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【空山璞源】《換工學習互助方案》申請表
方案詳見：
https://naturezenretreat.weebly.com/b2556324037234163272220114211612604126696.html
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姓 名
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性 別
男
女
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出生年月日
範例：１９５８０８０６
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電 話
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起始日期
MM
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DD
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YYYY
結束日期
MM
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DD
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YYYY
E-mail電子信箱
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FB或LINE
範例:臉書，名稱：王大明、LINE ID:電話：0955-856 256
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通 訊 地 址
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緊急聯絡人
姓名:(關係) 聯絡電話。範例: 王大光(父)0589-486-123
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專長才藝
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工作實務經驗
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範例：從事自然農法耕作一年
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消 息 來 源
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Other:
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自我成長的修煉經歷
(或曾參與的成長團體)
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想學習的課程/折抵工作時日：
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想參與的工作事項：
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