112-1高二彈性時 間自主學習申� �表0821.pdf

National High School Attached to National Taipei University of Education 112th Academic Year First Semester Flexible Time Autonomous Learning Application Form

Applicant Information
Class
Email
Learning Type
□ Academic Self-Study □ Skill Learning □ Volunteer Care □ Practical Work □ Media Creation
□ Special Research □ Action Plan □ Participation in Competitions or Activities □ Others:
Learning Topic
Course Type
□ Autonomous Learning (36 hours per semester) □ Enrichment + Autonomous (18 hours per semester)
□ Remedial + Autonomous (18 hours per semester) □ Double-Track System (hours per semester)
Plan Motivation
(Describe the plan's origin, background, or reasons for planning)
Expected Outcome
(Define expected outcomes and presentation methods based on the learning topic)
Outcome Presentation
□ Poster Report □ Skill Demonstration □ Video Recording □ Practical Demonstration
□ Media Platform □ Participation in Competitions or Activities □ Others:
Learning Resources
(Used learning materials/books)
Learning Tools
(Must be prepared or borrowed before class)
Autonomous Learning Plan
Like the weekly plan table - My plan features:
1 Applicant signature
2 Parent signature
3 Mentor signature
4 Guiding Teacher
5 Library
6 Evaluation Committee
□ Excellent
Text Description
Guiding Teacher signature
□ Pass
Text Description
Guiding Teacher signature
□ Pending Completion
Text Description
Guiding Teacher signature
□ Fail
Text Description
Guiding Teacher signature
※ Notes ※
1. Students applying for autonomous learning should fill out this form, obtain the guiding teacher's agreement signature, and submit it to the "Library" for review along with relevant planning materials before the administrative unit's deadline.
2. During autonomous learning, students who need to leave the classroom must wear their ID badges for identity verification and course confirmation.
3. The autonomous learning plan should be written and signed by the student, mentor, and parent within the first three weeks, and stored in the student office for weekly review to track the student's learning content and progress.
4. The final outcome report (with examples on the library website) procedure: The guiding teacher will submit the autonomous learning plan to the library for review, and then the student will upload it.
Autonomous Learning Content and Weekly Plan
Class:
Seat Number:
Name:
Week
Date
Planned Autonomous Learning Content and Progress
Used Materials, Tools, and Resources
Review
Week 1
0830
Start of class
Distribute application forms
Week 2
0906



Week 3
0913



Week 4
0920



Week 5
0927
Students submit autonomous learning plan application forms (all week)
Grade 1-2 meeting (7)
Week 6
1004



Week 7
1011



Week 8
1018
1017-1018 First semester exam
Autonomous learning suspended
Week 9
1025



Week 10
1101



Week 11
1108



Week 12
1115



Week 13
1122



Week 14
1129
1130-1201 Second semester exam
Autonomous learning proceeds as usual
Week 15
1206



Week 16
1213



Week 17
1220
Autonomous learning plan application form certification begins (three weeks)


Week 18
1227
Autonomous outcome production


Week 19
0103
Autonomous outcome production


Week 20
0110
Autonomous outcome production upload and presentation
Autonomous learning plan application form certification returned


Week 21
Third semester exam
0117
0116-0118 Third semester exam
Autonomous learning suspended
No class
The autonomous learning plan book should be typed, and additional pages can be added later. The autonomous learning report should be written, converted to a PDF file, and uploaded within two weeks after the semester ends, along with the learning process file and diverse performance outcomes.