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School Talk Request Form

Thank you for your interest in PolyU. Please fill in the information below for our arrangement.

Contact Information
(This question is mandatory)

Name of School (in English):

(This question is mandatory)

School Address:

(This question is mandatory)
Title:
(This question is mandatory)
Name of Contact Person:
(This question is mandatory)
Position:
(This question is mandatory)
Contact Telephone Number (Office):
(This question is mandatory)

Contact Telephone Number (Mobile):

(This question is mandatory)
Email Address:
School Talk Details
(This question is mandatory)

Proposed Date of School Talk:

Open date/time selector
(This question is mandatory)

Proposed Time of School Talk:

E.g. From 2:30pm To 5:00pm
(This question is mandatory)
Preferred Language:
(This question is mandatory)

Curriculum:

(This question is mandatory)

Study Year of Participating Students (Can choose more than option):

(This question is mandatory)

Mode:

(This question is mandatory)

No. of Parallel Sessions: (There can be a maximum of 3 groups; each with at least 30 students.)

(This question is mandatory)

No. of Participating Students:

(This question is mandatory)

Please prioritize your preferences by choosing 1, 2, 3 or 4 below:
Please select a maximum of 4 preferences

 

Personal Information Collection Statement
(This question is mandatory)

The information collected will be used for processing your school talk application. All information provided will be handled in compliance with the requirements of the Personal Data (Privacy) Ordinance. You may refer to here for the Privacy Policy Statement of PolyU. You have the right to request access to and correct your information held by us. If you wish to do so, please contact us at local.study@polyu.edu.hk.