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花商應英志工團英語教學服務報名表
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就讀學校
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姓名
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年級
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班級
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身份
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一般生
原住民
新住民二代
Other:
經濟狀況
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富裕
小康
低收入戶或中低收入戶
清寒(無低收或中低收身份)
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學生電話(無則填無)
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學生住家地址
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學生家長姓名
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學生家長電話
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其餘問題或其餘問題或意見
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