社福界登记护士(普通科登记护士(精神科训练课程入学

1、社福界登记护士(普通科)登记护士(精神科)训练课程入学申请表 Application for Admission to Enrolled Nurse (General) / Enrolled Nurse (Psychiatric) Training Programme for the Welfare Sector备注：Notes:1.请以英文正楷填写此申请表。填写此申请表时，请参考申请须知。1.Please complete the application form in English and print in BLOCK LETTERS and refer to the Guide to

2、Applications when completing the application form. 2.每名申请人只可申请报读登记护士（普通科）训练课程或登记护士（精神科）训练课程。2.Each applicant may only apply for admission to either the Enrolled Nurse (General) training programme or the Enrolled Nurse (Psychiatric) training programme. 3.申请人应于二零零六年五月二十三日或以前，把填妥的申请表，连同在香港取得的学历证书副本、在香港

3、以外的地方取得的学历证书副本及证明其具备等同于香港有关学历的文件(如适用)及现时于社福界担任全职雇员的证明文件(如适用)，邮寄(以邮戳为凭)或亲身递交(于二零零六年五月二十三日下午五时正或以前 香港时间)香港湾仔皇后大道东213号胡忠大厦8楼835室社会福利署。信封上应注明申请报读社福界登记护士训练课程。3.Completed application forms, together with copies of education certificates for the qualifications obtained in Hong Kong and outside Hong Kong, d

4、ocumentary proof of the Hong Kong equivalent of the education attainment obtained outside Hong Kong (if applicable) and documentary proof of an existing full time employment in the welfare sector (if applicable), should be submitted to the Social Welfare Department, Room 835, 8/F, Wu Chung House, 21

5、3 Queens Road East, Wan Chai, Hong Kong on or before 23 May 2006 either (i) by post (according to postmark) or (ii) by hand (at or before 5:00 p.m. on 23 May 2006 Hong Kong time). The envelope should be marked “Application for Enrolled Nurse Training for the Welfare Sector”. 4.申请人在递交填妥的申请表时，必须夹附在申请表

6、上所呈报的有关学历的证书副本（包括在香港本地或香港以外的地方所取得的学历）。4.Applicant must attach to the completed application form copies of the education certificates for the qualifications entered in the application form, including those obtained in Hong Kong and outside Hong Kong.5.如申请人在香港以外的地方取得学历，须向社会福利署递交证明其等同于香港有关学历的文件，否则社会福利署

7、将无法考虑该学历。5.For education attainment obtained outside Hong Kong, applicants are required to submit to the Social Welfare Department documentary proof of its Hong Kong equivalent; otherwise, the Social Welfare Department will not be able to consider that education attainment.6.现时全职在社福界工作的申请人，须于申请表内夹附显

8、示其现时雇主机构名称、服务单位名称、职位名称及其为全职雇员的证明文件。未有提供上述证明文件的申请，在遴选过程中将不获优先考虑。6.Applicant currently working full time in the welfare sector should attach to the application form documentary proof showing the name of the employing organisation, the name of the service unit where the applicant is working, the positi

9、on held and the full time nature of the employment. Applications without the above documentary proof will not be accorded priority in the shortlisting and selection process.7.在以下任何一种情况下，申请将不获处理 (a) 未有在申请表上指明报读登记护士（普通科）训练课程或登记护士（精神科）训练课程；或(b) 同时报读登记护士（普通科）训练课程及登记护士（精神科）训练课程；或(c) 未有提供学历证书副本；或(d) 申请人未有

10、在申请表上签署；或(e) 逾期递交的申请。7.Applications will not be processed under any of the following circumstances (a) application with no indication of which training programme, namely either EN(General) training programme or EN(Psychiatric) training programme, the applicant is applying for; or(b) application indi

11、cating admission to both EN(General) training programme and EN(Psychiatric) training programme; or(c) application with no attachment of copies of education certificates; or(d) application without the applicants signature; or(e) late application.8.申请人如希望获知社会福利署已收到其申请表，请附上一个已贴上邮票及填妥地址的回邮信封。8.Please su

12、pply a stamped self-addressed envelope if you wish to receive an acknowledgement of receipt of your application from the Social Welfare Department. 9.此申请表内所收集的个人资料会用作处理申请报读本训练课程之用。9.The personal data collected in this application form will be used for the purpose of processing the application for ad

13、mission to the training programme.10.提交申请表后，如欲查阅或更正个人资料，请在办公时间内联络社会福利署 (电话：2110 1495)。10.For access to or correction of personal data after submission of this application, please contact the Social Welfare Department (Tel. No.: 2110 1495) during office hours.For office use only Reference Information

