Application Form : WeCare Fund for Student-Initiated Youth Suicide Prevention Projects 2019

    A. Personal Information

    Project Members

      Name Name in Chinese Student Number Institution Programme Year of Study Contact Number Email
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    Project Leader : Contact Person :
    Target Institution :

    B. Project Professional Advisor

    Title
    Surname (English) : Other Name (English) :
    Name in Chinese (if applicable) :
    Contact Number : Email Address :
    Level of Study : Professional field :
    Affiliated Organization :

    C. Project Information

    Project Title :
    Expected Commencement Date : Expected Completion Date :
    Project Duration :
    Objectives (within 250 words) :
    Summary (within 250 words) :
    Expected Types and Number of Beneficiaries :
    Amount Requested :
    HK$
    Please upload project proposal and other supplementary information.
    1. 2. 3.
    I confirm that to the best of my knowledge all information contained in this application is true and accurate.