Appendix III
To: Environmental Campaign Committee Secretariat
(Attn：AS(CR)1)
(Fax：2827 8138)
Student Environmental Protection Ambassador Scheme 2012/13
Environmental Badge Training for SEPAs (Secondary School)
Enrolment Form
(This form should be returned to the ECC Secretariat on or before29October 2012 (Monday))
Our school will participate in the following environmental badge training for SEPAs.(Please fill in Part I and Part II)
Our school will not participate in the environmental badge training for SEPAs this year.
Part I - Basic Environmental Badge Training
(A) Basic Environmental Badge Seminars (Only one seminar will be allocated to each category.)
Junior Secondary SEPAs (S1 – S3) / Senior Secondary SEPAs (S4 – S.6)
Preference / Code / Date / No. of Participants* / Preference / Code / Date / No. of Participants*
1st Choice / 1st Choice
2nd Choice / 2nd Choice
3rd Choice / 3rd Choice
4th Choice / 4th Choice
5th Choice / 5th Choice
(B) Basic Environmental Badge Field Visits (Only one field visit will be allocated to each school.)
Preference / Code / Date / No. of Participants*
1st Choice
2nd Choice
3rd Choice
4th Choice
5th Choice
Part II - Specific Environmental Badge Training (Only one training will be allocated to each category. Applicants should be the holders of the Basic Environmental Badges.Teacher will be required to fill in the BEB Ref. No. of participants on confirmation letter.)
Junior Secondary SEPAs (S1 – S3) / Senior Secondary SEPAs (S4 – S.6)
Preference / Code / Date / No. of Participants# / Preference / Code / Date / No. of Participants#
1st Choice / 1st Choice
2nd Choice / 2nd Choice
3rd Choice / 3rd Choice
4th Choice / 4th Choice
5th Choice / 5th Choice
* Teacher can nominate a maximum of 20 SEPAsfor the BEB seminars/field visit. # Teacher can nominate a maximum of 10 SEPAsfor the SEB training.
Signature of School Head / ：Name of School Head / ：
Name of School / ：
Name of Teacher-in-charge / ：
Contact No. of Teacher-in-charge / ： /
Email of Teacher-in-charge / ：
Fax No. / ：
Date / ：