Ctre

SERVICIUL DE EVALUARE I ORIENTARE COLAR I PROFESIONAL

din cadrul C.J.R.A.E. Alba

Subsemnatul(a) ____________________________________________________,
domiciliat n ___________________________________________________________,
numr telefon ______________________ solicit evaluarea i orientarea colar i/sau
profesional

fiului/

fiicei

mele

_______________________________________________________ nscut/ la data de

___________________ n ______________________ jud. ______________________
spre:

unitate de nvmnt special _________________________________________;

clasa

special

inegrat

unitate

obinuit

de

nvmnt

___________________;

coal (grdini) de mas

precizeaz

- cu sau fr structuri/servicii de sprijin (se

care,

dac

se

recomand)

(nvmnt

profesional)

____________________________________________;

meseria/meseriile
_____________________________;

colarizare n regim de zi, colarizare n regim de internat (sptmnal sau

semestrial) _______________________________________________________;

alte

situaii

______________________________________________________ .
V mulumesc.
Data,
_________________

Semntura,
___________________