Page 159 - 循人中学行政手册Tsun Jin High School Administative Manual
P. 159

循人中学销过辅导(教师)推荐及评估申请表
                  Assessment Form of Dismissal of Faults (by teacher’s recommandation)

               申请人                         班级                       学号                    班号
            Applicant:___________            Class::_________       Reg. No:_________      Class No:_____

             推荐人                                                     关系 : 班导师/                        科老师
            Referee:____________                              Relationship:Teacher/____________Subject

            推荐理由
            Reason of recommendation: ___________________________________________________
               _________________________________________________________________________
               _________________________________________________________________________

               _________________________________________________________________________

            签名
            Signature:_______________                                                  Date:________________
                     -------------------------------------------------------------------------------------------------------

            第一阶段评估                                                           日期                                   至
            First Stage of Assessment                                              Period: From : _________ to_________
               ________________________________________________________________________

               ________________________________________________________________________
               ________________________________________________________________________

                                                             日期                          签名
                                                             Date:__________  Signature:__________
                     -------------------------------------------------------------------------------------------------------

            第二阶段评估                                                          日期                                   至
            Second Stage of Assessment                                    Period: From : _________ to_________
               ________________________________________________________________________
               ________________________________________________________________________
               ________________________________________________________________________

                                                                                            日期                           签名
                                                              Date:__________  Signature:__________
                     -------------------------------------------------------------------------------------------------------

            第三阶段评估                                                          日期                                   至
            Third Stage of Assessment                                        Period: From : _________ to_________
               ________________________________________________________________________
               ________________________________________________________________________
               ________________________________________________________________________


                                                                                            日期                          签名
                                                              Date:__________  Signature:__________
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