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Jockey Club Age-friendly City Partnership Scheme 2024/2025
Online Application Form
Please complete and submit the below application form on or before
14 March 2025 (Friday)
.
For “Jockey Club Age-friendly City Partnership Scheme – Application Guide”, please
click here
.
Fields marked with * are required.
Before filling in the online application form, please prepare the following documents and save them on your computer for easy upload:
1. Company/Organisation's logo (please provide a JPEG or PNG file with a resolution of at least 300 dpi, and rename the file with your company name).
2. A description of your organisation's age-friendly initiatives, activities, products, or services, along with supporting photographs and any supplementary information (if applicable).
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Details of Applicant *
Name of company / organisation^:
(Chinese)
Please enter Chinese here
(English)
Please enter English here
^ If there is no Chinese company name, please indicate "沒有"; If there is no English company name, please indicate "N/A".
Note: Name of company / organisation will be published as listed above
Contact person:
(Chinese)
Please enter Chinese here
(English)
Please enter English here
Position:
(Chinese)
Please enter Chinese here
(English)
Please enter English here
Contact number:
Please enter 8-digit number
Fax Number:
Please enter 8-digit number
Email:
Please enter a valid email address
Business registration number (if applicable):
Correspondence address:
Note: For the delivery of Scheme’s certificate and stickers (if applicable)
Type of Applicant *
at least ONE option is needed to be selected
New Applicant
Participated in the Scheme
Please select the participated year(s):
at least ONE option is needed to be selected
2019
2020
2022
Industry of Company / Organisation *
at least ONE option is needed to be selected
Banking & Finance
Conglomerate
Cleaning & Maintenance Services
Catering
Education & Training
Government & Statutory Bodies
Hotel & Travel
Information Technology
Insurance
Medical & Healthcare Service
Printing & Publishing
Public Utilities
Real Estate & Property Management
Retail
Telecom
Transportation
Others
Next Step
PART I: Jockey Club Age-friendly City Partner sticker *
Participating companies / organisations which have adopted at least ONE age-friendly practice / activity or provide age-friendly product(s) / service(s) under any of the
eight domains
listed below will be eligible for receiving a set of certificates and scheme stickers.
Please put a “✓” in the appropriate box(es) and provide details.
at least ONE option is needed to be selected
Outdoor spaces and buildings
(Example: Adoption of elderly- and age-friendly designs and facilities both indoors and outdoors)
Transportation
(Example: Provide convenient, safe and affordable transport facilities or services for older adults)
Housing
(Example: Provide affordable, well-designed and safe home design and maintenance services for older adults)
Social participation
(Example: Organise activities that cater for older adults’ diverse interests)
Respect and social inclusion
(Example: Organise intergenerational activities or volunteer services to serve the older adults, or provide priority services)
Civic participation and employment
(Example: Provide job opportunities or retraining scheme for older adults)
Communication and information
(Example: Establish digital platforms or classes which allow older adults to access timely information, seek suitable services and enhance communication)
Community support and health services
(Example: Provide a wide range of accessible and affordable health and support services for older adults)
Details of the age-friendly practice / activity / product / service (within 600 words in English)
^
Please fill in the required fields below.
^
The names of participating companies and organisations, along with details of their age-friendly practice / activity / product / service, will be published on the Scheme's website, in its publications, and other promotional materials to public. Please provide the following information:
Company / Organisation logo
*
(please provide a JPEG or PNG file with a resolution of at least 300 dpi, and rename the file with your company name)
Please upload company / organisation logo
Contact number / email / website for public enquiries (if any)
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PART II: Special Awards *
If you would like to apply for the Special Awards, please fill in the information of PART II.
Click here
to learn more about the past awarded age-friendly practices.
I
would not
apply for the Special Award(s).
I
would like
to apply for the Special Award(s).
Name of age-friendly practice / activity / product / service *
(Chinese)
Please enter Chinese here
(English)
Implementation period *
Start date and end date of the practice / activity / product / service:
-
(Please leave the end date blank if still in progress)
Special Award(s) applying for *
at least ONE option is needed to be selected
Age-friendly Employer Award
This award recognises companies or organisations that create age-friendly employment environments for older adults. Such initiatives may include, but are not limited to, flexible working arrangements, intergenerational mentoring and training programmes, re-employment schemes, and phased retirement options, enabling older adults to continue contributing to the workforce.
Age-friendly Facilities Award
This award recognises companies or organisations that provide accessible and inclusive facilities for older adults, including, but not limited to, accessible restrooms, parking spaces, pathways, non-slip handrails, and lifts, catering to the needs of individuals with diverse mobility and cognitive abilities.
Age-friendly Innovation Award
This award recognises companies or organisations that develop innovative products, services, projects, or business models that effectively address the needs and preferences of older adults. These innovations can promote their independence, enhance social connections, and improve their overall well-being, while also creating business opportunities.
