Leisure and Cultural Services Department “Green Volunteer Scheme” Application Form Particulars of Applicant Name: (Please read the “Notes to Applicants” overleaf before completing this form.) (English) (Chinese) Sex: Correspondence Address: Email Address: District Selection Southern Yau Tsim Mong Tuen Mun Tai Po Year of Birth: Contact Tel. No.: (Which district do you want to register as Green Volunteer? appropriate box.) Central and Western Kowloon City Yuen Long Shatin Wan Chai Wong Tai Sin Tsuen Wan Sai Kung Eastern Kwun Tong Kwai Tsing Knowledge of horticulture (Please tick the appropriate box(es).) Not trained in horticulture: Attended horticulture courses offered by the Horticulture Education Unit of this Department: For official use only No.: Please tick the Sham Shui Po Islands North Elementary Intermediate Advanced Other horticulture related qualification (please specify): ___________________________________________________________________ I understand that participation in the Green Volunteer Scheme and the greening activities organized by the Leisure and Cultural Services Department are entirely voluntary in nature, and that the participant should be interested in horticulture and must be physically fit. Applicant’s Signature: Date: Parent/guardian’s permission for applicants aged below 18 Parent/guardian’s Signature: Name of parent/guardian: Note: Relationship: Contact Tel. No.: The provision of your personal data in this form is obligatory; otherwise, this Department may not be able to process your application. Your data will only be used for registration for “Green Volunteer Scheme” and activities organized by the Department. Apart from staff and “Green Volunteers” duly authorized by the Department, no one will be given access to these information. If you want to make access or amendment to your personal data, please contact our staff. Children under 12 must be accompanied by parents/guardian for participating in voluntary services. Photocopy application form is acceptable. Remarks: Please return the completed application form to Green Campaign Section, 11/F, LCS Headquarters, 1-3 Pai Tau Street, Shatin. For enquiry, please contact 2601 8688. Fax No.: 2691 7264. LCS114c Green Volunteer Scheme Notes to Applicants The “Green Volunteer Scheme” (the Scheme) is launched by the Leisure and Cultural Services Department to encourage members of the public to take part in greening activities. Participants who are interested in joining the Scheme may register as “Green Volunteer”. The Scheme will provide basic horticultural training and practices for the new recruits. This Department will arrange the following greening voluntary services for the “Green Volunteer”: to serve as volunteers in greening activities to assist in organizing horticultural and greening promotion activities for local communities and schools to assist in planting and carrying out simple gardening work inside parks and gardens to identify tree planting sites to undertake simple maintenance works and report damaged condition for trees planted along roadside and inside parks and gardens to label trees planted along roadside and inside parks and gardens to perform visual inspection to trees (including Old and Valuable Trees) planted along roadside and inside parks and gardens and reports any irregularities Application procedure for “Green Volunteer” Members of the public who are interested in participating in greening voluntary services and support “Green Hong Kong Campaign” may complete and return the application form to this Department to register as “Green Volunteer”. Remarks : Children under 12 must be accompanied by parents/guardian for participating in voluntary services.