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八卦國小教師第三劑疫苗施打情況調查
請教師(含代理代課、教支及社團老師)、行政人員（如人事、會計、幹事等純行政職）、志工、安心上工填寫。
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姓名(Name)
*
Your answer
身份(position)
*
教師(含代理代課、教支及社團老師)(teachers)
行政人員（如人事、會計、幹事等純行政職）(faculty staff)
志工(volunteers)
安心上工
是否已施打第三劑疫苗？Have you taken the 3rd dose of COVID-19 vaccine?
*
是(Y)
否(N)
施打第三劑疫苗日期(未施打者免填) The date you took the 3rd dose of COVID-19 vaccine
MM
/
DD
/
YYYY
第三劑疫苗品牌(未施打者免填) Brand of the vaccine
AZ
莫德納
高端
BNT
Other:
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