文藻外語大學教學助理工作紀錄報表：課輔實務與學生學習狀況評析

文藻外語大學教學助理工作紀錄報表

Wenzao Ursuline University of Languages Teaching Assistant Working Record

月份：年月yy/mm: /

一、教學助理資料Teaching AssistantInformation

教學助理姓名

Name

教學助理學號

Student ID Number

教學助理班級

Class

課輔班級/課程名稱

TutoringUnit

二、課輔學生資料Information of the Student Receiving Tutoring

課輔學生班級 Class	課輔學生學號 Student ID Number	課輔學生姓名 Name	接受課輔學生簽章 Signature of Student ReceivingTutoring

三、工作內容與執行概況Overview of Work Details and Implementation

工作概況Work details
我能引導同學解決問題。I can assist students in solving problems. □非常同意Strongly Agree □同意Agree□尚可Neutral□不同意Disagree□非常不同意Strongly Disagree 我能指出同學沒注意的盲點。I can indicate shortcomings that students do not realize they have. □非常同意Strongly Agree □同意Agree□尚可Neutral□不同意Disagree□非常不同意Strongly Disagree 我和同學間互動良好。I interact well with students. □非常同意Strongly Agree □同意Agree□尚可Neutral□不同意Disagree□非常不同意Strongly Disagree 同學能在事前準備，主動發問。Students prepare before class and are proactive in asking questions. □非常同意Strongly Agree □同意Agree□尚可Neutral□不同意Disagree□非常不同意Strongly Disagree
簡述學生學習狀況（如出席情形、上課態度等。）Briefly describe students learning performance (such as attendance, attitude in class, etc.)

簡述工作心得與檢討事項Briefly describe what you have learned through your work and examining matters.

其他（如課堂紀錄剪影，輔以簡單文字說明等，可另附頁補充。）Other (For example, photographs taken in class with simple supplementary text descriptions, etc. You may attach an extra page in order to provide further explanation.)

5. 工作紀錄Schedule Record
日期Date	工作內容Content

◎依「文藻外語大學教學助理制度實施準則」，教學助理每月須填寫工作紀錄報表，詳細填寫每月的工作內容，並須經申請人評核簽章，於次月1日前送各系所（中心）匯整。未按規定日期繳交工作紀錄報表之教學助理，當月薪資暫不發放，待繳交後再行發放。

According to the “Wenzao Ursuline University of Languages teaching assistant system implementation criterion,”teaching assistants must fill out a work record report every month in which they list work content in detail, in addition to submitting an application for an evaluation approval stamp or signature. These must be returned to the department (center) for collection and processing before the first of the following month. Salary payment will be delayed temporarily for teaching assistants who do not submit work record reports before the designated date. Only after the report is received will the salary be issued.

教學助理Teaching assistant：

單位承辦人Staff：

指導教師Instructor：

單位主管Chairperson：