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["合肥城市学院教职工攻读学历学位申请表"]
["姓名",null,"性别",null,"出生年月"]
["最后学历",null,"最后学位",null,"入职日期"]
["现所在单位",null,"现职务/职称"]
["现工作领域",null,"拟攻读专业"]
["拟报考学校",null,"拟攻读学历学位"]
["培养方式","£脱产\n□不脱产","学习起止时间"]
["申请人签字","  签字：                       年     月     日"]
["单位\n审核","    近三年均超过学校规定的额定工作量，年度考核均为合格以上，符合报考条件。\n\n     负责人签字：                    年     月     日"]
["分管校领导\n审批","  签字：                       年     月     日"]
["人事处\n意见","        负责人签字：                    年     月     日"]
["分管校领导\n审批","  签字：                       年     月     日"]
["校长签批","  签字：                       年     月     日"]

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