14、甲部申请课程 SECTION APROGRAMME APPLIED FOR 本人欲申请入读 (请只“P”一项)I wish to apply for admission to (Please “P” one only) 社福界登记护士(普通科)训练课程。 Enrolled Nurse (GENERAL) Training Programme for the Welfare Sector. 社福界登记护士(精神科)训练课程。Enrolled Nurse (PSYCHIATRIC) Training Programme for the Welfare Sector. 乙部个人资料 SECTION

15、BPERSONAL PARTICULARS 英文全名 Full Name in English 中文姓名 Name in Chinese 近照#Photo#性别Sex 男 / 女*M / F* 出生日期Date of birth （日月年）(dd/mm/yyyy) 香港身份证号码HK Identity Card No. 住址Residential Address 通讯地址Correspondence Address (如与上址不同If different from the address given above) 住所电话号码 Residential Telephone No. 办事处/日间联

16、络电话号码Office/Day Time Contact No. 流动电话号码Mobile Phone No. 传真号码Fax. No. 电子邮件地址Email Address * 请删去不适用者 Please delete as appropriate. # 可选择不提供 Optional 丙部曾受教育（按最早日期顺序列出） SECTION CEDUCATION (In chronological order) 曾经就读的学校（中学专上）Schools Attended (Secondary/Tertiary)班级Form年Year在香港就读In Hong Kong至至ToToToToToT

17、oToToToTo在香港以外地方就读Outside Hong Kong至至ToToToToToToToToToTo丙部曾受教育（续） SECTION CEDUCATION (Continued) 香港中学会考与考科目（只填写最高等级）HKCEE SUBJECTS TAKEN(Highest Grade Only)香港高级程度会考与考科目（只填写最高等级）HKALE SUBJECTS TAKEN(Highest Grade Only)（只供有关部门填写）(For office use only)Photocopies of:- HKCEE(Yr.Y/N)(Yr.Y/N)(Yr.Y/N)(Yr.Y

18、/N)- HKALE(Yr.Y/N)(Yr.Y/N)(Yr.Y/N)(Yr.Y/N)- HKHLE(Yr.Y/N)(Yr.Y/N)(Yr.Y/N)- GCE (A/O)(Yr.Y/N)(Yr.Y/N)(Yr.Y/N)- Other Certificate(s)(Yr.Y/N)(Yr.Y/N)年份Year科目Subject等级Grade年份Year科目Subject等级(注1)Grade(Note 1)English Language (Syl. A) Use of EnglishEnglish Language (Syl. B)Chinese Language and CultureChine

19、se LanguagePure MathematicsMathematics Applied MathematicsAdditional Mathematics Mathematics and StatisticsPhysics PhysicsChemistry ChemistryBiology / Human Biology Biology Chinese History Chinese HistoryEnglish LiteratureEnglish Literature Chinese LiteratureChinese LiteratureComputer Studies Comput

20、er StudiesGeography GeographyEconomicsEconomicsHistoryHistoryOthers: (Please specify)Others: (Please specify)香港高等程度会考与考科目（只填写最高等级）HKHLE SUBJECTS TAKEN(Highest Grade Only)普通教育文凭试与考科目（只填写最高等级）GCE (A/O Level) SUBJECTS TAKEN(Highest Grade Only)年份Year科目Subject等级Grade年份Year程度Level(A/O)科目Subject等级Grade注 1:

21、 包括高级程度及高级补充程度科目的等级Note 1: Including grades at both A-level and AS-level.丁部工作经验 (按最早日期顺序列出)SECTION DWORK EXPERIENCE (In chronological order) For office use only Currently Working in Welfare Sector 机构名称Name of Organisation服务单位名称(注2)Name of Service Unit (Note 2)工作性质（注3）Nature of Employment (Note 3) 职位

22、Position Held日期（日月年）Date (dd/mm/yyyy)由From至To全职兼职Full-time/Part-time全职兼职Full-time/Part-time全职兼职Full-time/Part-time全职兼职Full-time/Part-time全职兼职Full-time/Part-time全职兼职Full-time/Part-time注 2： 如曾经或正在福利机构工作，请注明服务单位名称。Note 2: For an applicant previously/currently working in the welfare sector, please also indicate the name of the service unit. 注 3： 请删去不适用者。Note 3: Please delete as appropriate.戊部补充资料 SECTION ESUPPLEMENTARY INFORMATION 补充资料详情 Details of supplementary information 你可