외국인 유학생(학부) 백신접종 현황 파악Vaccination Status

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우리 대학에서는 아래의 교육부의 공문에 따라 외국인 유학생의 백신접종 현황을 파악하고자 하오니, 각 설문 문항에 성실히 응답하여 주시기 바랍니다.

We, university would like to check the vaccination status of international students according to the official letter of the Ministry of Education below, so please respond faithfully to each questionnaire.

<교육부 협조 요청 공문 - An official letter requesting cooperation from the Ministry of Education>

1. 학번 Student ID Number *

1-1. 이메일 주소 Email Address *

2. 어느 나라에서 백신 접종을 하였습니까 Which country did you get vaccinated in?

1차 접종 완료 1st completed

2차 접종 완료 2nd completed

백신접종 미완료 Not yet vaccinated

한국 Korea

해외(본인국가) Overseas (your own country)

2-2. (2번문항 백신접종 *완료한 경우) 백신 1차 접종일(Question #2 vaccination *if completed) 1st vaccination date

YYYY

2-2. (2번문항 백신접종 *완료한 경우) 백신 2차 접종일 (Question #2 vaccination *if completed) 2nd vaccination date

YYYY

3. (2번문항 백신접종 *미완료자인 경우) 백신접종 미완료 사유 (In case of an uncompleted) Reason for NOT completing the vaccination

2021.9월까지 접종예정 Immunization scheduled by Sep. 2021 (booking completed)

2021.10월 이후 접종 예정 Immunization scheduled after Oct. 2021

기저질환, 임신 등 접종 불가 Non-vaccination persons such as underlying diseases and pregnancy.

백신접종 미희망 Those who don't want to get vaccinated

기타 others

4. 백신접종에 대한 기타의견 Other opinions on vaccination.

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