clean Energy 促進永續的再生能源 Decent Work and Economic Growth 促進就業與經濟增長 Industry, Innovation and Infrastructure 推動產業創新與建設基礎設施 Reduced Inequalities 減少各種不平等 Sustainable Cities and Communities 建立永續城市與社區 Responsible Consumption and Production 實現負責任的消費與生產 Climate Action 對抗氣候變化 Life Below Water 海洋生態的保護 Life on Land 陸地生態的保護 Peace, Justice and Strong Institutions 和平、正義與強大機構 Partnerships for the Goals 拓展全球合作夥伴 No 沒有
Upload a file to supplement activity details (if needed) 可選擇上載檔案以提供更多活動資訊（如有需要）(1)

Attach Files

Only accept file format 只接受格式 (jpg, jpeg, png, pdf, docx, doc, ppt)
Suggested deadline for activity application (if applicable) 建議的活動申請截止日期 (如適用) (1) Suggested deadline for activity application (if applicable)
建議的活動申請截止日期 (如適用) (1) / MM / DD YYYY
Add Activity
增加活動(2)

Add Activity 增加活動(2) Yes 是 No 否
Is it internship related?
是否為實習活動？(2)

Is it internship related? 是否為實習活動？(2) Yes 是 No 不是
Activity Name
活動名稱 (2)
Number of Places Offered
可提供的名額 (2)
Activity Details
活動詳情 (2)
Requirement
相關要求 (2)

(e.g. targeted programmes of our student teachers, qualification etc. 如本院學員所修讀的課程要求、所需資格等)
Is the activity related to any sustainable development goals (SDGs)?
此活動是否涉及任何可持續發展目標（SDGs）？ (2)

Is the activity related to any sustainable development goals (SDGs)? 此活動是否涉及任何可持續發展目標（SDGs）？ (2) No Poverty 終結貧窮 Zero Hunger 消除飢餓 Good Health and Well-being 確保健康及促進福祉 Quality Education 提供優質教育 Gender Equality 實現性別平等 Clean Water and Sanitation 確保水資源和衛生條件 Affordable and Clean Energy 促進永續的再生能源 Decent Work and Economic Growth 促進就業與經濟增長 Industry, Innovation and Infrastructure 推動產業創新與建設基礎設施 Reduced Inequalities 減少各種不平等 Sustainable Cities and Communities 建立永續城市與社區 Responsible Consumption and Production 實現負責任的消費與生產 Climate Action 對抗氣候變化 Life Below Water 海洋生態的保護 Life on Land 陸地生態的保護 Peace, Justice and Strong Institutions 和平、正義與強大機構 Partnerships for the Goals 拓展全球合作夥伴 No 沒有
Upload a file to supplement activity details (if needed) 可選擇上載檔案以提供更多活動資訊（如有需要）(2)

Attach Files

Only accept file format (jpg, jpeg, png, pdf, docx, doc, ppt)
Suggested deadline for activity application (if applicable) 建議的活動申請截止日期 (如適用) (2) Suggested deadline for activity application (if applicable)
建議的活動申請截止日期 (如適用) (2) / MM / DD YYYY
Remarks (if any)
備註 (如有)
Disclaimer

The Office of School Partnership and Community Engagement of Faculty of Education, CUHK are committed to ensuring that all personal data are handled in accordance with the provisions of the Personal Data (Privacy) Ordinance and University’s guidelines. The personal data provided on this form will be used by the Faculty of Education for the purpose of processing Community Engagement Initiatives. The personal data collected will not be kept when no longer required. 香港中文大學教育學院學校夥伴及社區聯繫辦公室致力確保所有個人資料均按照《個人資料（私隱）條例》及大學指引處理。此表格所收集的個人資料將僅用於處理與社區聯繫活動相關的事宜。所收集的個人資料將保存至不再需用。
Disclaimer The personal data collected will be used by Faculty of Education - Office of School Partnership and Community Engagement and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.

Collaboration Request Form (Community Engagement)

Collaboration Details 合作項目詳情

Disclaimer