中原環工請假填報系統 CYCUBEE Leave Request System
本表單僅供系辦確認學生請假內容使用。
Only for department office.
姓名 Name *
Your answer
學號 Student Number *
Your answer
系級 Grade *
請假開始日期 Start Date *
MM
/
DD
/
YYYY
請假結束日期 End Date *
MM
/
DD
/
YYYY
請假開始時間 Start Time *
Time
:
請假結束時間 End Time *
Time
:
請假事由 Reasons *
Your answer
預計前往地點 Expected Location *
Your answer
緊急連絡人 Emergency Contact Person *
Your answer
緊急聯絡人連絡電話 Emergency Contact Phone Number *
Your answer
與緊急聯絡人關係 Relationship with Emergency Contact Person *
Your answer
是否為教師計畫案相關活動 Do the reasons are about teachers' project? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service