“i-Relay” Youth Integrity Project 2013/14

Recruitment of ICAC Ambassadors

City University of Hong Kong

Enrolment Form

Please fill in the following information and return Youth and Moral Education Office, ICAC by email to on or before 19 September 2013. For enquiries, please contact Mr. Colin LAU (Youth and Moral Education Office, ICAC; Tel: 2826 3391; email: )

A. Personal Particulars

Name: (English) / (Chinese) / D.O.B (dd/mm/yy)
Student ID: / Gender:
Faculty/School/Academy: / Major:
Year of Study: / Year of Graduation:
Email (CityU):
Email (Personal):
Mobile phone:
Correspondence Address:

B. Other Information

1. Are you going to join overseas exchange programme in 2013/2014 academic year?

£ Yes, period: / £ No

2.  Did you join the ICAC Ambassador Programme in previous years?

£ Yes, position held: / £ No

3. The talents/experiences you possess which may facilitate your involvement in “i-Relay” Youth Integrity Project (may choose more than one):

£ Programme Planning / £ Marketing/Promotion of event
£ Participation in/organisation of Exchange Programme / £ MC of event
£ Design / £ Photography
£  Performance [e.g. singing, dancing drama, musical instrument(s)……etc; please specify]:
£ Computer skills (please specify):
£ Others (please specify):

4.  Language Skills

Items / Excellent / Good / Fair / Poor / N/A
Spoken / Cantonese
Putonghua
English
Written / Chinese
English
Others (please specify):

5.  Are you able to join the following activities?

- Selection interview* (3 or 4 Oct 2013; To be confirmed) £ Yes £ No

- Input Session+ [9 Nov 2013 (morning)] £ Yes £ No

- ICAC Ambassador Training Camp+ (9 and 10 Nov 2013) £ Yes £ No

Important Notes:
* Short-listed students candidates will be invited to attend the selection interview on 3 or 4 Oct 2013.
+ Selected Ambassadors are required to attend (i) Personal Ethics Seminar (ii) Input Session, and (iii) ICAC Ambassador Training Camp (Location to be confirmed).

6.  Records of extra-curricular activities or community services in the past two years

Year / Activity / Position Held/Involvement

(Please attach additional sheet if necessary)

7.  Are you interested in joining the team competition of the ‘ICAC i-Relay Youth Integrity Project’? (Participants are required to form teams and submit a marketing plan on promoting youth integrity, or a project-based report on topics related to youth ethics, money management and a fruitful life. For details, please refer to www.icac.org.hk/yip.html.)

£ Yes £ No

8. Please use around 200 words (in English or Chinese) to write down “Why do you deserve to be selected as the ICAC Ambassador?”. Please also share your ideas on how to promote the team competition of the ‘ICAC i-Relay Youth Integrity Project’ to your fellow schoolmates.

(Please attach additional sheet if necessary)

Signature: / Date:

The information provided in this form will be used for processing your application for joining the above programme. Under Sections 18 and 22 and Principle 6 of Schedule 1 of the personal Data (Privacy) Ordinance, you have the right of access to make correction of your personal data provided in this form. Such access to personal data should be addressed to Youth and Moral Education Office, ICAC (Tel.: 2826 3390). . This form will be kept until 1 August 2014.

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