高等学校学生及家庭情况调查表.doc

staff, the successful completion of various tasks assigned by the superior, will now work are summarized below. 1 first, honest work, a sound mechanism. Strengthening organization and leadership. To carry out clean government and the anti-corruption work, the Centre attended the regional animal husbandry and veterinary Bureau is honest work leading group, and according to the district, the District Government, the discipline Inspection Commission with regard to the requirements of the clean, practical, involved in the development of the animal husbandry and veterinary Bureau of XX district 2015 construction work and Division of labour programme, clear clean of responsibility, in accordance with the requirements of layers implement work. Second, accountability. Superior level management of global clean government work, the number one responsibility, team accountability, anti-corruption work mechanism requires, animal husbandry and veterinary Bureau and signed a clean government responsibility centre, centers signed with the workers honest responsibility, tasks, responsibilities, broken, for good honest work has laid a solid foundation. 2, prevention first, intensify the supervision and constraint. To do a clean government and anti-corruption work, and effectively prevent and reduce the incidence of crime, Centre for learning method of combining education and focused on exploring the root; one is to carry out the anti-corruption study, build a strong ideological defense line, further study and implement the improved style, close ties with the eight provisions of Yunnan province, and six prohibitions. Second, focus on preventing job-related crimes warning education, organize workers to focus on watching the warning education documentaries, organize cadres and workers to XX prisons involved in the warning education; third, to establish a sound system of internal financial control. Through mechanisms, activities to further promote the de Chang Xiu as Chief of staff, Chang Si greed of victims, often sets the heart into concrete action in the thought really solve the initiative to accept supervision and constraint problems, and consciously abide by honesty and self-discipline regulations. 3, seriously carry out three-three education. In the form of concentrated study and group discussion, learning and practicing the three-three primary content. All cadres and workers to strengthen party spirit, belief and faith, enhance the moral realm, the pursuit of noble sentiments and consciously stay away from vulgar, and consciously to combat evil. Practical planning and work, the ideas, policies and programmes in line with the actual situation . System