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. _______________________________________________________________________________________ d. _______________________________________________________________________________________ 13. Sugestii, recomandări: a. _______________________________________________________________________________________ b. _______________________________________________________________________________________ c. _______________________________________________________________________________________ NUMELE, PRENUMELE și semnăturile cadrului didactic/cadrelor coordonator/coordonatoare _____________________________ ____________ _____________________________ ____________ _____________________________ ____________