1. Titlul activităţii: ____________________________________________________
2. Coordonatorul/Coordonatorii activităţii:____________________________________________________ 3. Data desfăşurării: _______________________________________________________________________ 4. Durata activităţii: _______________________________________________________________________ 5. Grupul ţintă: __________________________________________________________________________ 6. Parteneri implicaţi: _____________________________________________________________________ 7. Obiectivele (2, max. 3): a. _____________________________________________________________________ b. _______________________________________________________________________________ c. ____________________________________________________________________________ 8. Resursele: a. Umane: ________________________________________________________________ b. Materiale: ____________________________________________________________ 9. Descrierea activităţii (max. 5 fraze): ________________________________________________________________________________________ ______________________________________________________________________________________ __________________________________________________________________________________________ _______________________________________________________________________________________ __________________________________________________________________________________________ 10. Rezultate aşteptate: a. _____________________________________________________________________________ b. ________________________________________________________________________ c. __________________________________________________________________________ d. ______________________________________________________________________________ 11. Modalităţi de evaluare a activităţii: a. __________________________________________________________________________ b. ____________________________________________________________________________ c. _______________________________________________________________________________ 12. Rezultate înregistrate: a. _______________________________________________________________________________ b. _______________________________________________________________________________ c. ______________________________________________________________________________ 13. Sugestii, recomandări: a. __________________________________________________________________________ b. _____________________________________________________________________________ c. ___________________________________________________________________________
NUMELE, PRENUMELE și semnăturile cadrului didactic/cadrelor