Department Class Class Level:

Student ID:

Name:

Name Department Class Student ID

Practice unit Practice time

Unit address Unit phone number

Practice content

Self-summary

(more than 1,000 words) Individual Signature:

200? Year, month, day?

Practice

Unit

Opinion Signature of the practice unit:

200?Year, month, and day?

Summer practice paper and survey report topics

Opinions of the Youth League Committee Signature:?

200?Year, month, and day Opinions of the school youth league committee Signature:

200?Year, Month, Day