Page 149 - 循人中学行政手册Tsun Jin High School Administative Manual
P. 149

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

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

             推荐人                                              关系 :
            Referee:____________                              Relationship:____________
            督导孩子迁善的方法
            Method of guidance to be carried out: ____________________________________________
               _________________________________________________________________________
               _________________________________________________________________________

               _________________________________________________________________________
            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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