112-1【 Magic English Mind魔英傳腦 】申請表
東吳大學「自主學習微課程」，由教育部高等教育深耕計畫補助，東吳大學教學資源中心-學生學習資源組執行。詳細資訊請見：http://web-ch.scu.edu.tw/sr/web_page/8988


【  Magic English Mind魔英傳腦  】 Performing Magic, Speaking English, and Engaging the Audience’s Minds
魔「英」傳腦：變魔術、說英文，傳達到聽眾大腦 ：
10/5~11/30，週四，晚上18:30~20:30 (11/2、11/9停課)，共7週，課程地點：雙溪校區

此申請表單只開放至9/17(日)晚上23:59止。

※※※※※※請注意，填完本申請表不代表報名成功，學生學習資源組保留參加資格審核之權利。會以Email通知錄取名單，請留意您的信箱。※※※※※※

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Soochow University's "self-learning micro-courses" are subsidized by the Higher Education Sprout Project of the Ministry of Education and implemented by Soochow University Teaching and Learning Center - Learning Resources Division. See for details http://web-ch.scu.edu.tw/sr/web_page/8988

Have fun playing board games and have fun playing English with friends.
Class date：10/5~11/30, Thursday, 18:30~20:30, 7 weeks.(Class suspension：11/2、11/9)
Class location：Waishuanghsi campus.

This application form is only open until 23:59 pm on Sunday, 9/17.

※ Please note that completing this application form does not mean that the registration is successful, and the Learning Division reserves the right to finalize the registration process.
You will be notified of the admission list by email, please pay attention to the email notification.
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Email *
個資聲明 Personal Information Statement
東吳大學辦理學生自主學習計畫，基於「人員/安全管理、聯繫」等目的，須取得參加者的【姓名、學號、系所、年級、聯絡電話、電子郵件】，以在計畫進行期間【參加者名單建檔、安排、聯繫】。
參加者可依法行使請求查詢、閱覽、補充、更正；請求提供複製本；請求停止蒐集、處理、利用；請求刪除個人資料等權力。（註：如未完整提供資料，將可能影響活動參與。）

如有疑問，請洽東吳大學教學資源中心學生學習資源組。
電話：(02)2881-9471 分機5826；E-Mail: sr@gm.scu.edu.tw

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In order to ensure safety and maintain contact with participants, the school administration is required to obtain participants' personal information including name, student number, department, grade, contact number, email, so as to "file, arrange and the participant list" during the program period.

Participants may request inquiries, reading, supplements, and corrections in accordance with the law.
Participants may also request a copy, or request to stop collection, processing, use, and deletion of personal data, etc.
Note: If the information is not fully provided, it may affect the participation of the event.

If you have any questions, please contact Soochow University  Teaching and Learning Resource Center Learning Resources Division. Tel: (02) 2881-9471 ext. 5826; E-Mail: sr@gm.scu.edu.tw

學制  degree *
國籍  nationality *
系所 *
年級 grade *
英文名 English name *
如無英文名，請提供您希望課程中老師、同學稱呼您的方式
姓名 Chinese name *
學號 student number *
連絡電話 phone number *
建議提供手機號碼，並確保其正確性，以利聯絡。PS.請避免提供非本人之聯絡電話。
相關聲明， 以下事項涉及您的權益，請仔細閱讀： The following matters involve your rights, please read carefully *
同意
我已下定決心參加這七週的課程，不輕易遲到、早退、曠課、請假。I have made up my mind to attend this seven-week course and to refrain from showing up late, leaving early, skipping class, or taking leave.
課程開始前須填寫「前測問卷」，課程結束須填寫「後測問卷」。You are required to fill in the "Pre-Test Questionnaire" before the start of the course and the "Post-Test Questionnaire" at the end of the course.
無論事假或病假，皆須線上請假。Please fill in the online request form if you want to apply for leave.
不符課程規定者列入黑名單，且不得報名「次一學期」微課程。Those who do not follow the rules will be blacklisted and will not be allowed to enroll in the "next semester" micro-course.
學生學習資源組保留課程師資、內容、時段等課務相關彈性調整及變更的權利，如有任何異動，將進行公告與通知。Learning Resources Division reserves the right to adjust course content.If there are any changes, we will make an announcement and send email notification.
學生學習資源組得就課程活動進行錄音、錄影及拍照，報名者需同意主辦單位有權使用過程中所生之聲音、影像、照片，作為簡介、教學、成果展現、課程行銷宣傳等目的之使用。Applicants have to agree that the organizer has the right to use the sounds, images and photos generated in the process for the purpose of introduction, teaching, achievement display, course marketing and other purposes.
上述資料確認皆為本人資料且無填寫錯誤。I certify that all the above information is true and accurate.
A copy of your responses will be emailed to the address you provided.
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