Vizat ,

INSPECTOR SCOLAR GENERAL

Ctre
Inspectoratul colar Judeean ............

1.

ntiinm

deplasarea/ excursia/tabra

de

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:
Ziua
Activitate n localitatea

Orel
e

Activitate n localitatea

Orele

Plecarea din localitatea

Sosirea napoi n localitatea

6.

Mijloace de transport: __________________________________________________________________________

asigurate de __________________________________________________________________________________

7.

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.

______________________________________________________________________________________

6.

______________________________________________________________________________________

8.

9.

Ali aduli nsoitori (prini, rude, etc.)

1.

______________________________________________________________________________________

2.

______________________________________________________________________________________

3.

______________________________________________________________________________________

Instructajul elevilor privind securitatea deplasrii s-a fcut la data de _________ i se va repeta
nainte de plecare

de ctre _____________________________________________________________________________________
10. 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:
_______________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
11. 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
SEMNTUR
CLASA / NR
NUMELE I
SEMNTUR
CLASA
.
PRENUMELE
A ELEV
OBS.
.
PRENUMELE
A PRINTE
/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___