Form AYP002 (Gold Level Service)

The Hong Kong Award for Young People

Schools Operating Authority

Application for starting Service Training/Assessment (Gold Level)

(Revised in January 2016)

School (User Unit):
School Address
School Tel. No.: / School Fax:
User Unit Leader: / * Mr / Ms / Email:
Mobile phone number:
Name of Service: / Group of Service: * Group 1 / 2 / 3 (please circle)
Service Description:
Organization Served:
Name (In Block Letter) / Name in Chinese
(if applicable) / Sex / Contact Tel. No. / Service Period / No. of Service Hours
From / To
1. 
2. 
3. 
4. 
5. 
6. 
7. 
8. 

Details of Proposed Instructor/Assessor

Name / Tel. No. / Qualification/Experience
* Mr./ Mrs./ Ms. / Office:
Mobile:

* Delete whichever inappropriate

Date: / Signature of User Unit Leader:

FOR SOA OFFICIAL USE ONLY

Activity(ies) Approved/Not Approved. / Responsible Officer: / (Signature)
Date: / (In Block Letters)


Form AYP002 (Gold Level Service)

Gold Level Service Section Work Plan & Log Book

Name of Service: / Total Service Hours:
Personal goal that I would like to reach in this activity:
Difficulties that I may encounter in this activity:
Date: From / To:

Copy the table below if space not enough for writing.

Work Plan / Log Book
MM/YY / Nos. of
Hours / Proposed Content of Participation / Actual Dates &
Nos. of Hours / Actual Participation &
Self-Reflection by Candidates

N.B.: The candidate should keep this Work Plan and Log Book for final endorsement.

Guidance Note

1.  Applications will be processed only for those participants who are currently studying in SOA Schools User Unit.

2.  It will not be possible to process your application if you fail to provide all the information requested.

3.  The information provided will be used for the processing of HKAYP membership profile purposes. It may be disclosed to officers in charge of HKAYP.

4.  SOA / AYP Headquarters may use the log books / photos of participants for promotion.

5.  Applicants have the right to request access to or correction of personal data provided on this form in accordance with the provisions of the Personal Data (Privacy) Ordinance. Such requests may be made in writing to SOA office.

6.  Enquiries concerning the personal data collected by means of this form including the making of access and correction should be addressed to:

Schools Operating Authority

Extended Support Programmes Section,

Education Bureau,

Rm 1141, 11/F, Wu Chung House,

213 Queen’s Road East, Wanchai, Hong Kong.

Telephone No.: 2892 6660

Fax No.: 3107 1305

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