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["表一："]
["2012年河北省高校教师岗前培训及高校教师资格“两学”考试报名表"]
[]
["工作单位：","  _________________大学（学院）______________院（系）"]
["姓  名",{"$nulls":3},"性别 ",null,"身份证号"]
["专业技术  职务",null,"最高学历",{"$nulls":3},"到校工作年份"]
["所学专业",{"$nulls":3},"申请学科"]
["是否参加本次岗前培训",{"$nulls":4},"是否参加教学技能培训及教师资格教学能力测试"]
["岗前培训合格证编号         （已获合格证者填写）",{"$nulls":4},"高等教育学、高等教育心理学是否免试"]
["是否参加高等教育学考试",{"$nulls":4},"是否参加高等教育心理学考试"]
["学校审查意见："]
[]
[]
[]
[{"$nulls":6},"公     章"," 公","   "]
[{"$nulls":6},"年     月    日",{"$nulls":3},"  "]
[]
["填表说明：1、此表由本人填写，一式三份提交岗前培训主管部门，其中一份学校岗前培训主管部门留存，另两份分别报省高校师资培训中心和当地岗前培训教学点。2、所有参加岗前培训和高校教师资格考试的人员均须填写此表。3、个人信息要准确无误、无虚假不实情况。4、填表人需携带与表内信息一致的证明材料提交学校审查。5、填表人需提交与纸质报名表一致的电子版（Excel）表格,以便学校汇总。"]

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