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學生防疫停課追蹤表單
依教育局規定,學校需每日回報學生防疫停課情形,麻煩各位家長於8:30前協助填寫。
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* Indicates required question
填寫日期: 例:5月19日(填0519)
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Your answer
填寫時間: 例:上午8:15(填0815)
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Your answer
學生姓名:
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Your answer
學生是否留置家中無外出(若有外出,請在其他處填寫外出地點)
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無外出在家中
有外出
Other:
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健康情形
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正常
生病
今日學生在家的主要照顧者(如:爸.媽.阿公.阿嬤......)
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Your answer
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