Face-to-face football coaching course 「學轉英超」足球教練培訓課程
Additional Application Form
附加申請表
Name of Applicant (English): 申請人中文姓名:
Name of School (English):
School Correspondence address (English):
Mobile Phone No. 手提電話號碼: E-mail Address 電郵地址:
Age 年齡:
Contact Person & Phone No. for Emergency 緊急聯絡人及電話號碼:
Your favourite sports that you have coached before 曾教授及擅長的體育項目:
1 3 5
2 4 6
Please explain in not more than 200 words 1) how you think you will benefit from the Premier Skills Course
and 2) how you will use what you have learned from the course to benefit your school or the wider community.
請用少於200字篇幅回答以下問題。1) 你將會從「學轉英超」的足球教練培訓課程中有何獲益；及 2) 你將如何運用培訓課程中所學到的知識和技術，回饋學校或社區。 Page 1/2
Section 3 Candidate's Declaration 第三部分 申請人聲明
I confirm that I am medically and physically fit and able to participate fully in the course and that I do so at my own risk and will not pursue any claims against any of the organisers of Premier Skills should I be injured as a result of my participating in any of the activities.
我謹聲明，本人身體健康狀況良好並且能夠參加全部課程。本人將自行承擔一切風險，將不會對「學轉英超」項目的任何主辦單位提出索償。
Signature簽名: Date日期: Section 4 Principal's Declaration 第四部分 校長聲明
I fully support the candidate's application. If he/she is short-listed, I confirm that he/she 1) will be allowed to attend an interview in the second week of June 2009, if required and 2) will be allowed to attend the full time residential course from 3rd to 9th August, 2009.
我完全支持該申請人的申請，並確認一旦他/她通過初步挑選，我將允許他/她參加(1) (如有需要) 於2009年6月第二個星期舉行的面試；及 (2) 於2009年8月3日 至9日期間舉行的全日制寄宿課程。
Signature簽名:
Date日期:
School Chop 校印
Note: The personal data provided by you will only be used for the purposes of enrolment, compilation of
statistics, future contact and promotion relating to this activity. Under the provision of the “Personal Data (Privacy) Ordinance”, you have a right to access and correction with respect to your personal data. Please contact the organiser, if necessary, by sending an email to PremierSkills@britishcouncil.org.hk.
備註: 你所提供的個人資料只作報名、統計、日後聯絡及宣傳本活動之用。根據《個人資料(私隱)條例》，你有權取得及更改個人資料。如有需要，請發電郵至PremierSkills@britishcouncil.org.hk，與主辦機構聯絡。
Important: The deadline for applications is 5 June 2009. All sections (including the Measurements Sheet) should be completed and sent to premierskills@britishcouncil.org.hk or mail to Jerio TSANG, Assistant Manager, Sports Education, British Council, 3 Supreme Court Road, Hong Kong. Please write “Premier Skills” on the subject section of the email or on the cover of the envelope.
重要提示：申請截止日期為 2009 年6月5日。申請人必須填妥申請表各部分（包括尺碼登記表）並一同遞交至電郵premierskills@britishcouncil.org.hk 或郵寄致香港金鐘法院道3號「英國文化協會」, 運動教育項目副經理,曾小姐收。請於電郵主旨或信封上註明「學轉英超」足球教練培訓課程。
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