抚宁牵手助学考察表                                                    
考察地点        台营青山口村                    考察时间                2015.01.14        

姓    名        郭海静        性别    女        出生年月                1998.10        

就读学校     柳各庄中学       班级    九年级            身 高    163cm（60/110）     
 
                                                            
监护人称谓            姓名        年龄        职业                        身高
      奶奶            张素芝        83        务农                        150cm
                                                    
 家 庭 情 况            父亲去世，母亲改嫁，现与年迈的奶奶一起生活。条件极差。                                        

在 校 表 现            成绩突出，表现良好，品学优。                                         

家庭所需物资            旧衣物                                        

学生所需物资               笔本、旧衣物                            资助金额        700元