BML Registration Form 流動實驗室登記表格

Thank you for your interest in the MobileLab. Please read the Registration Notes before completing the
form of “MobileLab @ your school” service. For further information or if you would like to reserve other MobileLab services, please leave your message at the ‘Contact us’ page or send email to BML@hoyu.edu.hk .

感謝關注嗇色園生物科技流動實驗室計劃。填寫登記表格申請『流動實驗室@校園』服務前，請先閱讀申請須知。如需了解更多資訊或如果您想申請其他 MobileLab 服務，請在「聯絡我們」頁面留言，或發送電郵至BML@hoyu.edu.hk 查詢。

For Reschedule/ Cancellation: Please refer to the Registration Notes.

如需改期或取消，請參考登記須知。

    Part A: School Information 學校資料

    School English Name*
    學校英文名稱*

    School Chinese Name*
    學校中文名稱*

    School English Address*
    學校英文地址*

    School Chinese Address*
    學校中文地址*

    School Type*
    學校類別*

    If others, please enter the type
    如果是其他，請輸入類別

    School District*
    學校分區*

    English Name of Principal*
    校長英文姓名*

    Chinese Name of Principal*
    校長中文姓名*

    School Contact
    學校聯絡方式

    English Name of Teacher-in-charge*
    負責老師英文姓名*

    Chinese Name of Teacher-in-charge*
    負責老師中文姓名*

    Contact of Teacher-in-charge
    負責老師聯絡方式

    Date(s) of Event*
    活動日期*

    (Please book at least TWO months in advance 請在活動前至少兩個月登記)

    Please enter information for up to 5 courses. For course information, please refer to Course List.
    請輸入最多5個課程的資料，課程資料請查閱課程列表。

    Course No. 1*
    課程 1*

    Course Code/Title
    課程編號/名稱*

    Grade*
    年級*

    No.of students per class[1]*
    每班學生人數[1]*

    No.of class(es)*
    班級數*

    Course No. 2
    課程 2

    Course Code/Title
    課程編號/名稱

    Grade
    年級

    No.of students per class[1]
    每班學生人數[1]

    No.of class(es)
    班級數

    Course No. 3
    課程 3

    Course Code/Title
    課程編號/名稱

    Grade
    年級

    No.of students per class[1]
    每班學生人數[1]

    No.of class(es)
    班級數

    Course No. 4
    課程 4

    Course Code/Title
    課程編號/名稱

    Grade
    年級

    No.of students per class[1]
    每班學生人數[1]

    No.of class(es)
    班級數

    Course No. 5
    課程 5

    Course Code/Title
    課程編號/名稱

    Grade
    年級

    No.of students per class[1]
    每班學生人數[1]

    No.of class(es)
    班級數

    [1]For each class, the maximum capacity of the MobileLab is 32 students. 流動實驗室上每班最大容量為 32 人。

    [2]If you would like to apply for more than 5 courses , please fill in the top five courses in this page and send email to BML@hoyu.edu.hk for the remaining courses. 如果您想申請超過5個課程，請於此頁先填寫首五個課程，然後發送電郵至BML@hoyu.edu.hk申請餘下課程。

    Part B: the MobileLab Eligibility Criteria 流動實驗室申請資格

    Is this the first time your school is using our service?
    貴校是否首次登記流動實驗室的服務？

    1.
    Does your school have parking space for a 12-metre (40-ft) bus?
    貴校是否有停泊 12 米（40 英呎）長巴士的空間？

    2.
    Is there any electrical power outlet near the parking space? If so, please estimate the distance from the parking location.
    泊車位附近是否有電源插座？如有，請估計距離泊車位的長度。


    If "Yes", please enter how many meters
    如果「是」，請輸入多少米

    3.
    Please upload the photos of proposed parking location and power outlet.
    請上傳泊車位和電源插座的照片。

    * After clicking "Select File", please "wait a few seconds" for the computer to open the selection window.
    * 點擊"選擇檔案"後, 請"耐心等候數秒" 電腦開啟選擇視窗

    4.
    Does your school provide 24-hr security?
    貴校是否有 24 小時保安？

    5.
    Suggested Date(s) for Mandatory Pre-lab Meeting at Ho Yu College and Primary School weekdays, 10am-4pm
    可以進行實驗前會議的時間（需親臨可譽中學暨可譽小學，逢工作日早上十時至下午四時）

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