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Фамилия, имя. Отчество                                                                                                

Год рождения                                                                                                                

Какое учебное заведение (факультет, отделение и в каком году окончил (а))?
                                                                                                                                        
                                                                                                                                        

Школа где работает (область, район, город), занимаемая должность и вид деятельности, преподаваемый предмет, количество учебных классов по предмету, общее количество часов и др.                                                                                                                     
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        

ХАРАКТЕРИСТИКА

                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        

Рекомендации по совершенствованию учебно-воспитательной работы, повышению идейно-политического уровня, профессиональной подготовки и др. /указать конкретно/                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        
                                                                                                                                        

Оценка стажеру «__________________»

Директор школы                                                                                                           

Зам директора по учебно-воспитательной работе                                                       

«___»____________200__г.    Руководитель стажировки                                         



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