FICHA DE CONTROLE E REGISTRO DE ESTÁGIO

CURRICULAR SUPERVISIONADO

Aluno (a): _______________________________________________ Curso: _____________________

Professor (a) Supervisor (a) de Estágio: __________________________________Início do Estágio ___/___/___ Término: ___/___/___
Nome do Estabelecimento: _________________________________ Diretoria de Ensino de ______________________________

Data Nº de horas Modalidade do Ass. do professor (a)

Assunto da aula Nível de ensino Série
Dia Mês aula estágio responsável pela classe
 Data Nº de Modalidade do Ass. do professor (a)
Assunto da aula Nível de ensino Série
Dia Mês horas aula estágio responsável pela classe

Assinatura do (a) diretor (a) do estabelecimento de ensino com carimbo da escola: ___________________________________________
ATESTADO DE COMPARECIMENTO E CUMPRIMENTO
DE HORAS DE ESTÁGIO – ANEXO 3
Atesto, para os devidos efeitos legais e pedagógicos,
que o (a) aluno (a) ______________________________________, RG
n. _______________________, do Curso Superior de Graduação em
_________________________________________ compareceu a este
estabelecimento de ensino, cumprindo um total de _________ horas de
Estágio Curricular Supervisionado, no período de ___/___/___ a
___/___/___.
_____________________, ___ de ______________ de 200_.
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carimbo e assinatura do diretor
FICHA CADASTRAL DA UNIDADE ESCOLAR
CONCEDENTE
1. Nome do estabelecimento: ___________________________________________
2. Endereço: _________________________________________________________
3. Diretoria de Ensino:______________________________Fone: ______________
4. Diretor (a): ________________________________________________________
5. Entidade mantenedora:
( ) pública ( ) particular leiga ( ) particular religiosa
6. O prédio de instalação do estabelecimento é:
( ) próprio ( ) alugado ( ) cedido ( ) outra situação. Qual? ___________
7. O estabelecimento dispõe de salas especiais
para uso dos alunos? ( ) sim ( ) não
8. Há biblioteca? ( ) sim ( ) não
9. Há laboratórios? ( ) sim ( ) não
10. Há serviço de Orientação Educacional? ( ) sim ( ) não
11. Há serviço de Coordenação Pedagógica? ( ) sim ( ) não
12. Além do Diretor (a) da escola, há Vice-Diretor (a)? ( ) sim ( ) não
Quantos? ____________________________________________________________
13. Há grêmio e Centro Cívico? ( ) sim ( ) não
14. A.A.P.M. é atuante? ( ) sim ( ) não
15. Assinale as modalidades de ensino oferecidas pela escola:
( ) educação infantil
( ) ensino fundamental ciclo I (1ª a 4ª séries)
( ) ensino fundamental ciclo II (5ª a 8ª séries)
( ) ensino médio
( ) supletivo
( ) outros: _________________________________________________________
16. Período de funcionamento:
( ) matutino
( ) vespertino
( ) noturno
17. Cite três objetivos considerados mais importantes pela Escola:
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18. Sistema de avaliação:
( ) notas ( ) conceitos
19. Critérios de aprovação:
( ) critérios próprios ( ) de acordo com o regimento interno
20. Recuperação:
( ) Critérios próprios ( ) de acordo com o regimento interno
21. Conselho de classe:
( ) critérios próprios da escola particular ( ) de acordo com deliberações pré-
fixadas
22. Outras considerações:
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Local: _______________________________________________________________
Data: ___/___/___.
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assinatura do (a) aluno (a)
 FICHA DE OBSERVAÇÃO DE ESTAGIÁRIO
Data: ___/___/___ aula nº _________________ série: ___________
Escola: ______________________________________________________________
Professor (a): _________________________________________________________
Atividades observadas:
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Objetivos propostos:
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Recursos utilizados:
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Ação do professor:
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Ação dos alunos:
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Observações gerais:
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Nome do estagiário: ___________________________________________________
 FICHA DE PARTICIPAÇÃO DO ESTAGIÁRIO
Data: ___/___/___ aula nº _________________ série: ____________
Escola: ______________________________________________________________
Professor (a): _________________________________________________________
Atividades realizadas:
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Objetivos propostos:
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Recursos utilizados:
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Ação do professor/ação do estagiário:
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Ação dos alunos/reação dos alunos:
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Observações gerais/reflexões:
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Nome do estagiário: ___________________________________________________