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["吉林大学优秀本科生“短期境外研修项目”经费资助申请表"]
[]
["                                                        填表日期:     年   月   日"]
["姓   名",null,null,"性     别",null,"出生年月"]
["申请时在读年级",{"$nulls":3},"毕业时间"]
[" 学       院",{"$nulls":3},"专    业"]
["参加项目名称",{"$nulls":3},"项目总费用"]
["项目起止时间"]
["家庭通讯地址"]
["外语水平\n(附证明)",{"$nulls":3},"平均学分绩点"]
["移动电话",{"$nulls":3},"电子邮件"]
["项目简介（参与国际学术会议请注明学院意见）",null,"请简要介绍参与项目的基本情况（项目内容、参与形式、预期收获等）"]
{"$rows_empty":8}
["论文发表情况",null,"请注明发表期刊名称、时间、本人系第几作者（参与国际学术会议的论文请附录用正式通知）"]
[]
[]
[]
["获奖情况",null,"请注明奖励或竞赛的性质（全国性的、省市级的或校级的）"]
[]
["院系推荐意见",null,"评语（申请人的日常行为表现、公益境界以及本领域发展前途等）"]
[{"$nulls":3},"负责人签字：",{"$nulls":3},"盖章：","   年  月   日"]
["学校主管部门意见",null,"盖    章：                            年   月    日         ","                               ",{"$nulls":3},"盖章："," 年   月   日"]
["说明:1.报送表格时需同时提供国外单位的录取通知（邀请函）或国际会议论文录用通知等函件"]
["     2.有关栏目填写不下可另附纸            "]
["     3.“平均学分绩点”需另附加盖学院成绩审核专用章的证明"]
["     4.本表格需填写一式三份，教务处、学院、学生各留存一份"]

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