Act de vizita la domiciliul elevului

al Grupului de Lucru Intrascolar

Numele elevului _____________________
Data____________
Obiectivele vizitei :1.__________________________
2.__________________________
Desfasurarea discutiilor cu familia:
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Concluzii:___________________________________________
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Semnatura parintelui/ ingrijitorului_______________________
Semnatura membrilor Grupului de lucru intrascolar:_________
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