Page 147 - 循人中学行政手册Tsun Jin High School Administative Manual
P. 147

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

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

            推荐人Referee:____________                    推荐人操行Referee’s Conduct mark:____________
            推荐人资格                                    班委/学长团/学会执委
            Relationship:________________Class leadership/Prefect/Society Executive Committee
            推荐理由
            Reason of  recommendation: ___________________________________________________
               _________________________________________________________________________
               _________________________________________________________________________

               _________________________________________________________________________
            签名                                                                  日期
            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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