Individual Account Registration

Name (English):	Surname Surname is required	Given Name Give Name is required
Name (Chinese) :	Surname	Given Name
Title	Mr Ms DR Prof Rev Sr
Type of Membership:	HKCSS Member Non-Member Individual Please select member type
Name of Agency:	Name of Agency (Chinese) Name of Agency is required	Name of Agency (English) Name of Agency is required
Telephone	Telephone is required
Email	Email is required It is invalid
Rank	Agency Head Service Head/ Department Social Work Professionals Non-social Work Professionals Other Professionals General Staff Service Users Board/Committee/Advisor Please select Rank
Department/Unit	Headquarter/ Director Office Social Service Social Enterprise Information Technology Human Resource Administration Account Corporate Communications Sales and Marketing Public Relation Fund Raising Others Governing Body Please select Department
Responsible Service Type (Optional)	Children & Youth Services Community Development Services Elderly Services Ethnic Minorities Services Family Services New Arrivals & Cross-boundary Family Services Rehabilitation Services Substance Abuse Service
Preference for Receiving Information (Optional)	By Email By Fax By Hand By Mail