FOR OFFICIE USE: Date of Receipt__________________________________
Ref.:_____________________________
Full-time Programme
Lifelong Learning Seminars
Reflective Journal Submission Form
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Please complete this form and submit with your reflective journal within 1 month after relevant
seminar. Late submission will NOT be accepted.
ALL information in this form must be filled in.
The documents should be submitted to counter of KHLC or OCLC in person, the acknowledgment
receipt will be returned to you upon request.
Students of Diploma Programmes could choose to write in either English or Chinese
Students of Higher Diploma, Diploma for University Foundation Studies, and Degree
Programmes should submit the journals in English.
Student Name: ____________________________ (English) __________________________(Chinese)
Student No.:
_________________________ Mobile: ____________________________________
Programme Code and Title: ___________________________________________
Class : _______
Programme:
□ Diploma □ Higher Diploma □ Degree
Venue of LLS: □
OCLC (Lai King)
□ KHLC (Kwai Hing)
□
Seminar Date:
Seminar Topic:
Speaker:
CITA (Kowloon Bay)
□ Others (please specify __________________)
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Plagiarism
A student who presumes to plagiarize is considered cheating. Cheating, intentionally or unintentionally, is a serious
misconduct and the Institute will take disciplinary actions against an alleged student according to the University’s rules
and regulations.
Student’s Statement
I certify that I have not plagiarized the work of others when preparing this assignment.
Signature:
______________________________
Date: ____________________________
-------------------------------------------------------------------------------------------------------------------------------------------------------Please fill up information below if you need an acknowledgement receipt for your own record.
Acknowledgement Receipt
Student Name: ___________________ (English) _____________(Chinese) Student No.:__________
Seminar Date: _______________Seminar Topic: __________________________________________
Your Reflective Journal was received on _( Office Use Only) ______________________________
FFP039-B20140902
For Office Use Only
1. Received by :
_________________________ Date: ___________________________
(Name:
)
2. Marking:
Very
Good
Fair
Poor
Fail
Good
Content: Ability to grasp the main message
of the seminar topic.
Organization: Ability to present writing
logically and in appropriate format.
Vocabulary: Ability to grasp some specific
or technical terms from the seminar topic.
Grammar and spelling: Ability to use proper
grammar, punctuation and spelling.
Reflection: Ability to express views or pass
judgments towards the seminar topic.
Overall: □ Pass
□ Fail
Comments:
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Marked by: _________________________ Date: _________________________
(Name:
)
FFP039-B20140902