檢定 STEM 導師 (小學) 報名

發揮創意行動，推動全人發展
Creativity . Action . Whole People Development

Certified STEM Instructor (Primary School)

Qualified STEM Elementary School Tutor Course Questionnaire

Certified STEM Instructor (Primary School)

Note: All information must be filled in. If there is any omission, the center has the right to ask the applicant to make up.

Please read and sign the Notice to Students of the Association carefully, and ensure that all the information filled in this form is complete and true. (* is required)

Chinese name* Chinese Name (same as identity document):

Passport No. / HK ID Card No.* Passport / HK ID Card No. :

English Name* English Name (same as ID document):

Date of Birth* Date of Birth (DD/MM/YYYHY) :

mobile phone number

Residential address Address :

性別 Sex：

男 Male

女 Female

教育程度 Education Level

香港中學文憑或以下

大專至副學士

學士

碩士或以上

Occupation :

Organization name Organization name:

Organization Address:

Emergency Contact Name Contact Person Name :

Emergency Contact Person Relationship Contact Person Relationship :

Emergency Person contact Telephone :

If you obtain course information from other means, please fill in:

你同意於電郵或電話訊息中收到本中心的課程資訊嗎?

同意

不同意

Upload the completed registration form

upload file

Upload Signed Student Instructions

upload file

Upload photos from the past 3 months

upload file

選擇你的參加人數 (HK$)

一人報名 $3200/6堂/12小時 - HK$3200

二人同行 $2800/人 $5600 - HK$5600

三人同行 $2600/人 $7800 - HK$7800

四人同行 $2400/人 $9600 - HK$9600

選擇課程時間

課程編號：AICE-P6-09082022PM

課程編號：AICE-P7-06092022PM

Class time

Course number: AICE-P6-09082022PM

Date: August 9, 12, 16, 18, 23, 25, 2022

Time: 7:00pm - 9:00pm (Tuesday and Thursday)

Number of lessons: 6 lessons (total 12 hours)

Course number: AICE-P7-06092022PM

Date: September 6, 8, 13, 15, 20, 22, 2022

Time: 7:00pm - 9:00pm (Tuesday and Thursday)

Number of lessons: 6 lessons (total 12 hours)

If you choose more than two applicants, please write down the basic information of other participants below.

If there is only one person, the following information is not required.

1. 2nd participant:

The Chinese Name of the second participant (same as the identity document):

Passport / HK ID Card No. of the second participant:

Email address of the 2nd participant

English Name of the second participant in English (same as the identity document):

Date of Birth (DD/MM/YYYHY) of the second participant:

The mobile phone number of the second participant

第2位參與者的性別 Sex：

男 Male

女 Female

第2位參與者的教育程度 Education Level

香港中學文憑或以下

大專至副學士

學士

碩士或以上

Occupation of the second participant:

Organization name of the second participant:

Upload the completed registration form of the second participant

upload file

Upload the student notice signed by the 2nd participant

upload file

Upload photos of the second participant in the last 3 months

upload file

2. The 3rd participant:

Chinese Name of the third participant (same as the identity document):

English Name of the third participant in English (same as the identity document):

Passport / HK ID Card No. of the third participant:

Date of Birth (DD/MM/YYYHY) of the third participant:

Email address of the third participant

The mobile phone number of the third participant

第3位參與者的性別 Sex：

男 Male

女 Female

第3位參與者的教育程度 Education Level

香港中學文憑或以下

大專至副學士

學士

碩士或以上

Occupation of the third participant:

Organization name of the third participant:

Upload the completed registration form of the 3rd participant

upload file

Upload the student note signed by the 3rd participant

upload file

Upload photos of the third participant in the last 3 months

upload file

3. The 4th participant:

The Chinese Name of the fourth participant (same as the identity document):

English Name of the 4th participant in English (same as the identity document):

Passport / HK ID Card No. of the 4th participant:

Date of Birth (DD/MM/YYYHY) of the 4th participant:

Email address of the 4th participant

Mobile phone number of the 4th participant

第4位參與者的性別 Sex：

男 Male

女 Female

第4位參與者的教育程度 Education Level

香港中學文憑或以下

大專至副學士

學士

碩士或以上

Occupation of the 4th participant:

Organization name of the fourth participant:

Upload the completed registration form of the 4th participant

upload file

Upload signed student note for 4th participant

upload file

Upload photos of the 4th participant in the last 3 months

upload file

Thank you for signing up!