Achievement Report on the Academic Research .docVIP

國立中山大學專任教師學術研究、教學、專業服務成果報告表 National Sun Yat-sen University Achievement Report on the Academic Research, Teaching, and Professional Service of Full-time Teacher 填表人簽名： 填表日期： Signature of Applicant: ___________________ Date: ________________________ 姓　名Name 到校日期 On-board Date 任職單位 Unit 職稱 Position 目前薪級： Current Pay Grade: ___ 人事室主任簽章 Chief of Office of Personnel Services Signature Seal ____________ 系　教評會 Teacher Evaluation Committee, Department of _________ □同意晉級 Approval for Promotion 召集人簽章 Convener Signature Seal : __________________ □不同意晉級（理由 ） Disapproval for Promotion Reason: ___