申请表格-coy.gov.hk.docVIP

申請編號 Application No. (此欄由秘書處填寫For official use only) 2017-18年度青年內地實習資助計劃 Application Form for Funding Scheme for Youth Internship in the Mainland 2017-18 （請填妥一式四份表格連同以MS Word格式儲存的軟複本一併遞交） (Please submit the completed application form in quadruplicate in simple binding together with a soft copy in MS Word format) 甲部 Section A 申請團體資料 Particulars of Applicant Organisation 申請團體名稱 Name of Applicant Organisation 單位Unit （請夾附註冊或證明文件副本。Please attach a copy of registration/supporting document.） 團體簡介 Brief description of the organisation 乙部 Section B 實習計劃概要 Internship Project Overview 實習計劃名稱 Name of internship project 實習計劃申請書有否夾附內地機構提供內地實習工作的意向書？ Is the application for the internship project attached with a letter of intent issued by the organisation(s) providing internship positions in the Mainland? # □ 有Yes （實習崗位的詳細資料已列載於意向書。Detailed information about the internship positions is included in the letter of intent.） □ 有Yes （實習崗位的詳細資料並未列載於意向書，有關資料列載於夾附的補充紙。Detailed information about the internship positions is not included in the letter of intent. The information is provided in the attached supplementary sheet.） □ 沒有No #（請在適當的□內加上‘ ? ’號。 Please tick the appropriate box.） 實習計劃有否包括為青年參加者在內地實習期間非工作日，安排加強對內地了解或與內地青年交流的項目？ Does the internship project include programme(s) to enhance Hong Kong youths’ understanding of China or exchange with the youth in the Mainland for their non-working days during their internship? # □ 有Yes （請提供詳細資料。Please provide detailed information.） □ 沒有No 實習團詳情 Details of internship tour 項目 Items 詳情 Details 目的地 Destination 省 縣 市 Province County City 實習日期 Period 實習日數 Number of days 合資格參加者數目 Number of eligible participants 合資格參加者 : Eligible Participants 組長 (如有): Team Leader(s) (if any) 組長於實習團所擔任的角色 : Role of Team Leader(s) in the Internship Tour 需要組長的原因 : Reason(s) for Assigning Team Leader(s) 於實習期間在內地提供支援的工作人員數目 Number of staff members providing support in the Mainland during the internship period 駐內地實習地點的香港工作人員： Staff