兼任導師申請表格 APPLICATION FORM FOR PART-TIME INSTRUCTOR

Please fill in BLOCK LETTERS

請 用 正 楷 填 寫

Notes: The information provided will be used for the purpose of recruitment of part-time instructor with the School. It may be accessible to persons who will process or review application matters in the School, or offices and committees at the University. Information on unsuccessful candidates will be destroyed after the recruitment exercise.

註:應徵者所提供的資料將用作學院處理招聘兼任導師及有關事宜,並會供學院或大學有關部門,委員會或其他處理招聘事宜的人士查閱。未獲取 錄的應徵者資料,當無需保留時將全部銷毀。

I. Personal Particulars 個人資料
Name in English (Surname First) 英 文 姓 名

Name in Chinese 中 文 姓 名 Nationality 國 籍 Staff ID No. (Applicable to CUHK staff only) 職員證號碼 (只適用於中文大學職員) HKID Card / Passport No. 身分證 / 護照號碼 Do you have a valid working visa in Hong Kong? 您是否已持有有效的香港工作證? Address (in English) 地 址 (請以英文填寫) Date of Birth 出生日期

Title * 稱謂

Mr. / Miss / Ms. / Mrs. 先生 / 女士

D D

M M

YY

( …
Yes 是

)

Date of Issue and Country of Issue 簽 發 日 期 及 地 點 No 否

…

…

Not Applicable 不適用

Telephone 電 話 (Home) (住宅) Fax. No. 圖文傳真

(Office) (辦事處) Pager No. 傳呼機號碼 通訊地址 (如與上址不同)

(Mobile) (手提電話) Email Address 電子郵件地址

Correspondence Address (if different from above)

II. Academic Attainment 學歷
Name of College or University 學 院 名 稱 Major 主 修 Minor 副 修 Date 日 期 From 由 To 至 Cert / Dip / Degree 證書 / 文憑 / 學位 Date Awarded 頒 授 日 期

III. Working Experience 工作經驗
EXPERIENCE OTHER THAN TEACHING
Organization / Employer 服 務 機 構 /僱 主

( 教

外 )
Date 日 期

Position Held 職 位

From 由

To 至

* Please delete as appropriate

請刪去不適用者。

Please Turn Over. 轉後頁。

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TEACHING EXPERIENCE
Name of College or University 學 院 名 稱 Rank or Title 職 銜


Date 日 期

Subject & Level Taught 任 教 科 目 及 程 度

From 由

To 至

Professional Memberships 專 業 會 員 資 格

IV. Specific Courses/Programmes Intended to Teach (if any) 欲任教課程 (如適用)

Day(s) Available * Time Available

: Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday : Day-time (From Evening (From a.m. / p. m.) p. m.)

Location(s) Preferred

: Hong Kong / Kowloon / New Territories

V. Expertise (Please tick as appropriate) 專長 (請於適當方格內塡上 3 號)
I.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Art, Music and The Humanities
A … Chinese Art … Calligraphy … Western Art: Painting/Drawing … 3D Art: Sculpture/ceramics/glass … Computer graphics / Multimedia Design … 2D Design: graphic/illustration/comic/printing/advertising … Applied Design: interior/fashion/jewelry/product … Photography/Cinema/Digital video … Dance/drama and theatre … Home Care & Craft … Fungshui … Chinese Music … Chinese Opera … Western Music … Voices & choral conducting … Musical instruments … 3D Modeling / Animation … Piano … Guitar … Popular music … Computer music … Music theories and teaching … Literature … History … Religious Studies … Philosophy … Chinese poetry & classic / Chinese studies … Aesthetics/Art Appreciation/Architecture … Cultural Studies … General Education … Creative/Critical Thinking … Politics … Travel & Leisure … Others: _____________________________________ B

II. Business & Management
A 1 2 3 4 5 6
Please delete as appropriate 請刪去不適用者。

B … Management … Marketing … Public Administration … Hospitality, Tourism & Service Management … Recreation & Leisure … Others: _____________________________________

… Accounting & Finance … Banking & Insurance … Economics … China Business … Law

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III. Languages & Translation
A Chinese 1 2 3 1. 2. 3 … Putonghua … Cantonese … Chinese Writing … English … Japanese … Others: _____________________________________ … Korean … French … Translation … Interpretation B Translation

IV.

Computer Science & Information Technology
A Office Application B Computer Security … Desktop Security … Server and Network Security … CCSP / CISSP / GIAC / ISACA … Cryptography … Bioinformatics … Others: _____________________________________ Programming … General Programming (Basic, Pascal, C) … Object-Oriented Programming (C++, Java) … Database Management & Programming (MS SQL, MySQL, Access, FoxPro, Oracle, Sybase) … Windows Programming (Visual Basic, Visual C++) … Web Programming (Javascript, CGI/Perl, ASP, PHP) … Web Services & Component-based development (.NET Framework, Java Servlets) … Computer Graphics Programming (DirectX, OpenGL) … Interactive Programming (Actionscript, Lingo) … MCDBA / MCSD / MCSA

