CHEER TIS Management

Case Information

Case Reference Number:

This number will be issued by CHEER.

Agency Code (If Any):

This code will be assigned by CHEER.

Organization Type

Department of Health

Education Bureau

Housing Department

Immigration Department

Labour Department

Social Welfare Department

NGO

School

Others

Organization Type (others):

School

Kindergarten

Primary

Secondary

Tertiary

Organization Information

Name:

Unit / Section:

Address:

Tel:

Fax:

Enquirer Information

Title

Ms.

Mr.

Mrs.

Name:

Post:

Email:

Enquirer Tel:

If different from above.

Fax:

If different from above.

Service User Information

Name:

Gender:

Female

Male

Appointment

Preferred date 1st from:

to

Preferred date 2nd from:

to

Preferred date 3rd from:

to

Telephone number for CHEER’s interpreter to call for TELIS Appointment:

Name of officer conducting the TELIS Appointment:

Background Information

Background information about the assignment:

Preference

Do you need any web conference?

Yes

No

Preference of interpreter?

Female

Male

Either

TELIS Appointment Request Form

Hong Kong Christian Service CHEER

Telephone Interpretation Service Appointment (TELIS Appointment) Request Form

Case Information

Organization Information

Enquirer Information

Service User Information

Appointment

Background Information

Preference