(4) Extra-Curricular Activities, Services and Talents of Applicant (i) Leadership and services (e.g. prefect, class monitor/monitress, librarian, scou

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1 (Official Use Only) Application No.: Photo of Applicant Tsuen Wan Government Secondary School Application Form for Secondary 1 (S1) Discretionary Place (Admission in September 2015) (1) Personal Particulars of Applicant and Guardian Applicant s (Student s) information Name in English: Name in Chinese: (if applicable) HKID No.: ( ) (English letter and first three digits) Sex: M / F (Please delete the inappropriate) Age: SSPA Student Reference No.: Date of Birth: / / (DD/MM/YYYY) Place of Birth: Primary School Attending: Father s information Mother s information Name: (in Chinese or English) Occupation: Tel: Name: (in Chinese or English) Occupation: Tel: (in English) Address: (in Chinese) Guardian s information (if Guardian is not the parent of the applicant) Name: Relationship with Applicant: Occupation: Tel: (2) Connection with School Name and Year of Admission/Graduation of Applicant s Parent / Sibling Name Relationship with Applicant Year of Admission Class Attending / Year of Graduation (3) Conduct in P5 and P6 P5 1 st Term P5 2 nd Term P6 1 st Term

2 (4) Extra-Curricular Activities, Services and Talents of Applicant (i) Leadership and services (e.g. prefect, class monitor/monitress, librarian, scout, girl guide, volunteer) Event Position Class Attended 1 *P4/P5/P6 2 *P4/P5/P6 3 *P4/P5/P6 4 *P4/P5/P6 5 *P4/P5/P6 (ii) Achievements in inter-school competitions (e.g. speech, debate, music, drama, sports, dancing) Event Prize Class Attended 1 *1 st / 2 nd / 3 rd *P4/P5/P6 2 *1 st / 2 nd / 3 rd *P4/P5/P6 3 *1 st / 2 nd / 3 rd *P4/P5/P6 4 *1 st / 2 nd / 3 rd *P4/P5/P6 5 *1 st / 2 nd / 3 rd *P4/P5/P6 (iii) Apart from those listed in tables (i) and (ii), please list the talents (both academic and non-academic) of applicant, if any Performance / Talent (5) Applicant need not submit any recommendation letter from the primary school. Regional Qualification / Achievement * Please circle as appropriate (6) Each Primary 6 student (including the non-participating students) is allowed to apply to not more than two participating secondary schools listed in the Handbook for Application for Secondary 1 Discretionary Place, otherwise his/her chance of acquiring a discretionary place will be forfeited. This Application Form cannot be retrieved or cancelled once submitted. (7) The personal data provided by means of this form will be used for processing application for a S1 discretionary place. They may be disclosed to the Education Bureau for educational purposes. The provision of personal data by means of this form is obligatory. If an applicant does not provide sufficient information, the school may not be able to process the application. The applicant has the right to request access or correction of his/her personal data in light of the Personal Data (Privacy) Ordinance. Should there be any enquiries, please contact: Ms Josephine CHOW Tsuen Wan Government Secondary School 70 Hoi Pa Street, Tsuen Wan, N.T. Tel No.: (Official Use Only)

3 Tsuen Wan Government Secondary School Application Information for Secondary 1 (S1) Discretionary Place (DP) (Admission in September 2015) 1. Number of S1 Discretionary Places: 43 (30% of the school S1 places). 2. Distribution of Application Form: (i) Date : 4 December 2014 to 21 January 2015 (ii) Venue : Application forms can be downloaded from the school website ( or obtained at the School Reception Counter starting from 9:00 am, 4 December (iii) Time : Monday to Friday : 9:00 am to 5:00 pm Saturday : 9:00 am to 11:00 am (3) Submission of Application Form: (i) Date : 2 January 2015 to 21 January 2015 (ii) Venue : School General Office (iii) Time : Monday to Friday : 9:00 am to 5:00 pm Saturday : 9:00 am to 11:00 am (iv) Please submit the following documents: (a) Application Form for S1 Discretionary Place (13/15) issued by the Education Bureau (b) The TWGSS Application Form for S1 Discretionary Place (c) Copies of certificates and awards listed in Section (4) of the TWGSS Application Form (Please arrange in order) (d) A copy of Primary Six Student Record Form (e) (f) Copies of report cards of P5 and 1 st Term in P6 Copies of documentary proofs, if applicable, showing that applicant s parent/sibling has attended/is attending the school, e.g. copies of Leaving Certificate or report card Notes: Applicant need not submit any recommendation letters from the primary school. Please also bring along the original HKID card of the applicant for verification. 4. Admission Criteria: Criteria Weightings 1. Interview Performance 40% 2. Ranking in the EDB Rank Order List 40% 3. Extra-Curricular Activities, Services, Talents 15% 4. Connection with School 5% Total 100%