1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 9 10

… Word Processing … Spreadsheet … Presentation … Database … PIM … Acrobat … Others: _____________________________________ Operating Systems / Networking / Hardware … Desktop OS (DOS/Windows9x/2000/XP/MacOS) … Windows Server (MCSE) … Linux / Unix … CCNA / CCNP … Internetworking and Data Communication … Computer Architecture … DIY Computer Assembly … PC and Hardware Configuration … Others: _____________________________________ Game Design & Development

… Others: _____________________________________
Mobile Application & Services … Mobile & Wireless Communication … J2ME programming … System Programming (Symbian, Palm, Pocket PC) … Others: _____________________________________ … Game Programming … Game Construction Theory … Game Graphics Design … Online Game Development … 3D Game construction … Mobile Game Development … Others: _____________________________________ Enterprise IT solutions IT Education … E-Learning … Course Management System (WebCT, Blackboard) … Courseware Production (e.g. Authorware, Captivate, ROboHelp, Hot Potatoes) … Primary / Secondary IT Education … Senior Citizens Computer courses … Women Computer courses … Children Computer courses … Others: _____________________________________ Others … Scientific Computing / Computation Mathematics … Logic & Artificial Intelligent … Statistical Application … Digital Circuit Design … Distributed Computing … Concurrent & Parallel Computing … User Interface Design & Interaction … Computer Simulation … Others: _____________________________________ … Enterprise Resource Planner … Project Management … System Analysis & Software Engineering … E-business and Internet Marketing … Business Application (CRM, Finance, Accounting, HRM, Logistic etc.) … Information Technology Management … Computer Ethics, Cyber Law & Copyright Issues … Others: _____________________________________ Multimedia Application & Digital Design … Webpage Design (e.g. Frontpage, Dreamweaver, GoLive) … Photo retouching (e.g. Photoshop, Firework) … Publishing (e.g. PageMaker, InDesign, QuarkXpress) … 2D Design (e.g. Illustrator, CorelDraw, Freehand) … Animation (e.g. Director, Flash, 3DMax, Maya) … Video (e.g. Premiere, After Effects, Final Cut Pro) … Audio (e.g. Audition, Logic, Cakewalk) … CAD/CAM (e.g. AutoCAD, Solidworks) … Others: _____________________________________

1 2 3 4 5 6 7 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 9

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V.
1 2 3 4 5

Traditional Chinese Medicine & Health Care
A … Traditional Chinese Medicine … Tui-na … Chinese Kung Fu … Complementary Therapy … Gerontology Education … Nursing & Education … Rehabilitation Science … Nutrition Education … Pharmaceutics Education … Others: _____________________________________ B

VI.
1 2 3 4 5 6 7 8 9 10

Social Sciences, Disciplinary Forces & Security Studies
A … Disciplinary Forces & Security Studies … Social Sciences … Anthropology … Early Childhood Education … Education for the Elderly … Adult Education … School Education … Employment Schema … Government & Administration … Library & Information … Management … Psychology & Counseling … Adventure Tourism … Culture Tourism … Social Work … Sociology … Women’s Development … Mass Communication … Philosophy … Other: _____________________________________ B

VI. Are you currently a full-time post-graduate student of CUHK?

您目前是否香港中文大學全日制研究生?

Yes 是 Student ID 學號 : Study Year 修業年 : Programme 課程 : Department 學系:

Expected Year of Graduation 預計畢業年份 : _____________ Receiving studentship 享有研究生奬學金?

Yes 是

No 否

(Note: Post-graduate students receiving studentship and the like from the University may, with the approval of Faculty Dean, take up part-time teaching engagements up to the number of working hours per academic year at the pay-rate as set out by the University.) (註:享有研究生奬學金或其他形式奬學金的研究生,在所屬學院院長批准後,可根據大學規定之工作時數與薪酬,受聘擔任兼任教學工作。)

No 否 I am not a full-time post-graduate student of CUHK currently. I understand that it’s my responsibility to inform the School of Continuing & Professional Studies immediately should I become a full-time post-graduate student of CUHK and my pay-rate may be adjusted accordingly. 本人現非香港中文大學全日制研究生,本人明白如本人成為香港中文大學的全日制研究生,本人須即時知會中文大學專業進修學院,並本人之 薪酬可能受到調整。

Signature 簽署:

Date 日期:

VI. Declaration 聲明
I declare that the information given by me is correct and complete to the best of my knowledge. I understand that if I knowingly supply false information or withhold any material information, The Chinese University of Hong Kong 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 University. 本人謹此聲明本人所提供之資料均屬真實。本人明白倘若故意虛報資料或隱瞞重要事實,香港中文大學可取消已發出的口頭或書面聘約,或縱使已 獲聘任仍可遭解僱。

Signature 申 請 人 簽 署

Date 申 請 日 期

Completed application form together with photocopies of HKID Card, academic results and professional membership certificates should be sent to: School of Continuing & Professional Studies, The Chinese University of Hong Kong, Shatin, N.T. Hong Kong. (Attn.: Administration Section – Personnel) 請將填妥的申請表連同身分證、學歷證件、專業資格證件等副本寄往:香港 沙田 香港中文大學 專業進修學院 行政組(人事)收

FOR OFFICE USE ONLY
Name of Bank and Branch Address Account Number

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