* 個資使用聲明：本平台個人資訊僅供承辦單位使用。

§【台北諮商】113-1「陽光心靈檢測」導師知情同意書Informed Consent

活動類型: 
團體心理測驗
發布單位: 
諮商輔導中心
辦理校區: 
台北
畢業門檻: 
非畢業門檻
活動日期: 
星期三, 九月 4, 2024 to 星期二, 十二月 31, 2024

　　親愛的同學，歡迎加入銘傳。

        這份「學生心理健康關懷量表」可以幫助你了解自己的身心狀態，預估自我適應大學生活的情況，做為規劃大學生活的參考。

       並協助學校諮商輔導中心了解你的身心健康狀況，針對個人需求給予適當之關懷並提供你可以運用的資源。

　　此份測驗結果只有本校諮商輔導中心的輔導老師於必要時才可調閱，並遵守保密原則及相關倫理。

        若導師或其它人士申請調閱時，需經過你本人之同意。因此需要請你在下方勾選， 是否同意測驗結果讓導師知情。 

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Dear student, 

    Welcome to Ming Chuan University. This “Attentive Inventory of Mental Health” is an assessment which helps you better understand your mental health status as well as how you have adjusted to college life. The assessment result can also be served as a reference for MCU Counseling Center to understand your physical and mental health status. This allows us to further provide support and assistance for you based on your needs. 

 

    The assessment result is confidential and will only be evaluated by licensed mental health professionals from MCU Counseling Center when necessary. If your class advisor requests to view the result, no information will be disclosed to them without your consent. Therefore, we would like to confirm your willingness to disclose the assessment result to your class advisor.

 

請輸入科系、年級、班級，例如：風保一甲 e.g. IBT1A
此題目用於評估若需後續連繫，用中文打電話給您是可行的嗎? If we find that you are under high stress, we will call you for a follow-up. Will you be able to understand if the call is in Chinese?

【個資宣告】

本表單蒐集之個人資料，僅限於與相關事務、管理業務、協助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、法規與個資連絡窗口。 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.

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