2017嘉定實習線上報名表單
請詳閱附件一至附件四:
姓名 *
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學校 *
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系級 *
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研究專業與方向 *
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生日 *
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E-mail *
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身分證字號 *
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FACEBOOK *
在個人頁面的網址 例如https://www.facebook.com/aceinternship/
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護照號碼
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台胞證號碼
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連絡地址 *
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戶籍地址 *
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連絡電話 ex:09**-****** *
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緊急聯絡人 *
請註明關係
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緊急聯絡人電話 *
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嘉定實習第一志願 *
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嘉定實習第二志願 *
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嘉定實習第三志願 *
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嘉定實習第四志願 *
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嘉定實習第五志願 *
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曾參加的傑青活動 *
如選擇其他,請註明活動名稱
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如何得知此項活動 *
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