4 5. Interview: (i) Applicants with conduct grade B or above will be shortlisted for interview. (ii) Details of arrangement for interviews of candidates will be posted on the school website ( and the notice board at the front entrance of the school at 9:00 am on 11 February 2015 (Wednesday) (Only the Application Number# and the first 4 letters or numbers of the SSPA Student Reference Number of the applicant will be shown). (iii) Date of Interview: 7 March 2015 (Saturday) (iv) Format of Interview: Interviews are conducted in group discussions, using both Cantonese and English, in order to understand the candidate s aptitude, interest and potential. # An application number will be given on the Parent s Copy of the Application Form for S1 Discretionary Place upon submission. 6. Announcement of Results: The application results for Discretionary Place applications will be announced at the same time with the central allocation results on 7 July 2015 (Tuesday). 7. In accordance with the Secondary School Places Allocation (SSPA) 2013/2015 Applications for Secondary 1 (S1) Discretionary Places (DP), each student may apply to not more than two participating secondary schools listed in the Handbook for Application for S1 Discretionary Place issued by the Education Bureau (EDB). Otherwise, his/her chance of acquiring a discretionary place will be forfeited. The Application Form cannot be retrieved or cancelled once submitted.

5 ( 學校專用 ) 申請編號 : 申請學生相片荃灣官立中學中一自行分配學位申請表 ( 於二零一五年九月入讀中一 ) (1) 申請人及監護人資料申請人 ( 學生 ) 資料英文姓名.. 中文姓名.. 香港身份證號碼.. ( ) 性別..男 / 女 ( 英文字母及頭三位數字 ) ( 請刪去不適用者 ) 出生日期.. / / ( 日 / 月 / 年 ) 年齡.. 出生地點.. 中學學位分配學生編號.. 就讀小學名稱.. 姓名 ( 中文或英文 ): 父親資料職業.. 聯絡電話.. 姓名 ( 中文或英文 ): 母親資料職業.. 聯絡電話.. ( 英文 ) 住址 ( 中文 ) 監護人資料 ( 如合法監護人是該生父母, 則此欄不用填寫 ) 姓名..與申請人關係..職業..聯絡電話.. (2) 申請人之父母親 / 兄姊與本校之關繫申請人就讀本校之父母親 / 兄姊姓名及入學或畢業年份姓名與申請人關係入學年份就讀年級 / 畢業年份 (3) 申請人於小學五年級及六年級上學期之操行等級小五上學期小五下學期小六上學期

6 (4) 申請人之課外活動服務表現及才華 (i) 領導才能 ( 如風紀班長圖書館管理員服務生童軍等 ) 項目職位服務時就讀年級 1 * 小四 / 小五 / 小六 2 * 小四 / 小五 / 小六 3 * 小四 / 小五 / 小六 4 * 小四 / 小五 / 小六 5 * 小四 / 小五 / 小六 (ii) 校際學界或公開比賽之成績 ( 如朗讀辯論音樂戲劇運動舞蹈等 ) 項目獎項比賽 / 參加時就讀年級 1 * 冠軍 / 亞軍 / 季軍 * 小四 / 小五 / 小六 2 * 冠軍 / 亞軍 / 季軍 * 小四 / 小五 / 小六 3 * 冠軍 / 亞軍 / 季軍 * 小四 / 小五 / 小六 4 * 冠軍 / 亞軍 / 季軍 * 小四 / 小五 / 小六 5 * 冠軍 / 亞軍 / 季軍 * 小四 / 小五 / 小六 (iii) 除表 (i) 及表 (ii) 外, 請列出其他最能代表申請人在學術或非學術上之傑出表現或才華表現 / 才華區域性資格 / 獎項 * 請圈出適當選項 (5) 除所需文件外, 申請者不需提交小學推薦信 (6) 每名小六學生 ( 包括沒有參加中學學位分配辦法的學生 ) 只可向不多於兩所在申請中一自行分配學位手冊內列出的中學申請, 否則, 其獲得自行分配學位的機會將被取消申請表一經遞交, 不可撤回或取消 (7) 本申請表格所收集的資料, 將用以辦理申請中一自行分配學位有關的事宜本校可能會把這些資料向教育局披露, 用以處理相關事宜如提供的資料不足, 本校可能無法處理有關的申請申請人有權按照個人資料 ( 私隱 ) 條例, 查閱及更改個人資料如欲查詢, 請聯絡.. 周愛群女士荃灣官立中學新界荃灣海壩街 70 號電話 ( 學校專用 )

