____________________________

(Unitatea colar)

________________________________________________________
(Adresa/ localitatea)

FI INDIVIDUAL DE FORMARE CONTINU

1.Numele i prenumele:____________________________________
2.Data naterii i localitatea _____________________________________
3.Studii:
Instituii de nvmnt absolvite / specializarea / anul absolvirii
a)___________________________________________________________/
_________________________________________/__________________
b)___________________________________________________________/
_________________________________________/__________________
c) ___________________________________________________________/
_________________________________________/__________________
4.Anul ncadrrii n nvmnt:___________
5.Anul ncadrrii n unitate:____________, necalificat/titular/suplinitor
_____________________________________________________________
(alte mnionri referitoare la schimbarea ncadrrii)
6.Anul obinerii gradelor didactic/cu media:
a) definitiv______/_______ b) gradul didactic II ______/________
c) gradul I______/_____
7.Stagii de formare la care a participat i anul i anul absolvirii( cursuri de
conversie profesional- specializare; masterat- specializare; burse de perfecionare/ stagii de formare n ar
i strintate) __________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________
Mod de Consemnri
Nr. Anul finalizare a (numele i
crt. Formare continu absolvirii cursului semntura
responsabilului cu
( denumirea cursurilor absolvite- (calificative,
formarea
not, nr.
furnizorul de formare) credite, nr.
continu/ comisie
metodic/
ore) director)