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112年臺北市學生輔導諮商中心 "實習生應試資料表"
期中社工實習、全職心理實習
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1.就讀大專院校
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2.系所名稱/年級
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3.姓名
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4.聯絡電話或手機
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5.電子郵件信箱(請提供常用且不會退信的信箱)
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6.學校實習業務聯絡人姓名
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7、學校實習業務連絡人電話及電子郵件
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8.學校實習督導老師姓名（若暫不確定可填暫不確定）
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9.學校實習督導老師聯絡方式(電子郵件或電話)
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10.實習期間及實習總時數
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11.申請實習項目
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期中兼職社工實習
全職心理實習
12.曾修習相關課程(可複選)
青少年兒童輔導
遊戲治療
焦點解決學派
學校社會工作 (兼職社工師)
學校輔導課程
Other:
13.對於實習的期待或想提出的問題
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謝謝您的填答，歡迎您來台北學生輔導諮商中心實習!!
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