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112學年度康是美獎學金申請表
請有申請的同學,填寫本表單,以利審核
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姓名
*
Your answer
學號
*
Your answer
年級
*
三年級
四年級
五年級
學業成績(前一學年上、下學期平均)
*
Your answer
操行成績 (前一學年上、下學期平均)
*
Your answer
是否一階國考證明(需繳交紙本證明)
*
是
否
連絡電話 (範例-0938-123456)
*
Your answer
曾康是美實習或打工
*
是
否
戶籍地(範例:台北市)
*
Your answer
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