Age-friendly Collaborator Award
This award recognises inspiring stories of companies or organisations whose age-friendly initiatives positively impact older adults and contribute to a positive age-friendly culture in Hong Kong, highlighting their good deeds, community support, and intergenerational connections.
Our City’s Story Award
The general public are welcome to vote for their favourite age-friendly practice, activity, product, or service on the scheme's online platform.
Description of the age-friendly practice / activity / product / service (within 600 words in English)^
Please fill in the required fields below.
^
Please demonstrate the creativity and innovation, social impact, resources devotion and sustainability of the age-friendly practice / activity / product / service.
For application for Our City’s Story Award, please share the details of a story that has a great impact on promoting an age-friendly culture in Hong Kong.
Number of direct beneficiaries (e.g. elderly, volunteer)*
Please fill in the required fields below.
Photo(s) of age-friendly practice / activity / product / service
#
and other supplementary information (if any)
Please provide high-res JPEG / PNG file (1,000 x 1,000 pixels or above), Maximum 5 images.
Add Image
If you would like to submit other supplementary information, please upload here. Maximum 5 files
Add File
Maximum 5 images and 5 files in 15MB in total.
#
The photo(s) will be used for public voting on the online platform, as well as website, publications and other collaterals under the Scheme.
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Privacy Terms of the Scheme
Personal Information Collection Statement
When you visit this website, we will have a record of your IP Address and the pages you have visited. This information may be used by us for statistical purposes only.
Privacy Policy Statement of The Hong Kong Polytechnic University:
Click Here
Terms and Conditions
I/We declare that all information and supporting documents provided in this application are true, accurate and complete. I/We declare that we have disclosed fully in writing all information to the application which I/we know or should reasonably know and which is relevant or material for the purpose of application. Any misrepresentation may lead to disqualification.
I/We understand that the provision of all personal data requested in this application is voluntary and failure to provide such information and other required documents may affect the processing and outcome of the application for “Jockey Club Age-friendly City Partnership Scheme” (the “Scheme”).
I/We declare that I/we have read and fully understand and agree with the contents of
the Privacy Policy Statement of Hong Kong Polytechnic University
. Without prejudice to the generality of the contents of the Privacy Policy Statement:
I/We agree and undertake to obtain all necessary consent and authorisation from my employees or any other party to provide their personal data for the use of the Research Centre for Gerontology and Family Studies of The Hong Kong Polytechnic University (the “RCGFS”) or any third party collaborating with the RCGFS in the Scheme (the “Collaborators”) for the purposes as stated in its Privacy Policy Statement.
I/We agree that the RCGFS and/or the Collaborators may publish the information provided by me/us under this Scheme, including any personal data, such as the names, contact details, website address and any other relevant information via various channels (such as websites, social media platforms, publications and other public channels) for the purposes of promoting or reporting of the Scheme and the Jockey Club Age-friendly City Project.
I/We agree that the RCGFS and/or the Collaborators may use the personal data and contact information provided under the Scheme for future communication and engagement purposes.
I/We agree that to the extent as permitted by the applicable laws, the RCGFS and their employees or agents shall not be liable to me/us for any loss caused by the act, default or neglect of the RCGFS or their employees or agents in the processing of my/our application, complaints or any other claims against improper use of the Scheme logo, sticker and certificate or any cause whatsoever arising out of or in connection with the implementation and management of the Scheme.
I/We acknowledge and agree that the RCGFS and their employees and agents do not make any representations, warranties or statements (whether express or implied) of any kind in respect of any recommendations or materials provided by the RCGFS and/or the Collaborators in relation to the Scheme or otherwise.
I/We acknowledge and agree that the RCGFS and their officers and employees and agents shall not be liable for any damage, loss, liability, action, proceedings, claim, demand, costs or expenses suffered by or brought against any participant in the Scheme or any of its employees or customers or any other person arising out of or in relation to the Scheme.
I/We have been advised to seek independent professional advice on matters arising out of or in relation to their participation in the Scheme.
For enquiries on the Scheme, please refer to our official website (
www.jccitypartnership.hk
) or contact the Scheme’s Secretariat at +852 2537-8989 or
info@jccitypartnership.hk
.
For enquiries concerning the personal data provided, including the making of access and corrections, please contact the Scheme’s Secretariat at +852 2537-8989 or
info@jccitypartnership.hk
.
In the event of any conflict or inconsistency of the English and Chinese versions of the terms and conditions set out in this Application Form, the English version shall prevail.
I/we confirm that I/we have read, understand and agree to be bound by the above Terms and Conditions and the “Jockey Club Age-friendly City Partnership Scheme – Application Guide”.
Authorised Person Signature (Name): *
Please Sign Your Name
Position/Title: *
Please input the Position/Title
Date:*
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