110（上）媒體實習（一）選修課（2學分,160小時）

1. 非本國生請記得申請工作證。
2. 下列資料為實習期間投保用。
3. 填寫資料時，若有不確定的情況，請填寫：目前未定，待補。

【個資宣告】本表單蒐集之個人資料，僅限於會計與相關事務、憑證管理業務、協助公部門調查或執行業務及法令需求等目的存續期間所需之必要範圍與地區內，供業務相關人員處理及利用。您將享有個資法第3條規定的五項權利，並可至「銘傳大學個人資料保護專區」(http://pims.mcu.edu.tw 進一步瞭解本校的個資管理政策、法規與個資連絡窗。

The information collected on this form is only used in the range and region required for the purposes of conducting accounting and relevant affairs, voucher management, assistance with government units’ investigation, implementation and legal requirements ; the period of keeping the information on file is based upon the activity. You will have rights in accordance with Item 5, Article 3 of Personal Information Protection Act. Please refer to MCU Guidelines for Personal Information Protection Management and MCU Personal Information Management System at URL http://pims.mcu.edu.tw) for further understanding of MCU personal information management policy, regulations and contact information.