management, System Manager, system management mechanism, strengthen the supervision and management of cadres and workers, so as to increase the strength of honest work. Seriously implementation Central Commission for discipline inspection on strictly ban using positions Shang of convenience seek not due interests of several provides in the of provides; seriously implementation party supervision Ordinance (pilot) and the supporting system in the of provides; a years to no leaders violations received cash, and securities and paid voucher of phenomenon; no occurred eat, and took, and card, and to of phenomenon; no occurred leaders weddings dacaodaban, and participation gambling, and bus private, and bus tourism of situation; seriously implementation payments two article line Provides that no small coffer exist without violating the self-discipline高等学校学生及家庭情况调查表学校： 院（系）： 专业： 班级： 学生本人基本情况姓名性别学号民族身份证号码手机号码入学前户口城镇 农村政治面貌家庭人口数是否孤残孤儿残疾是否单亲父母离异一方亡故是否有低保证是否是否有特困救助证是否是否有优抚证是否是否烈士子女是否家庭通讯信息详细通讯地址 省 市 区/县 街道/乡镇 村组邮编是否来自国家级贫困县是否联系电话 （区号）家庭成员情况 5姓名年龄与学生关系工作（学习）单位（学校）就业状态1年收入（元）健康状况2影响家庭经济状况有关信息家庭人均月收入 （元）。学生本学年已获资助情况 。 。家庭遭受自然灾害情况3： 。家庭遭受突发意外事件： 。家庭成员因残疾、年迈而劳动能力弱情况： 。家庭成员长期患重病情况4： 。家庭因何原因欠债情况： 其他情况： 。签章学生本人学生家长或监护人学生家庭所在地乡镇或街道民政部门经办人签字：单位名称：（加盖公章） 年 月 日民政部门信息详细通讯地址邮政编码联系电话 （区号）填表说明：1就业状态：在岗、下岗、退休、失业、无业、务农、打工、辍学、小学、初中、高中、大学；2健康状况：良好、偏差、极差、大病、残疾；3自然灾害：洪涝、雪灾、旱灾等；4长期患重病：白血病、尿毒症、癌症等；5家庭成员，包括同住的祖父（母）/外祖父（母）。高等学校家庭经济困难学生认定申请表学生本人基本情况姓名性别出生年月民族身份证号码政治面貌家庭人均年收入元学院专业班级学号宿舍房间在校联系电话学生陈述申请认定理由 学生签字： 年 月 日注：应说明家庭成员基本情况，以及导致家庭贫困的原因等，可另附详细情况说明。诚信承诺本人保证填写的家庭情况调查表、认定申请表及自我评议表真实有效，并承诺积极参加到勤工助学、公益实践、公共活动当中去。在活动中接受教育、锻炼自己，不断进取，努力成为全面发展的优秀学生。学生签字： 年 月 日民主评议该生经评议小组测评结果如下：家庭经济测评分值（X）: ；民主评议测评分值（Y）: 。同意推荐！评议小组组长签字： 年 月 日学院推荐意见经评议小组推荐、本学院认真审核后，给出学院综合意见分值（Z）： 。运用家庭经济困难学生测评计算公式，得出家庭困难程度测评分值（M）： 。 初步确定该生为家庭经济困难学生，推荐结果见下栏。工作组组长签字： 年 月 日认定决定认定工作组推荐结果A.家庭经济特殊困难 B.家庭经济困难 C.家庭经济一般困难 D.家庭经济不困难 学校学生资助服务中心意见经学生所在学院提请，本中心认真核实，并根据学校具体情况： 同意工作组和评议小组意见。 不同意工作组和评议小组意见。调整为： 。负责人签字： 年 月 日（加盖部门公章）高等学校家庭经济困难学生复核申请表学生本人基本情况姓名性别出生年月民族身份证号码政治面貌家庭人均年收入元学院专业班级学号宿舍房间在校联系电话学生陈述复核申请理由 学生签字： 年 月 日注：应突出说明家庭成员、经济收入和支出等在过去一年内变化的情况等，可另附详细情况说明。个人物品申报本人拥有如下物品：电脑： 品牌、来源：、买入价：元、 新 旧、 台式机 笔记本手机： 品牌、来源：、买入价：元、 新 旧Mp3/4： 品牌、来源：、买入价：元；其他高档生活用品需要说明的： 。 学生签字： 年 月 日民主评议该生经评议小组测评结果如下：家庭经济测评分值（X）: ；民主评议测评分值（Y）: 。同意推荐！评议小组组长签字： 年 月 日学院推荐意见经评议小组推荐、本学院认真审核后，给出学院综合意见分值（Z）： 。运用家庭经济困难学生测评计算公式，得出家庭困难程度测评分值（M）： 。 初步确定该生为家庭经济困难学生，推荐结果见下栏。工作组组长签字： 年 月 日认定决定认定工作组推荐结果A.家庭经济特殊困难 B.家庭经济困难 C.家庭经济一般困难 D.家庭经济不困难 学校学生资助服务中心意见经学生所在学院提请，本中心认真核实，并根据学校具体情况： 同意工作组和评议小组意见。 不同意工作组和评议小组意见。调整为： 。