2019儿童安全过假期入校教育活动申请表 Safe Kids @ Home in-school Educational Activity Application Form

请认真填写以下内容，谢谢。

Q1:姓名（Name）

Q2:微信号（Wechat ID）

Q3:员工号（Employee ID）（非霍尼韦尔员工请写无）

Q4:部门（Dept.）（非霍尼韦尔员工请写自己的工作单位）

Q5:手机号码（Mobile）

Q6:E-mail

Q7:地址（Address）

省份

城市

区/县

街道

Q8:邮编（Postal Code）

Q9:您希望在“儿童安全过假期”入校教育活动中担任的角色 (Click the role you want to play during the Safe Kids@ Home in-school education)

领队：招募队员，联络学校、制定活动流程预算、组织队员参加 Safe Kids 电话培训等(Team leader: call together colleagues to form a team, identify a school for education, budget control, etc.)

主讲老师：根据 Safe Kids 提供的课件、教辅工具，准备一堂 40 分钟的课，并担任主讲(Main speaker: prepare the lesson according to Safe Kids guide, participate the conference training)

助教：配合主讲老师参与教学活动，如分发问卷、辅佐行为体验活动、统计问卷等(Teaching assistant: assist the main speaker, organize behavior practice games, distribute quiz, etc.)

教具：配合教学，制作更多创意教具(Tool assistant: receive teaching box, assist main speaker serve children’s learning through the tools)

通讯：活动现场照片/视频记录、发微博、活动后小结等( Correspondent: capture wonderful moments via camera, shoot video, live broadcast via Weibo and Wechat, draft stories)

2019儿童安全过假期 入校教育活动 申请表 Safe Kids @ Home in-school Educational Activity Application Form