护士学校schoolofnursing

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1、OfficialUseONLY護士學校SchoolofNursing普通科護理學高級文憑(登記護士)課程入學申請表HigherDiplomainGeneralNursing(EnrolledNurses)ProgrammeApplicationFormA‧PersonalInformation個人資料PHOTO(Within3months)NameinEnglish英文姓名NameinChinese中文姓名HKID/PassportNo.香港身份證/護照號碼Nationality國籍DateofBirth(DD/MM/YYYY)出生日期(日/月/年)Age年齡Sex性別Religion

2、宗教ResidentialAddress住址ResidentialTelephoneNo.住宅電話MobilePhone流動電話OfficeTelephoneNo.公司電話E-mailAddress(Pleasestateclearly)電郵地址(請清楚列明)B‧Qualifications學歷School/College(Secondary)中學學校名稱Date修讀日期(MM/YY)From由To至EducationQualifications完成課程/考獲資歷School/Institution(TertiaryorAbove)大專或以上院校名稱Date修讀日期(MM/YY)Fro

3、m由To至EducationQualifications完成課程/考獲資歷HKDSE香港中學文憑考試HKALE香港高級程度會考Subjects科目Year年份HighestGrading最高等級Subjects科目Year年份HighestGrading最高等級EnglishLanguageUseofEnglish(AS)ChineseLanguageChineseLanguageandCulture(AS)MathematicsBiologyLiberalStudiesOther:BiologyOther:HKCEE香港中學會考Subjects科目Year年份HighestGradi

4、ng最高等級EnglishLanguage(SyllabusA/B*)ChineseLanguageMathematicsBiologyOther:*Pleasedeleteasappropriate3SchoolofNursing/2016B‧Qualifications學歷(Continued)OtherProgramme其他課程：Subjects科目Year年份GPA平均成績點數Subjects科目Year年份GPA平均成績點數C‧RelatedMedical/NursingandProfessionalQualifications相關醫護訓練/專業資格NameofTrainin

5、gOrganization訓練機構名稱NameofProgramme課程名稱TrainingPeriod訓練日期Qualifications考獲資格D‧WorkingExperience工作經驗Date任職日期(MM/YY)From由To至NameofOrganization機構名稱Position職位Duties工作性質FT/PT全/兼職E‧VoluntaryServiceExperience義務工作經驗NameofOrganization機構名稱ServiceCategory服務類別Date服務日期(DD/MM/YY)From由To至F‧Declaration聲明Iherebyde

6、clarethattheaboveinformationstatedbymeinthisApplicationFormtrueandcorrect.Ihavereadthroughandunderstoodtheproceduresandselectioncriteriaoftrainee,andaccepttheconditionsstatedbytheSchoolofNursing,HongKongBaptistHospital(HKBH).IalsounderstandthatIshallrendertodismissalfromtrainingwiththeSchoolofNu

7、rsing,HKBHifIgiveanyfalseinformation.本人謹此聲明上述填報及所附交資料均屬真確無誤。本人已細閱報名表內各項內容，並願意接受訓練機構所訂下有關挑選學員的程序及準則。本人明白，如有失實虛報或提交虛假資料，可被取消申請入讀此課程的資格或將來修畢此課程後的畢業資格。____________________________________________________SignatureofApplicantDateo