7 荃灣官立中學中一自行分配學位申請資料 ( 於二零一五年九月入讀中一 ) 1. 中一自行分配學位數目 :43 ( 佔本校中一學位 30%) 2. 派發申請表格.. (i) 申請表格可於 2014 年 12 月 4 日上午 9 時起到本校網站 ( 下載, 亦可於本校接待處索取 (ii) 日期年 12 月 4 日至 2015 年 1 月 21 日 (iii) 時間..星期一至五..上午九時至下午五時正星期六..上午九時至上午十一時正 3. 遞交申請表格.. (i) 日期年 1 月 2 日至 2015 年 1 月 21 日 (ii) 地點..本校校務處 (iii) 時間..星期一至五..上午九時至下午五時正星期六..上午九時至上午十一時正 (iv) 所需文件.. (a) 香港教育局中一自行分配學位 (13/15) 申請表 (b) 本校申請表 (c) 本校申請表第 (4) 項所列之傑出表現之獎狀或證書影印本 ( 請依序排列 ) (d) 小六學生資料表副本 (e) 小學五年級及六年級上學期之考試成績表副本 (f) 如父母親 / 兄姊曾經或現時就讀本校, 請將有關證明之影印本呈上, 例如離校證書或成績表副本註..除以上所需文件外, 申請者不需提交小學推薦信請攜帶申請人之身份證正本以作核實 4. 收生準則及評分比重.. 項目比重 1. 面試表現 40% 2. 教育局提供之成績次第排名 40% 3. 申請人之課外活動服務表現及才華 15% 4. 申請人與本校之關繫 5% 合計 100%

8 5. 甄選面試.. (i) 申請人之操行等級為 B 或以上將獲邀出席面試 (ii) 面試名單 ( 按本校所給予之申請編號 # 及中學學位分配學生編號之頭 4 個英文字母或數字展示 ) 將於 2015 年 2 月 11 日 ( 星期三 ) 早上九時起透過本校網頁 ( 公佈及張貼於本校正門告示板上 (iii) 面試日期年 3 月 7 日 ( 星期六 ) (iv) 面試形式..分別以廣東話及英文進行小組討論, 以了解學生的性向興趣及潛能 # 遞交申請表格時, 本校在中一自行分配學位申請表之家長存根上所給予的申請編號 6. 取錄結果.. 申請結果將於二零一五年七月七日 ( 星期二 ) 教育局公佈統一派位時一併公佈 7. 根據教育局二零一三至一五年度中學學位分配辦法之申請中一自行分配學額程序指示, 每名學生只可向不多於兩所在申請中一自行分配學位手冊內列出的中學申請, 否則, 其獲得自行分配學位的機會將被取消申請表一經遞交, 不可撤回或取消

(4) Extra-Curricular Activities, Services and Talents of Applicant (i) Leadership and services (e.g. prefect, class monitor/monitress, librarian, scou

(4) Extra-Curricular Activities, Services and Talents of Applicant (i) Leadership and services (e.g. prefect, class monitor/monitress, librarian, scou (Official Use Only) Application No.: Photo of Applicant Tsuen Wan Government Secondary School Application Form for Secondary 1 (S1) Discretionary Place (Admission in September 2019) (1) Personal Particulars