「你，依然在我心裡」- 哀傷與善別關懷輔導小組

日期︰2026年1月16、23日及 2月6、13日（逢星期五；共四節）
時間︰下午2:30 – 下午4:30
地點︰中大校園
人數︰10人
對象︰有喪親經歷的全日制本科生及研究生
語言︰廣東語
費用︰全免 (按金HKD100；按金將於參加者出席整個活動，並在活動完結後退回)
截止日期︰2025年11月26日（星期三）

完成報名後，你將會接獲由輔導員以 3943 字頭的電話來電，敬請留意並接聽。

在確認同學適合參加小組並收到確認電郵後，方可於辦公時間內親臨龐萬倫學生中心二樓心理健康及輔導中心，以現金繳交按金港幣 $100（不設找續）。

英文姓氏 Student English Last Name
英文名字 Student English First Name
中文姓名 Student Chinese Name
暱稱 Nickname
學生號碼 Student ID No.
Must be 10 characters. Currently Entered: 0 characters.
中大電郵 CUHK Email

i.e. student ID@link.cuhk.edu.hk
聯絡電話 Contact Phone No.
你是全日制本科生或硏究生?
Are you a full-time undergraduate or postgraduate student?
你是本地生或非本地生?
Are you a local or non-local student?
你現正在香港嗎?
Are you currently in Hong Kong?
你是否正接受任何輔導服務（包括校內及校外）?
Are you currently receiving any counseling services (including those provided inside or outside of school)?
我明白 I understand

我明白 I understand 遞交報名表後，我需要等待系統發出的確認報名電郵，但報名並未獲確認。屆時需按電郵指示繳交按金以確認報名。 After submitting the registration form, I need to wait for a confirmation email from the system; however, the registration is not yet confirmed. At that time, a deposit must be paid following the instructions in the email to secure the registration. 工作坊名額將按照付按金的先後次序、以先到先得的原則分配。收到確認電郵後，請盡快繳交按金，額滿即止。按金將於參加者出席整個活動，並在活動完結後退回。 As the workshop quotas will be filled on first-paid (deposit), first-served basis. After receiving confirmation email, you are encouraged to pay the deposit as soon as possible. Deposit will be refunded upon completion and full attendance of the activity. 我確認能參加此次活動。申請退回按金需要提交醫生紙作証明。如有任何爭議，中心保留最終決定權。 I confirm I can attend the workshop. For any reason participants who are withdrawing from the activity, deposit reimbursement can only be considered based on proof of medical certificates. In the case of any disputes, the centre reserves the right of final decision. 我確認遵守此次活動細則，包括： 1. 準時於開始時間到達活動地點，遲到超過30分鐘者不可進場，並不獲退回按金。 2. 參加者不可於活動進行期間擅自拍照或錄影 3. 所有課堂資料由導師決定是否分享給參加者，並有權選擇以實體或網上形式分享。 I confirm that I will comply with the rules of this event, which include the following: 1. Arrive at the event location on time, latecomers exceeding 30 minutes will not be allowed to enter. 2. Participants are not allowed to take photos or record videos during the event. 3. All materials will be decided by the instructor whether to share with participants, and they reserve the right to decide to share in either paper or digital format. 心理健康與輔導中心將於活動期間拍照，照片用於中大教職員或學生的培訓，亦有機會於社交平台或網頁發放。如果你不希望被拍攝，請在活動日期前兩個工作日內發送電子郵件至waccactivities@cuhk.edu.hk，並在拍攝期間再次提醒我們，謝謝。 Photos will be taken during the workshop. These images may be used for programme promotion on our instagram accounts and CUHK webpages. Promotional materials containing the photos may also be used for campus-wide promotion. If you would prefer not to be photographed, please send an email to waccactivities@cuhk.edu.hk by two working days before event date and remind us again during the photographing, thank you.
Disclaimer The personal data collected will be used by Wellness and Counselling Centre, Office of Student Affairs (WACC, OSA) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.