Liceul Tehnologic Capitan Nicolae Plesoianu

Str.: Gabriel Stoianovici, Nr.:5, Rmnicu Vlcea

Cod fiscal: 2649544
Tel.: 0250/73.28.53; 73.74.21; 0350/809583
e-mail:grplesoianu@yahoo.com
Visit:www.cnplesoianu.ro

I. DATE REFERITOARE LA CADRUL DIDACTIC

1. NUME/INIT/PRENUME
______________________________________________________________

II. STUDII PROFESIONALE

1. SPECIALIZAREA________________________________________________________
2. INSTITUTIA ABSOLVITA
________________________________________________________________________
3. DATA ABSOLVIRE_______________________________________________________
4. DATA ECHIVALARE_____________________________________________________
5. CPT ECHIVALATE (daca este cazul pentru studii postuniversitare)_________________
III. GRADE DIDACTICE
DATA/ INSTITUTIE
DEFINITIVAT____________________________
___________________________________________________________

GRAD II________________________________
___________________________________________________________
GRAD I________________________________
___________________________________________________________
DOCTORAT________________________________
___________________________________________________________

IV. PROGRAME DE FORMARE CONTINUA

Nr Denumire
crt program

Tip program
(postuniversitar,
master, curs de
formare, curs de
perfectionare,
altele)

Furnizor
program

Tip document
(diploma/certificate
/adeverinta/etc)

Seria/
nr
certificat/
adeverinta

Perioada de
desfasurare

Data
certificare
(ridicare
diploma/adev}

Nr
Nr
CPT
credite ore echivalate
(CPT)

1
2
3
4
5
6
7
8
9
10
V. CURSURI DE FORMARE IN ANUL SCOLAR 2013-2014 (Denumire/Furnizor)
Enumerati cursurile la care ati depus/intentionati sa depuneti cerere de inscriere:
1. ______________________________________________________________________
2. ________________________________________________________________________
3. _________________________________________________________________________
4. ___________________________________________________________________________
* Prezenta fisa se completeaza de catre fiecare cadru didactic,se pastreaza la dosarul de formare continua si se va actualiza ori de cate
ori este necesar de catre cadrul didactic si se aduce la cunostinta responsabilului cu formarea continua din unitatea de invatamant..
* Fisa va fi insotita de documente justificative(copii) DOAR pentru cadrele didactice care NU si-au completat dosarul personal de la
secretarul unitatii.