School-based After-school Learning and Support Programmes 2015/16 s.y.
Community-based Project – Application for Project Adjustment
EDB—Extended Support Programmes Section
Address: Room 1141, 11/F, Wu Chung House,
213 Queen’s Road East, Wanchai, HK
Fax No.: 3107 1306
Project Reference No.:
Name of Organisation:
Project Title:
Name of Activity to be Revised /Cancelled/Added *:
Name of Collaborating School (if applicable): _____________________________________________________
Details of Adjustment Notes
1
For EDB’s Use Only
Adjustment item (Please” ” the appropriate box)
 No. of eligible student served
 Increase/decrease no. of groups
 Increase/decrease no. of sessions
 Cancel activity
 Change content of activity
 Add new activity
(Including venue)
 Adjust the approved Budget
 Others (Please specify)
 Change activity name
2
Reason(s) for adjustment
3
Details of adjustment (e.g.: No. of sessions decreased from 10 to 9 and no. of eligible
students served increased from 100 to 120, etc.)
Notes:
(i)
(ii)
(iii)
For any reduction in the no. of eligible students, sessions and groups, etc., the approved grant will be adjusted accordingly.
For any increase in the no. of the proposed items, the expenditure cannot exceed the approved grant. Any over-spending shall
be borne by the organisation itself.
If the adjustment involves transferring the surplus of a school under the same project to the above collaborating school or the
NGO’s centre, written consent to the transfer from the school concerned must be obtained.
Please submit this form with the project adjustment form (Appendix 1) and attach a copy of the original approved form for the
respective activity. Approval from EDB should be obtained before any adjustment is implemented. In principle, the
processing time is 10 working days upon receipt of all the documents required for project adjustment.
Name of project coordinator:
(Mr./Ms./Miss*)
Signature# of project coordinator:
Chop of NGO /
Name of contact person:
(Mr./Ms./Miss*)
NGO’s Subsidiary
Organisation
Contact tel. no. :
Fax no. :
Date:
# Signature must be the same as the application form
*Please delete whichever is not applicable
1
Project Adjustment Form
Project Reference No.:
1. Name of activity to be revised/cancelled/added*：
Name of Collaborating School (if applicable):
2. Types of activity︰( “” one box only)
Tutorial service
Learning skills training
Self-confidence
development
Social & communication
skills training
Language training
Voluntary service
Leadership training
Adventure
activities
Art & cultural
activities
Sports activities
Visits/outdoor
activities
3. Briefly describe the activity’s objective, content and methods of evaluating effectiveness:
4. Estimated no. of eligible students served (headcount):
students (including _____ non-Chinese speaking
(NCS) students, _____ special educational need (SEN) students and _____ newly arrived children (NAC))
5. Date: from
/
/
to
6. No. of group(s): ________
(b) Half-day activity : ___ time(s) (c) Whole-day activity : ___ time(s)
Session: _____ hour(s)
(not less than 4 hours)
(not less than 7 hours)
Venue: _______
Venue: __________
Venue: __________
___
9. Breakdown of the budget for the proposed activity:
Expenditure items
Budget of
Approved Activity
(No need to complete
this column for newly
added activity)
(a)
/
7. Tutor: Teacher : Student ratio (per group): _____︰_____
8. Each group (a) Lesson: ____ period(s)
includes:
/
Budget of Activity
to be
Revised/Added*
Remarks
(No need to complete
this column for
cancelling an activity)
Tutor fee ( _______________ person(s))
($)
($)
Social worker fee ( ________ person(s))
($)
($)
Others (_______________ person(s)) ;
($)
($)
Please specify: ______________)
(b)
Material expenses
($)
($)
(c)
Camp /admission fee
($)
($)
(d)
Student meal (only for whole-day
($)
($)
outdoor activities)
(e)
Activity transportation fee
($)
($)
(f)
Volunteers allowance ( ______ person(s))
($)
($)
(g)
Others (please specify:
)
($)
($)
Total expenditure
($)
($)
Recommended by / Date
Approved by / Date
*Please delete whichever is not applicable
2
For
EDB’s
Use Only
(R) (A)