NetMission Ambassadors Program 2016-2017 Application Form


Reference Number 檔案編號:

Personal Information 個人資料

Name 姓名
Chinese 中文 English 英文
Sex 性別 Age 年齡
Place of Birth 出生地方 Year 年級 Mobile Phone 手提電話
School 院校 Major 主修科目  
Mailing Address 通訊地址
Email 電郵
Please make sure your Email entered is valid, confirmation will send to this email account 請確保輸入有效的電郵,申請確認將發送至此電郵戶口。

Language 語言

How do you evaluate your different language proficiency?

1: Poor 差; 2: Fair 合格; 3: Good 好 ; 4: Excellent 熟練

Verbal 口說 Cantonese廣東話 English 英文 Mandarin普通話
Grade 評級            
Written 書寫 Chinese 中文 English 英文
Grade 評級          

Community Service (if applicable)參與社會服務經驗 (如適用)

Year 年份 name of Service/Program 服務或計劃名稱 Organizer 主辦機構 Your Achievements 你的貢獻

Honours and Awards (if applicable)榮譽與獎項 (如適用)

Year 年份 Name of Honours and Awards 榮譽或獎項名稱 Organizer 頒發機構


Please answer the following questions

1) What is the Internet Issue you concern most and why? (within 200 words)

2) How will you leverage Information and Communication Technology to drive positive social change? Please share your idea with us. (within 200 words)

3) Where do you learn about this program?

NOTE 注意事項

1. Your application will be under consideration only when all the questions were completed.

2. You will receive a confirmation email after submission.

3. Application Deadline: 9 October 2016


The personal data and other related information provided by you by means of the application form will be used by the Organisation for dealing with your application for the "NetMission Ambassadors Program 2016 - 2017" and other related purposes. The provision of personal data and other related information by means of the application form is voluntary. However, if you do not provide adequate and accurate data we may not be able to process your application.