ACS SPRINT | Impact Measurement Made Simple 掌握社會效益量度: 設計和分享你的改變理論

NGO/ Social Enterprise Registration Form
非牟利機構/社企報名表

Date: June 25, 2022 (Sat)
Time: 9:30am-4pm

日期: 2022年6月25日 (六)
時間: 早上9:30至下午4:00

Thank you for your interest in SPRINT. Completing this application form should take approximately 5 minutes.
感謝您報名參與SPRINT! 此報名表只需要大概5分鐘完成。

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* 1. Name of your organization 機構名稱

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* 2. Website address (website, facebook or others) 網址(網站, Facebook, 或其他)

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* 3. Is your organization a tax-exempted entity under Section 88 of the Inland Revenue Ordinance, Hong Kong?
貴機構是否依據香港《稅務條例》第88條獲豁免繳稅的慈善團體?

Yes 是

No 否

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* 4. Total number of paid staff 受薪員工總數

None 沒有

1-5

6-10

11-20

Over 21 超過21位

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* 5. How many beneficiaries were served by your organization in the past 12 months?
貴機構在過去12個月內為多少人提供服務?

11-50

51-100

101-500

501-2000

2001-5000

5001-10000

>10000

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* 6. What is the most appropriate sector that applies to your NGO?
貴機構的服務是屬於哪一個界別?

Animals & Environment 動物及環境保育

Art & Culture 藝術與文化

Education 教育

Medical Health 醫療衛生

Poverty & Disaster Relief 貧困和救災

Religious Charities 宗教慈善機構

Rights and Opportunities 權利與機會

Social Services: for Children & Youth 社會服務: 兒童及青少年

Social Services: for Community 社會服務: 社區

Social Services: for Elderly 社會服務: 長者

Social Services: for People with Disabilities 社會服務: 殘疾人士

Social Services: for Women & Family 社會服務: 婦女與家庭

Other (please specify) 其他 (請列明)

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* 7. Please indicate your language preference for table discussion sessions. We will try our best to accommodate your request.
請選擇您的語言偏好。我們會盡力滿足您的要求。

English Only 僅限英文

Chinese Only 僅限中文

No preference 中英皆可

Your team should have 2 members from your organization, either staff or volunteers.
您的隊伍需由2位來自貴機構的同事或義工組成。

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* 8. Information of Participant 1 參與者 (一) 的資料

Name 姓名

Email 電郵

Phone number 電話

Job Title 職位

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* 9. Information of Participant 2 參與者 (二) 的資料

Name 姓名

Email 電郵

Phone number 電話

Job Title 職位

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* 10. Please select your preferred working format for this event:
請選擇您想參與此活動的形式：

Work together with 2 volunteers in your office (in a safe controlled environment)
在您的辦公室裡與2名義工一起工作（在安全受控的環境中）

Zoom only
Zoom綫上會議

No preference
沒有偏好

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* 11. Does your project have a Theory of Change?
您有為您的項目建立一套改變理論嗎？

Yes 有

No 沒有

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* 12. Are you practicing impact measurement for your project?
您目前有為您的項目進行效益量度嗎？

Yes 有

No 沒有

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* 1. Name of your organization 機構名稱

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* 2. Website address (website, facebook or others) 網址(網站, Facebook, 或其他)

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* 3. Is your organization a tax-exempted entity under Section 88 of the Inland Revenue Ordinance, Hong Kong?貴機構是否依據香港《稅務條例》第88條獲豁免繳稅的慈善團體?

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* 4. Total number of paid staff 受薪員工總數

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* 5. How many beneficiaries were served by your organization in the past 12 months? 貴機構在過去12個月內為多少人提供服務?

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* 6. What is the most appropriate sector that applies to your NGO?貴機構的服務是屬於哪一個界別?

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* 7. Please indicate your language preference for table discussion sessions. We will try our best to accommodate your request. 請選擇您的語言偏好。我們會盡力滿足您的要求。

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* 8. Information of Participant 1 參與者 (一) 的資料

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* 9. Information of Participant 2 參與者 (二) 的資料

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* 10. Please select your preferred working format for this event:請選擇您想參與此活動的形式：

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* 11. Does your project have a Theory of Change?您有為您的項目建立一套改變理論嗎？

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* 12. Are you practicing impact measurement for your project?您目前有為您的項目進行效益量度嗎？

* 3. Is your organization a tax-exempted entity under Section 88 of the Inland Revenue Ordinance, Hong Kong?
貴機構是否依據香港《稅務條例》第88條獲豁免繳稅的慈善團體?

* 5. How many beneficiaries were served by your organization in the past 12 months?
貴機構在過去12個月內為多少人提供服務?

* 6. What is the most appropriate sector that applies to your NGO?
貴機構的服務是屬於哪一個界別?

* 7. Please indicate your language preference for table discussion sessions. We will try our best to accommodate your request.
請選擇您的語言偏好。我們會盡力滿足您的要求。

* 10. Please select your preferred working format for this event:
請選擇您想參與此活動的形式：

* 11. Does your project have a Theory of Change?
您有為您的項目建立一套改變理論嗎？

* 12. Are you practicing impact measurement for your project?
您目前有為您的項目進行效益量度嗎？