CCOUC Field-based Training Programme - Trainee Application Form
CCOUC Field-based Training Programme - Trainee Application Form
Please sign up if you want to become one of our field trainees!
Basic Information
Name in English
*
First
Last
Last Name = Surname (e.g. Chan)
Name in Chinese (if any)
Preferred Name (e.g. Mary)
*
Gender
*
M
F
Email Address
*
Contact Number
*
Current Status in CUHK
*
Student
Staff
Alumni
Not a member of CUHK (Please specify below)
Affiliations (for those who is not a member of CUHK)
Education and Experience
Degree Status
Undergraduate = UG
Postgraduate = PG
*
UG
PG
Bachelor's Degree/Major(s)
e.g. BSc in Public Health
*
Master's Degree
Master of Public Health (MPH)
Study Modes
Full-time = FT
Part-time = PT
*
FT
PT
N/A
Current Year of Study
*
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Graduated
Year of Graduation
*
Professional Qualifications Obtained e.g. First Aid, Mental First Aid
Year of the aforementioned qualification obtained (if applicable)
Language Proficiency - English
*
I do not speak the language.
I am able to satisfy the basic travel needs.
I am able to speak the language with accurate structure and wording to participate actively in most formal conversations.
I am a native/bilingual speaker.
Language Proficiency - Mandarin
*
I do not speak the language.
I am able to satisfy the basic travel needs.
I am able to speak the language with accurate structure and wording to participate actively in most formal conversations.
I am a native/bilingual speaker.
Language Proficiency - Cantonese
*
I do not speak the language.
I am able to satisfy the basic travel needs.
I am able to speak the language with accurate structure and wording to participate actively in most formal conversations.
I am a native/bilingual speaker.
I have related experience in
*
conducting interviews using structured questionnaires
conducting individual Interviews/focus groups using a semi-structured interview guide
organizing or delivering health education programme
N/A
Skill Set (select at most 3 skills)
Data Entry (SPSS)
Data Analysis (SPSS)
Event Coordination
Communication/Public Relations
Publication/Editing
Translation
Graphic Design
Product Design
Poster Design
Photography
Videography
Drama
Other
Other
Fieldwork experiences (describe briefly within 200 words)
*
Maximum of
200
words allowed.
Currently Entered:
0
words.
Personal Motivation
Motivation in working with CCOUC (describe briefly within 200 words)
*
Maximum of
200
words allowed.
Currently Entered:
0
words.
Future goals or plans to work in the field of disaster relief or humanitarian work (describe briefly within 200 words)
*
Maximum of
200
words allowed.
Currently Entered:
0
words.
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Disclaimer
The personal data collected will be used by Collaborating Centre for Oxford University and CUHK for Disaster and Medical Humanitarian Response (CCOUC) and the authorised personnel for processing captioned purposes only. All personal data you provided will not be disclosed to any third parties unless with your prior consent.