香港的青少年正处于急剧变化的社会环境中-SocialWelfare.DOCVIP

香港的青少年正处于急剧变化的社会环境中-SocialWelfare.DOC

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P.A.T.H.S. to Adulthood : A Jockey Club Community-Based Youth Enhancement Programme PAGE 0 PAGE 10 Annex 1 Annex 1 For internal reference To: Youth Section, Social Welfare Department (Room 942, 9/F, Wu Chung House, 213 Queen’s Road East, Wan Chai, Hong Kong.) 6 hard copies and 1 soft copy are required P.A.T.H.S. to Adulthood: A Jockey Club Community-Based Youth Enhancement Programme (1/2013 – 12/2015) Application Form Part A :Information of Organisation Name of Applicant Organisation: (Chinese) (English) Address of Applicant Organisation: (Chinese) (English) Name and Signature of Contact Person: ? Dr. ? Mr. ? Mrs. ? Ms. ? Miss ? Others, please specify: ___ (Chinese) Signature: (English) Post of Contact Person: (Chinese) (English) Telehpone Number of Applicant Service Unit: Email Address of Applicant Service Unit: Please ? as appropriate. The applicant Organisation applies solely to operate P.A.T.H.S. to Adulthood: Community–Based Youth Enhancement Programme funded by The Hong Kong Jockey Club Charities Trust. The applicant Organisation applies jointly with service unit(s) from the following Organisation(s) to operate P.A.T.H.S. to Adulthood: Community–Based Youth Enhancement Programme funded by The Hong Kong Jockey Club Charities Trust. Name of Joint Applicant Organisation #: (Chinese) (English) Name and Signature of Contact Person of Joint Applicant Organisation: ? Dr. ? Mr. ? Mrs. ? Ms. ? Miss ? Others, please specify: ___ (Chinese) Signature: (English) Post of Contact Person of Joint Applicant Organisation: (Chinese) (English) Telehpone Number of Applicant Service Unit of Joint Applicant Organisation: Email Address of Applicant Service Unit of Joint Applicant Organisation: # If there is more than one Joint Applicant Organisation, please provide the 5 items above for each Joint Applicant Organisation by adding new rows to the above table. Please ? as appropriate . Please indicate the chosen district for operating the Project (

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