template_Network School Form 聯繫學校 Network School I. ABOUT THE SCHOOL1) Name of SchoolEnglish*requiredChinese*required2) School BackgroundYear of establishment*requiredAddress*requiredSchool sponsoring body*requiredMission and objective of education*requiredNo. of teachers (excluding principal)*requiredNo. of students*requiredSchool principalName*requiredContact phone no.*requiredEmail address*required3) Contact PersonName*requiredPosition held*requiredMobile phone no.*requiredEmail address*requiredII. SERVICE NEEDSHow will mindfulness address the needs of teachers and students in your school? What are your goals and objectives (e.g. to empower teachers to support students with mindfulness, to cultivate a supportive and enabling environment in school, etc.)? Please describe what is the mindful school culture you like to create with your teachers and students? *requiredIII. IMPLEMENTATION INTENTION1) Core Group in SchoolCore group leaderPosition held*requiredTeacherSocial WorkerEducational PsychologistName*requiredMobile phone no.*requiredEmail address*requiredCore group member 1Position held*requiredTeacherSocial WorkerEducational PsychologistName*requiredMobile phone no.*requiredEmail address*requiredCore group member 2Position held*requiredTeacherSocial WorkerEducational PsychologistName*requiredMobile phone no.*requiredEmail address*required2) IntentionA. Teacher Training and Professional Development *required(Example: The core group members will attend an 8-week mindfulness course. A staff development workshop on mindfulness will be organized for teachers…) B. Mindfulness for Students*required(Example: Teachers may practice mindfulness with students in class e.g. 5-minute mindful breathing, mindful eating, mindful stretching, mindful walking…)IV. DOCUMENTS The network schools shall have the following commitments: a. The school management is willing to explore ways to develop mindfulness culture in school. b. To form a core group of at least three members who have intention to attend 8-week mindfulness course offered by JC PandA. Please download and fill in the School’s Undertaking, and upload the signed document for submission. School’s Undertaking*requiredMaximum 10 Mb Please upload the School Logo in the following formats, we shall display it on our project website if the application is successful. a. Minimum 300 dpi b. Transparent Background c. Square d. AI or PNG format e. Maximum 10 MbSchool Logo*requiredSubmitThis field should be left blank
