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SERVICIUL DE EVALUARE I ORIENTARE COLAR I PROFESIONAL din cadrul C.J.R.A.E. Alba

Subsemnatul(a) ____________________________________________________, domiciliat n ___________________________________________________________, numr telefon ______________________ solicit evaluarea i orientarea colar i/sau profesional a fiului/ fiicei mele _______________________________________________________ nscut/ la data de ___________________ n ______________________ jud. ______________________ spre: unitate de nvmnt special _________________________________________; clasa special inegrat n unitate obinuit de nvmnt ___________________; coal (grdini) de mas - cu sau fr structuri/servicii de sprijin (se precizeaz care, dac se recomand) ____________________________________________; meseria/meseriile (nvmnt profesional) _____________________________; colarizare n regim de zi, colarizare n regim de internat (sptmnal sau semestrial) _______________________________________________________; alte situaii ______________________________________________________ .V mulumesc.

Data,Semntura,____________________________________