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1. บันทึกการศึกษาดูงานโครงการในพระราชดาริ ณ ................................................. วันที่ ........................เดือน.....................พ.ศ. ชื่อ............................................................. คณะ................................................. ชั้นปีที่..................................เลขที่.............. มหาวิทยาลัยมหาจุฬาลงกรณราชวิทยาลัย วิทยาลัยสงฆ์อุบลราชธานี

2. กาหนดการเดินทางไปทัศนศึกษา ดูงาน วัน..................เดือน.....................พ.ศ...........

3. บันทึกการศึกษาดูงาน สถานที่.............................................อาเภอ.............................จังหวัด................................ วันที่ ................................. เวลา ................................... ความรู้และสิ่งที่ได้รับ ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... การนาความรู้ที่ได้รับไปประยุกต์ใช้ในการจัดกิจกรรมการเรียนรู้/งาน ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ความประทับใจ ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ข้อคิดเห็น/ข้อเสนอแนะเพิ่มเติม ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ลงชื่อ ................................................................ผู้บันทึก

4. บันทึกการศึกษาดูงาน สถานที่.............................................อาเภอ.............................จังหวัด................................ วันที่ ................................. เวลา ................................... ความรู้และสิ่งที่ได้รับ ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... การนาความรู้ที่ได้รับไปประยุกต์ใช้ในการจัดกิจกรรมการเรียนรู้/งาน ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ความประทับใจ ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ข้อคิดเห็น/ข้อเสนอแนะเพิ่มเติม ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ....................................................................................................................................................................................................... ลงชื่อ ................................................................ผู้บันทึก

5. แบบประเมินความพึงพอใจการศึกษาดูงานโครงการในพระราชดาริ วัน..................เดือน.....................พ.ศ........... ข้อเสนอแนะอื่นๆ .............................................................................................................................................................................. .............................................................................................................................................................................. .............................................................................................................................................................................. .............................................................................................................................................................................. ลาดับ ที่ รายการ ระดับความพอใจ ๕ ดีมาก ๔ ดี ๓ พอใช้ ๒ ปรับปรุง ๑ ปรับปรุง มาก ๑ ๒ ๓ ๔ ๕ ๖ ๗ ๘ ๙ ๑๐

6. ภาพประกอบ

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