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113-1團體實習申請表(成人護理學)
1. 填表期限: 113/4/24(三)12:00 截止
3.學校統一用校內信箱聯繫，請務必時常收信，以免遺漏重要訊息。
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Email
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實習方式說明如下圖
班級
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EN4A
EN4B
EN4C
EN4D
學分班
學號
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Your answer
姓名
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Your answer
性別
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男
女
連絡電話(手機)
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請到以下連結，填寫體檢報告
https://forms.gle/UPki32tgtMYwM8MN7
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我知道沒有完成體檢報告上傳，無法到醫院實習。
體檢報告上的日期戳章，皆須完整清楚，若漏蓋或模糊，請當場請醫院補蓋，否則體檢報告無法生效。
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有特殊情身心狀況需告訴實習組嗎?
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