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北區:9/6(五)臺北市立大學 博愛校區(臺北市愛國西路1號)
中區:9/20(五)臺中市大墩文化中心(臺中市西區英才路600號)
南區:9/27(五)國立高雄師範大學 和平校區(高雄市苓雅區和平一路116號)
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全素(不含蛋奶)
不用餐
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自行前往(服務單位與會場距離30公里以內,不需核給交通費)
大眾運輸(30公里以上核給交通費,請備妥票根/購票憑證並親筆簽名,現場請填寫領據並當天繳回)
自行駕車(30公里以上核給交通費,請於現場填寫領據並當天繳回)
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同意
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姓名
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服務單位(如:高雄市陽明國小、國立臺灣師範大學)
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職稱
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出席場次(請依據鄰近縣市擇一參加)
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電話號碼(於上班時間聯繫)
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飲食習慣(中午備有餐盒)
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前往方式
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我同意無條件、無償提供當天活動肖像權與影音權,以作為教育部委辦國立臺灣師範大學「跨領域美感教育卓越領航計畫」之成果紀錄。
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