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崙背國中110年度學區國小畢業生訪談紀錄表
請教師同仁填報時，編號(紙本訪談單的右上角)，代碼和學生姓名請務必填上以便比對彙整，謝謝各位老師
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編號(紙本記錄單右上角的號碼)
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代碼
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學生姓名
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訪談時間
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訪談地點
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受訪者
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就讀學校
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1. 本校
2. 其他國中
3. 私中
Other:
承上題; 若答案為2或3，請填上學校並簡述為何會選擇該校
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訪談紀要
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