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.