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2019/20 第四屆大地行者~情意自然教育導師進階（證書）課程
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Email
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中文姓名
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英文姓名
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自然名稱
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性別
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男
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年齡
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職業
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工作機構
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聯絡電話／WHATSAPP
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通訊地址
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對自然教育的體會
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服務／相關經驗
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興趣
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為何參加這課程？
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對此課程有何期待？
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大地行者畢業後，可有參加類似相關工作、活動，請詳述之。
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有關個人資料（私隱）條例：以上個人資料只作為本課程報名之用。
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