SPCTD2014-001 You’ve got talent – 21st Century Innovator (S1-S3) SPCTD2014-001 You've got talent - 21st Century Innovator (S1-S3) Date JUL 14-19, 2014 Time 2 - 5 pm(1) Personal InformationName of the Applicant in English *Surname, Given NameName in Chinese (if applicable) Surname, Given NamePlease specify the name in English to be printed on the Certificate of Course Completion *Did you study any courses in our summer programme 2013? *YesNoIf yes, please specify the course you attended in 2013: Age *Grade to be completed in July 2014 *S1S2S3Place of Birth *Sex *MaleFemaleName of your School *Correspondance Address *Home Phone *Student's Mobile (if applicable) Student's Email Address (if applicable) (2) Course FeeCourse Fee : HK$3,240 Please prepare a crossed cheque payable to THE UNIVERSITY OF HONG KONG with the applicant's full English name, course code and mobile number at the back of the cheque and send it to Centre for Advancement in Inclusive and Special Education Room 338, Hui Oi Chow Science Building, Faculty of Education, The University of Hong Kong, Pokfulam Road, Hong Kong. Re: HKU CAISE Summer Programme 2014 In case that courses are cancelled due to insufficient enrollment, the Centre will refund the applicant in full.Bank Name *Cheque No. *(3) Parent / Guardian InformationTitle *Mr.Ms.Mrs.Dr.Prof.Name of Parent/ Guardian (English) *Name of Parent/ Guardian (Chinese) Mobile *Email Address *Do you want to receive updates from HKU CAISE? *YesNoRelationship to the student *FatherMotherGuardianOther(4) Financial Aid Application 申請助學金Do you need applying financial aid for your child? 貴子女需要申請助學金嗎? *No. I am NOT applying for HKU CAISE Summer Programme 2014 financial aid for my child. 本人不用申請助學金YES, I am applying for HKU CAISE Summer Programme 2014 financial aid for my child. 本人需要為敝子女申請助學金What kind of financial assistance is your child/ family receiving during the year 2013-14? 你的子女或家人在2013 至 14 年度獲得下列哪些資助？ Please submit the financial aid application form with the supporting documents and send us by post. 另請填妥助學金申請表，連同有關證明文件，以郵遞方式寄給我們。Comprehensive Social Security Assistance (CSSA) 綜合社會保障援助（綜援）Full School Textbook Assistance Scheme 全額學校書簿津貼CSSA received per month 每月獲得綜援金額 Does your child have any special needs? *Yes (please specify below)NoIf yes, please specify Remarks / Suggestion 備註 / 意見 VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
