formular excursie scolara
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Judeul
PAGE SE PREZINT PENTRU NTIINARE CU CEL PUIN 5 ZILE LUCRTOARE NAINTE DE PLECARE !!
CtreInspectoratul colar Judeean Constana1. V ntiinm de deplasarea/excursia/tabra de studii/agrement/tematic/concurs/festival____ efectuat cu un numr de ___ elevi din clasele _________, i un numr de ____ cadre didactice nsoitoare.
2. Itinerar: _____________________________________________________________________________________
____________________________________________________________________________________________
3. Perioada ___________________________________ Durata excursiei: _______ zile, L Ma Mi J V S D
iniial / reprogramat pentru_________din motive _____________________________________________________________________________________________________________________________________
4. Obiective vizate: ______________________________________________________________________________
____________________________________________________________________________________________
5. Programul excursiei:
ZiuaActivitate n localitateaOreleActivitate n localitateaOrele
Plecarea din localitatea
Sosirea napoi n localitatea
6. Mijloace de transport: __________________________________________________________________________
7. asigurate de __________________________________________________________________________________
8. Colectivul care rspunde de organizarea excursiei:
- cadre didactice nsoitoare care rspund de securitatea elevilor: Subsemnaii, nsoitori ai elevilor n aceast excursie, declarm pe propria rspundere c vom asigura securitatea i integritatea elevilor participani. Am efectuat instruirea elevilor, prezentndu-le normele de comportament civilizat i cele pentru asigurarea integritii lor fizice:
Semntura
1. _________________________________________________ (conductor) __________________________
2. ______________________________________________________________________________________
3. ______________________________________________________________________________________
4. ______________________________________________________________________________________
5. ______________________________________________________________________________________
9. ______________________________________________________________________________________
10. Ali aduli nsoitori (prini, rude, etc.)
1. ______________________________________________________________________________________
2. ______________________________________________________________________________________
3. ______________________________________________________________________________________
11. Instructajul elevilor privind securitatea deplasrii s-a fcut la data de _________ i se va repeta nainte de plecare de ctre _____________________________________________________________________________________
12. Organizarea programului de recuperare a orelor absentate
este excursia anual cu elevii claselor primare, nu necesit program de recuperare
excursia este organizat n zile nelucrtoare/vacan, nu necesit program de recuperare
elevii participani individual se angajeaz s recupereze n ritm propriu temele predate n orele de la care au absentat
ntruct deplasarea se efectueaz n timpul programului colar, recuperarea orelor, pentru profesori i elevi, se va face n felul urmtor: _______________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
13. Alte meniuni cu privire la organizarea i desfurarea excursiei:
costurile excursiei sunt suportate de ( prini ( I..J. ( M.Ed.C. ( consiliul local ( sponsorul ________________________________________________________________________________________
grupul are n dotare trusa obligatorie de prim-ajutor / este nsoit de cadrul medical ___________________
cazarea este asigurat la____________________________________________________________________
director,
____________________________
tabel nominal
cuprinznd participanii la deplasarea/excursia/tabra de studii/agrement/tematic/concurs/festival/_______
din perioada ___________________, pe traseul _______________________________________________
_______________________________________________________________________________________
Subsemnaii, declarm c am luat la cunotin regulile de comportare i securitate privind deplasarea n excursiile i taberele colare i ne angajm s le respectm ntocmai.
Nr.Numele i prenumeleSemntura elev/printeClasa /Obs.Nr.Numele i prenumeleSemntura elev/printeClasa /Obs.
1. 31.
2. 32.
3. 33.
4. 34.
5. 35.
6. 36.
7. 37.
8. 38.
9. 39.
10. 40.
11. 41.
12. 42.
13. 43.
14. 44.
15. 45.
16. 46.
17. 47.
18. 48.
19. 49.
20. 50.
21. 51.
22. 52.
23. 53.
24. 54.
25. 55.
26. 56.
27. 57.
28. 58.
29. 59.
30. 60.
director,
____________________________
CONDUCTORUL EXCURSIEI:____________________________semnat___cadre didactice NSOITOaRe:________________________semnat_______________________________________________________semnat_______________________________________________________semnat___
Inspector educaie permanent, Pagina 1 din 2