香港中文大学—东华三院社区书院

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香港中文大學 ─ 東華三院社區書院

The Chinese University of Hong Kong –

Tung Wah Group of Hospitals Community College





教學職位應徵表格

備註: Notes:

1. 2. 3. 1. 2. 3.

職位編號 Ref. No.



APPLICATION FORM FOR FULL-TIME TEACHING POSITIONS

請將填妥之應徵表格，交回香港九龍何文田衛理道31號17樓香港中文大學－東華三院社區書院人事部收。信封面請註明「應徵－機密」及有關職位編號。

書院將於選聘期間要求應徵者出示有關第II，III，IV及V部份所申報之學歷証書及工作經驗証明文件以供核對。

應徵者所提供之資料將用作招聘或其他與僱傭有關事宜，並會供書院有關部門、委員會或其他處理招聘事宜之人士查閱。招聘程序完成後，未獲取錄之應徵者資料，當無須保留時將全部銷毀。

The completed application form, should be returned to the Human Resources Office, The Chinese University of Hong Kong – Tung Wah Group of Hospitals Community College, 17/F., 31 Wylie Road, Homantin, Kowloon, Hong Kong. Please mark “Application – Confidential” and the relevant reference number on the cover.

Applicants will be required to produce documentary evidence pertaining to the qualifications and working experience (where appropriate) in Sections II, III, IV & V for verification in due course.

The information provided will be used for appointment and other employment-related purposes in the College. It may be accessible to offices, committees or persons who will process appointment matters. Information on all unsuccessful candidates will be destroyed when no longer required after the recruitment exercise.



應徵職位

Position Applied for

學院/部門

School/Department

中文姓名

Name (Chinese)

香港身份証／護照號碼 H. K. I.D. Card / Passport No. 請選擇 Please select one

出生地點

Place of Birth

(手提電話) (電郵) (Mobile) (E-mail)

I. 個人資料 Personal Particulars

英文姓名 (姓氏先行)

Name in full (English) (Surname first) 稱謂

Title 請選擇 Please select one 國籍

Nationality 聯絡電話 (住所)

Contact Phone No. (Home) 通訊地址

Correspondence Address

住址 (如與上址不同)

Residential Address (if different from above)

出生日期 (D/M/Y) Date of Birth

(辦公室)

(Office)

II. 學歷 / 學術榮譽 / 獎狀 (請倒序列出，即最近者最先敍述)

Academic Qualifications /Awards /Distinctions (in reverse chronological order)

由 From

至 To

月 / 年 月 / 年 Month / Year Month / Year

教育機構 / 院校名稱 (請列明所在國家)

Institutions of Learning /

Colleges / Universities Attended (Please specify

countries)

所獲學歷

Qualifications / Awards

主修科目 / 範疇

Major Subjects / Fields of Study









III. 專業資格 (請倒序列出，即最近者最先敍述) Professional Qualifications/Memberships (in reverse chronological order)

專業團體 (全名)

Professional Bodies (Full Name)

所獲專業資格 獲取途徑 (如考試、推選等) 頒發日期

Qualifications / Memberships Obtained Channels of Award (e.g. exam., election) Dates of Award












IV. 工作經驗 (請倒序列出，即最近者最先敍述) Working Experience (in reverse chronological order)

由 From

至 To

職位 離職原因 工作性質，教授科目 / 年級 薪酬(每月) Appointments Held Salaries Reasons of Nature of Work,

Names and Addresses of Leaving (如屬兼職，請予註明) Subjects / Classes Taught (per month)*

(T= Termination; (if part-time, please specify)

Employers C=Contract End;

工作機構及地址

R=Resignation

RD=Redundancy)

月 / 年 月 / 年 Month / Year Month / Year













* Please specify bonus and other benefits, if any.



V. 曾擔任之主要研究工作 (請倒序列出，即最近者最先敍述)

Major Research Work Undertaken (in reserve chronological order)

由 From 月 / 年 Month / Year

至 To 月 / 年 Month / Year

研究工作之名稱及性質 Titles and Natures of Research

已刊行之研究報告 Published Works





(如不敷應用，請另紙書寫。 You may provide the particulars on a separate sheet of paper if there is insufficient space.)

VI. 其他資料 Other Information

請詳列與此應徵職位有關的資料

Please provide any other relevant information in support of your application.



VII. 諮詢人 Referees

姓名 Names 1. 2.



職銜、工作機構及地址

Positions, Names & Addresses of Places of Work



電話／電郵 Tel. / E-mail

除非特別註明，書院將毋須再行通知應徵者而可直接向上述諮詢人查詢。請應徵者先行知會上述諮詢人。

Unless otherwise specified, consent is deemed given by the applicant to the College to approach the above referees whenever appropriate without prior notification.

Please also inform your referees that such consent has been given by you. VIII. 其他 Others

現職離職通知期

Notice Period Required by Present Employer 請問從何處得悉本職位空缺？

How did you learn about this vacancy?

如獲聘任可到任日期 Earliest Date Available if Appointed

IX. 聲明 Declaration

本人謹此聲明以上所提供的資料均屬真實，如獲聘任，本人將提供有關身份及資歷文件之正本予書院查核。本人明白倘若故意虛報資料或隱瞞重要事實，香港中文大學－東華三院社區書院可取消已發出的口頭或書面聘約或縱使已獲聘任亦可遭解僱。

I declare that the information given above is correct and complete to the best of my knowledge. I will produce the original copies of all identification and qualification documents as required by the College upon assumption of duty at the College if appointed. I understand that if I knowingly supply false information or withhold any material information, The Chinese University of Hong Kong – Tung Wah Group of Hospitals Community College shall have the right to rescind any verbal / written offer of appointment and I shall render myself liable to dismissal if I am eventually appointed by the College.

日期 Date





簽署 Signature

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