负责人签字： 年 月 日（加盖部门公章）regulations since it happened. Second, operations (a) compulsory vaccination work in accordance with the XX district major animal diseases compulsory immunization programme for the implementation of the requirements, XX district concentrated in animal epidemic prevention in spring 2015 immune time start from February 16, 2015 and ending on March 31, 2015; centralized immunization of animal epidemic prevention in the fall from August 16, 2015, ending on September 30. Usually to fill from the fill bar animal May 2015 in October and immune effects monitoring and evaluation, and epidemic prevention responsibility complete the inspection and evaluation. Concentrated study period, the township (town) in accordance with the five no leakage (does not leak not leak village, the village does not leak, households without livestock, livestock does not leak leakage needle) promoting requirement, Commando immunization and immunization teams to fully implement an immunization. Density Spring 1, immune control as of March 31, 2015, the region-wide implementation of the foot and mouth disease vaccination 174,131. Pigs foot and mouth disease immune 123,698 immune density 91%; bovine foot-and-mouth vaccination 21,547, density of immune 90%; sheeps foot and mouth disease immune 28,886, density of immune 93%; classical swine fever immunization 123,932, density of immune 92%; avian influenza immunization 969548 feather, immunity density of 90%; the highly pathogenic blue-ear pig disease vaccination 123,753, immunity density of 91%, Avian Newcastle disease vaccination 969,941 p, immunity density of 90%, with the exception of five, the immunity density reaches 100%. And specification, completely fill out the immunization card, Township, village, group, established animal immune records. fall prevention according to the plan, XX district 2015 focused immunization of animal epidemic prevention in the fall from August 16, 2015, due September 30, 2015, the region completed pig 321 immunization 149,014, immunization schedule 100%; beef w ill immunization injection 23,030, immunization schedule 100% sheep w ill immunization injection 29,603, immunization schedule 100%; avian influenza immunization 958,626 feather, 100% immunization schedule, with the exception of five, the immunity density at 100% . Full coverage for working mode, leaving no dead ends, 321 technical proposal, district-wide open. District, and Xiang, and (town) respectively established spring animal epidemic prevention work led group and technology group, established sound animal epidemic prevention accountability, carefully deployment, carefully organization, to township technicians, and village level epidemic prevention member and village group cadres composition immune commando, by village by households concentrated immune, according to five not leak and five