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燕巢國小學生病假填報表單
為有效防治校園疾病傳染,請各班級導師務必每日回報學生病假狀況(若無則填報:無或0),填報時請導師清楚掌握學生相關病情資訊,如有特殊或立即狀況可致電健康中心6161495#160。
病假填報方式:
1.可採線上填報
2.或撥打教室網路電話923248739
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* Indicates required question
日期
*
MM
/
DD
/
YYYY
班級(請填寫數字,例如一年忠班為101)
*
Your answer
座號 (若無人請假請填0)
*
Your answer
學生姓名 (若無人請假請填0)
*
Your answer
有無生病
*
無,請事假或其他假別
有,請續填病假原因
病假原因 (請填病因或症狀)
*
Your answer
請假日數
1日
2日
3-5日(請家長填寫假單並轉送學務主任與教務主任)
6日以上(假單需呈核校長)
無
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