新學制教室有限公司 暨 香港課程發展協會 Classroom334 Limited & Hong Kong Curriculum Development Asssociation Flat F, 8/F, Edward Mansion, 141 Prince Edward Road West, Kln 電話 Tel : 8200 5888 / 2383 8869 網址 Website: http://www.classroom334.com / http://www.hkcdasso.org 傳真 Fax: 3011 9507 電郵 E-mail :[email protected] / [email protected]

Recruitment Form This form is entered into between Classroom334 Limited, Hong Kong Curriculum Development Association and ____________ (Name) on _____________ (Date). A. Personal Particulars Name: _______________________(English)

________________________(Chinese)

ID Card No.: _________________________

Gender: __________________________

Age: _______________________________

Date Of Birth: ____________________

Mobile No.: _________________________

Email: __________________________

Address: _______________________________________________________________ *Please provide proof for your living address.

B. Occupational Background Present Occupation:

Working Experience:

C. Academic Background Education Level:___________________

Stream (Art/Sci/Business):_______________

Secondary School:__________________ University:___________ Year:__________ Major:___________________________

Minor:_______________________________

D. Language: Native Speaker

Fluent

Good

Basic

1. Cantonese 2. English 3. Putonghua 4. Other: _____________________ Page 1 of 3

新學制教室有限公司 暨 香港課程發展協會 Classroom334 Limited & Hong Kong Curriculum Development Asssociation Flat F, 8/F, Edward Mansion, 141 Prince Edward Road West, Kln 電話 Tel : 8200 5888 / 2383 8869 網址 Website: http://www.classroom334.com / http://www.hkcdasso.org 傳真 Fax: 3011 9507 電郵 E-mail :[email protected] / [email protected]

E. Academic Results – HKDSE Subject

Grade Subject

Chinese

English

Mathematics (M1)

Mathematics (M2)

Art Subjects

Grade Subject

Grade

Liberal Studies

Science Subjects

Business Subjects

Chinese Literature

Additional Maths

Principle of Accounts

English Literature

Chemistry

Computer studies

Chinese History

Biology

Economics

Geography

Physics

Business

History

Typing

Others: ___________

Others: __________

Others: ___________

F. Academic Results – HKAL Subject

Grade Subject

CL&C

Grade Subject

English Art Subjects

Chinese Literature

Mathematics

Science Subjects Applied Maths

Grade

Business Subjects Principle of Accounts

English Literature

Pure Maths

Computer studies

Chinese History

Chemistry

Economics

Geography

Biology

Business

History

Physics

GPA

Others: ___________

Others: __________

Others: ___________

G. Music Instrument: _________________________________________

Level: _____________

Theory Level: _______________________________________ H. Remarks / Other Skills:

Page 2 of 3

新學制教室有限公司 暨 香港課程發展協會 Classroom334 Limited & Hong Kong Curriculum Development Asssociation Flat F, 8/F, Edward Mansion, 141 Prince Edward Road West, Kln 電話 Tel : 8200 5888 / 2383 8869 網址 Website: http://www.classroom334.com / http://www.hkcdasso.org 傳真 Fax: 3011 9507 電郵 E-mail :[email protected] / [email protected]

I. Referee Details (if any) Referee 1 Name: Organization: Position: Office No.: Email: The most suitable time for contacting the referee:

Referee 2 Name: Organization: Position: Office No.: Email: The most suitable time for contacting the referee:

J. Declaration □ I hereby declare that I have no mental illnesses. □ I was certified that I have the mental illness(es) of __________________. □ I hereby declare that I have no criminal convictions in or outside the Hong Kong territory. □ I have the following recorded criminal convictions in or outside the Hong Kong territory: ______________________________________________________. I, __________________, hereby declare that the information furnished about is true and correct. In case of any false, untrue, misleading and misrepresenting information found, I may be held liable for it. Classroom334 and __________________ hereby declare that they understand the above provisions and further agree to sign to abide by such provisions. They shall each retain a copy of this from for future reference. Signature of Tutor

Signature of Representative

Name: __________________

Name: ________________________

HKID: _______________________

Position: _______________________

Date: _______________________

Date: __________________________

Page 3 of 3

Recruitment Form_Crm334 & HKCDA.pdf

Subject Grade Subject Grade Subject Grade. CL&C English Mathematics. Art Subjects Science Subjects Business Subjects. Chinese Literature Applied Maths Principle of. Accounts. English Literature Pure Maths Computer studies. Chinese History Chemistry Economics. Geography Biology Business. History Physics GPA.

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