員工編號 Staff's ID:

員工姓名 Staff's Name:

部門 Staff's Department:



溫馨提醒 Reminders

學校將配合政府公文不定期進行相關調查,請持續留意並配合下列宣導事項,以確保全校親師生之身體健康及生命安全,感謝您的共同努力,敬祝平安健康,謝謝。
We kindly ask you to observe the following epidemic prevention measures to protect yourself and your loved ones.
一、主動回報接觸史 Report on Your Own Initiative
如有出入境史或接觸史,請隨時主動告知校方,並做好自我防護或自主健康管理,落實疫新生活運動,加強手部及呼吸道衛生等個人防護措施。
If you have recently travelled abroad for any reason or have had any contact with potentially infected people or known contact locations, please report it to the school and take extra precautions about your personal health and hygiene. Be extra vigilant for symptoms, wash your hands regularly, and wear your mask at all times.
二、生病不到校 Stay at home if sick
如出現體溫過高、上呼吸道感染、腹瀉...等類似症狀,請主動回報配合不要到校,並前往就醫治療、開立診斷證明書,待痊癒後再返校就學,減少病毒傳播。
If you have symptoms such as fever, upper respiratory tract infection, sore throat/pharyngitis or diarrhoea, please report it to the school and go straight to the hospital to apply for the certificate of diagnosis. Please return to school after you are completely healed to avoid the spread of the disease.
三、減少出入公眾場合 Avoid the crowds
建議您與家人勿參加大型集會活動建,以避免接觸人群,增加感染機會。
We strongly advise that you refrain from attending any kind of large assembly to decrease the possibility of being infected.
如您對於防疫或是自主健康管理的作法有不清楚須詢問之處,請電聯健康中心。
中學盧護理師(02)8512-8228;小學江護理師(02)8512-8179;幼兒園董護理師(02)26031588轉1106。
If you have any questions about COVID-19 pandemic prevention or managing personal health, please contact the health centre. (Secondary School: (02)8512-8228; Elementary School: (02)8512-8179; Kindergarten: (02)26031588-1106)


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出入境史及旅遊史填寫 Travel History Record

# 旅遊期間(起) Travel Date(Start) 旅遊期間(迄) Travel Date(End) 旅遊地方 Country 身份 Who
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同住家人獲知須居家隔離/居家檢疫填寫 Home Quarantine/Quarantine Form

# 隔離/檢疫期間(起) Date(Start) 隔離/檢疫期間(迄) Date(End) 防疫種類 Quarantine Form 身份 Who
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就醫情況調查 Medical History

# 身份 Who 前往期間(起) Date(Start) 前往期間(訖) Date(End) 醫院名稱 Which hospital 就醫原因 Why 就醫結果 Reason
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與確診者共同場所活動史 History of activities in public places with the confirmed person

# 身份 Who 案號 Case No 地點 Place 日期 Date
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身體狀況調查Body Conditions

若您或同住家人有以下不適症狀,請勾選(可複選)If you or your family member living with you feel unwell, please select the most appropriate description of the symptoms. (You can select more than one option)
# 身份 Who 日期(起) Date(Start) 日期(訖) Date(End) 狀況 Conditions
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送出 Submit


* 謝謝您的填寫,全民防疫,您我都有責。
康橋國際學校-林口校區關心您。

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