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BHJS Medical Alumni Group Registration Form
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* Indicates required question
Title u
Choose
Prof
Dr
Mr
Miss
English Name
*
Your answer
中文姓名
*
Your answer
Mobile Phone
*
Your answer
Work Phone
Your answer
Email address
*
Your answer
Work address
Your answer
Which year did you graduate from BHJS?
*
Your answer
Which form did you graduate from?
*
Form 5
Form 6
Form 7
Other:
Which institution did you receive your tertiary education?
Your answer
Which of the following best describe your profession?
*
Choose
Anesthesiologist assistant
Audiologist
Cardiovascular technologist
Chinese medicine physician
Clinical psychologist
Doctor
Dietitian
Dentist
Dental hygienist
Educational psychologist
Exercise physiologist
Medical student
Medical laboratory technician
Nurse
Occupational therapist
Optometrist
Orthopotist
Orthotist/ Prosthetist
Paramedic
Pharmaceutical sales
Pharmacist
Physiotherapist
Podiatrist
Radiographer
Renal dialysis techonologist
Respiratoory therapist
Social workers
Sonographer
Speech and language pathologist
Sports psychology counselor
Others (please state in comments)
Where are you currently practicing? (Please choose all that apply)
*
HA
DH
Private
NGO
Full time
Part time
Retired
Other:
Required
What is your specialty? (if applicable)
Your answer
Consent to join the BHJS Medical Alumni Group? (Membership is free of charge.)
*
Yes
No
Consent to join the BHJS Alumni Association? (Membership is free of charge.)
*
Yes
No
Consent for MAG Facebook group?
Yes
No
Clear selection
Please choose the types of MAG activities you hope to undertake:
Social events
Career development
Enterprise
Fundraising
Recruitment
Other:
Based on the chosen options from the previous question(s), please elaborate for any ideas you have in mind.
Your answer
Comments
Your answer
Submit
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