not playing of technology requirements implementation animal epidemic prevention whole village advance work. Form 26 immune over the spring against commando, Cun, patterns covering 7 of township (town), in 60 villages, 711 village group, pig foot-and-mouth 123,698, swine fever in immunity 125,719 immune 125,540 the highly pathogenic blue-ear pig disease. Scale farmers veterinary departments supervise and provide vaccines, immunization programs to carry out immunization. All free-range pigs are in the autonomous region with the 321 technical solution to allow an immunization, the immune stress response rate is 0.45 per thousand, and reaction rate of 0.23 per thousand. (Fall prevention9天津工业大学学生资助中心制表天津工业大学学生家庭经济情况测评指标体系一级指标二级指标主要观测点参考权重备注特殊情况1.1 烈士子女民政部门救济的701.2 孤儿无经济来源的701.3 低保家庭城乡居民最低生活保障家庭特困救助家庭优抚对象家庭10861.4 残疾学生家庭经济困难的残疾学生31.5 学费标准4000元以下（含）4000元以上8000元以下8000元以上（含）025学生生源地2.1东部地区东部地区的县市东部地区的村镇东部地区的国家级贫困地区1362.2中部地区中部地区的县市中部地区的村镇中部地区的国家级贫困地区2582.3西部地区西部地区的县市西部地区的村镇西部地区的国家级贫困地区41015学 生 家 庭 情 况 （一） 3.1家庭双亲情况双亲家庭单亲家庭（因父母离异-监护人为父亲）单亲家庭（因父母离异-监护人为母亲）单亲家庭（因父母离异-监护人为其他人）单亲家庭（因一方亡故-监护人为父亲）单亲家庭（因一方亡故-监护人为母亲）单亲家庭（因一方亡故-监护人为其他人）关于单亲家庭学生抚养费支付其他情况0246410124其他情况的参考权重为043.2家庭经济类型父母都务农父工母农母工父农父母都工作母亲工作-父亲下岗父亲工作-母亲下岗父母双方下岗且都未再就业父母双方下岗其中一方已再就业关于家庭经济其他情况624042642其他情况的参考权重为023.3父母健康状况父母身体状况良好父亲身体状况偏差单亲父亲身体状况偏差母亲身体状况偏差单亲母亲身体状况偏差父亲身体状况极差单亲父亲身体状况极差母亲身体状况极差单亲母亲身体状况极差04628812610可多选3.4父母身体状况父母都是残疾人父亲残疾人单亲父亲残疾人母亲残疾人单亲母亲残疾人1058310学 生 家 庭 情 况 （二）3.5父母年龄情况父母壮年（父50岁或母45岁以下）父母年迈 父51岁-60岁父61岁-70岁父71以上母46岁-55岁母56岁-65岁母66岁以上0234123可多选3.6家庭赡养（外）祖父母情况赡养祖父赡养祖母赡养外祖父赡养外祖母（外）祖父（母）身体状况良好（外）祖父（母）身体状况较差222204可多选3.7家庭成员（哥哥或姐姐）哥哥或姐姐在学（研究生阶段除外）哥哥或姐姐务农哥哥或姐姐打工哥哥或姐姐正式工作哥哥或姐姐身体状况较差（含残疾人）关于哥哥或姐姐其他情况说明310042可多选，其他情况的参考权重为023.8家庭成员（弟弟或妹妹）弟弟或妹妹辍学（18岁以下）（1个）弟弟或妹妹在读初中或小学（1个）弟弟或妹妹在读高中（1个）弟弟或妹妹在读大学（1个）弟弟或妹妹身体状况较差（1个）弟弟或妹妹是残疾人（1个）关于弟弟或妹妹其他情况说明6243242可多选，其他情况的参考权重为02加分情况4.1学生家庭经济遭受特大自然灾害，生活无保证如洪涝、雪灾、旱灾等3-5视情况确定加多少分4.2学生家庭成员中有长期患重病的，正在治疗如白血病、尿毒症、癌症等104.3 学生家庭有突发事件近期有突发事件造成家庭经济困难的3-5视情况确定加多少分4.4 学生家庭欠债情况因上学、治病、突发事件致使借外债万元以上的5-10视情况确定加多少分天津工业大学家庭经济困难学生民主评议表学院： 年级： 日期： 年 月 日申请人姓名性别政治面貌学号家庭住址电话档次项目观测点好较好一般较差学习态度1.1热爱所学专业，刻苦钻研，勇于创新，敢于实践，积极参加课外科技活动（满分4分）42101.2积极提高基本技能（外语、计算机能力等），积极参加“四杯”等学科竞赛（满分4分）42101.3遵守课堂纪律，上课专心听讲，认真做纪录，不抄袭作业（满分4分）42101.4积极参加体育锻炼和健康的文化活动，积极参加晨读晨练（满分3分）3210遵纪守法2.1热爱学校，遵守学校规章制度，自觉维护公共秩序（满分4分）42102.2自觉遵守公寓内行为准则，模范执行公寓内卫生规范，安全防火责任强，不用违禁电器。（满分4分）42102.3自觉遵守校园秩序管理制度，讲正气,见义勇为（满分1分）11002.4自觉遵守图书馆有关管理规定，爱惜图书，不损坏和偷盗图书（满分1分）1100讲究卫生3.1积极参加卫生大扫除，认真做好宿舍卫生，保持教室、实验室、阅览室整洁（满分3分）32103.2在食堂自觉排队，文明就餐，就餐后将餐具放回指定处，保持食堂的整洁（满分2分）21003.3不随地吐痰，不乱扔废弃物，保持校园清洁（满分1分）11003.4仪表端庄,服饰整洁，宿舍内积极做好个人卫生（满分4分）4210品德修养4.1诚实守信，诚信贷款，诚信还贷，及时缴纳学费，考试不作弊（满分4分）42104.2尊敬师长、尊重他人，团结友爱、关心集体（满分4分） 42104.3男女交往，举止得体，自尊、自重、自爱（满分4分）42104.4说话有事实依据，办事从实际出