Reference No. For Organiser’s use Received Date Time Handled by International Outstanding e-Learning Awards (2015-16) Application Form – International Stream (Abstract) Submission Deadline: 29th January 2016 Entrant must submit with 1. A soft-copy of the completed Application Form (Abstract) and send an email to 2. elearning@eee.hku.hk. The form of declaration and indemnity in “Disclaimer” duly completed with authorized signature and/or school chop. Remarks: All submitted information should be in typewriting in English. Organizer 主辨機構 Enquiry 查詢 1 e-Learning Development Laboratory, The University of Hong Kong 香港大學 電子學習發展實驗室 URL: http://elearning.eee.hku.hk Email: elearning@eee.hku.hk Objectives To promote the adoption of e-learning through best practice sharing. To build a community of practice among schools and universities who are proactive in eLearning development. Eligibility Full-time teacher from kindergarten, primary, secondary, university or special education institute using any type of e-Learning technology for teaching. Award categories Individual Award School Award China, Hong Kong, Macau and Taiwan Stream International Stream Important dates Submission of an abstract of the nomination 29 / 1 / 2016 Announcement of the shortlisted candidates 29 / 2 / 2016 Submission of the detailed nomination 15 / 4 / 2016 Announcement of the final result 1 / 6 / 2016 Prize presentation ceremony 6 / 2016 (TBC) Judging panel The members of the judging panel are the experts from academia, schools, industry and IT sectors from the United States, United Kingdom, Singapore, China and Hong Kong. 2 Section 1 Participating categories Please select the award stream to be considered Individual Award School Award Section 2 Particular of entrant School Information School name English: School Type University Secondary school Primary school Kindergarten or pre-school International school Special education institute Other education organization Address Website Major contact person Name of content person Office telephone # Mobile phone # Email address 3 Section 3 Entry Information Name of entry in English Name of entry in Chinese Student level (Example: P1, P2) Subjects (You can select more than one) Chinese language English language Mathematics General studies or liberal study-related Science or engineering related Information & Communication Technology related History or Chinese history Geography Business and economics related Music, art or physical education Others subject, please specific ( e-Learning platform or technology involved e-Learning devices or tools involved 4 ) Abstract Please write around 500 words to describe how to use e-learning in your class or in the school. 5 Please list the members of the project team involved in this application Member name Role / Responsibility 1 2 3 4 5 Section 4 Entrance declarations 1. 2. We hereby declare that the information given above is correct to the best of my knowledge. We agree that the Organizer and / or the Panel of Judges have authority to make decisions in all matters relating to this awards, without their obligation to disclose or account the reasons therefore. We hereby absolutely waive our rights, if any, to apply, appeal or review against any such aforesaid decisions through judicial or administrative proceedings. Signature or School Chop Name Title Date 6