Part 1: Personal Information

* Questions that are required to be answered

Name (Chinese) *

As printed on your HKID Card

Name (English) *

As printed on your HKID Card

First Name / Nickname (if any)

Gender *

Please select an option
Male
Female

Age *

E-mail Address *

Mobile Number *

Area Where You Live *

Please specify sub-districts where appropriate, e.g. Sheung Shui, Tung Chung, Tseung Kwan O

Area Where You Work *

Please specify sub-districts where appropriate, e.g. Sheung Shui, Tung Chung, Tseung Kwan O

Marital Status *

Number of Children *

Age of Children (if applicable)

Multiple answers allowed

Choose at most 3 options

0-12

13-17

18 or above

Highest Educational Level Attained *

Language Ability *

Fluent
Good
Fair
Cantonese
Mandarin
English
Others, please specify:
Others, please specify:
Others, please specify:

Religious Affiliation *

Choose 1 option

Nil

Yes, please specify:

How did you get to know about the programme *

Multiple answers allowed

Choose 1 to 7 options

Website of the Commission on Poverty

Facebook of the Future Stars Programme

Donor of "Future Stars - Upward Mobility Scholarship"

Work email / correspondence, please specify your company / organisation: 

Email / correspondence from business or professional association, please specify your association:

Recommended by a serving mentor, please specify name of the mentor:

Others, please specify: