圖書館利用教育需求登記表
Library Information Resources Training Registration Form
※ 注意事項 / ATTENTION
*為必填欄位

1.提供主要聯絡人資料即可。
 Please provide main contact person's contact information.
2.歡迎附屬醫院各單位、教師及各班代以班級或自組三人以上為單位,預約所屬課程。
 At least three students to order training class.
3.館藏電子資源清單請參考ERM系統http://diglib.tmu.edu.tw
 Please check the list of e-resources in ERM. http://diglib.tmu.edu.tw
4.提交申請單後三個工作天內會以mail 或電話通知報名者開課時間與地點。(請務必提供正確通訊方式)。
 Please provide your contact information correctly, let us inform the date and place of the course to you.


※聯絡方式 / Contact Information
TEL:(02)27361661#2515 三樓參考諮詢服務台(Reference Service Desk)
or #2510 游曉芬 館員 (Librarian: Miss Yu)
Email:asktmul@tmu.edu.tw

姓名 / Name
Note: 主要聯絡人 / Main Contact Person
Your answer
單位系級 / Department
Your answer
聯絡人手機(電話) / Cell phone(Tel.)
Note: 主要聯絡人 / Main Contact Person
Your answer
E-mail
主要聯絡人 / Main Contact Person
Your answer
授課語言 / Language
預計人數 / Total attendance
實際到課人數最少3人以上 / at least :3 persons
Your answer
預約課程 / Cource
1個資源約需60-90分鐘, 可複選 / You can choose more than one resource. It will take about 60-90 minutes per course.
Required
希望預約時間1 / Preferred Date 1
Please fill in at least 2 dates then we can arrange it. ┃ex: 2017/07/21 10:00-12:00
Your answer
希望預約時間2 / Preferred Date 2
Please fill in at least 2 dates then we can arrange it. ┃ex:2017/ 07/21 10:00-12:00
Your answer
希望預約時間3 / Preferred Date 3
Please fill in at least 2 dates then we can arrange it. ┃ex: 2017/07/21 10:00-12:00
Your answer
希望預約時間4 / Preferred Date 4
Please fill in at least 2 dates then we can arrange it. ┃ex: 2017/07/21 10:00-12:00
Your answer
其他補充 / Notes
Your answer
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