Modelo de Relatório Estágio Supervisionado em Áreas Afins

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 ESTAGIO DE ALUNOS
1 – CREDENCIAMENTO
 O aluno abaixo designado está credenciado pela Direção das Faculdades Integradas de Santa Fé do Sul, a solicitar do(a) Senhor(a) Diretor(a)/Proprietário(a) da __________________________________________________________________
Município de ___________________________________ a devida autorização para um período de estágio, cooperando com o Planejamento da Instituição, enquanto permanecer, como estagiário, nesse conceituado estabelecimento - Campo de Estágio.
2 – IDENTIFICAÇÃO DO ALUNO
2.1. – Nome: ________________________________________________________.
2.2. – RG. nº: _______________________________________________________.
2.3. - CPF: _________________________________________________________.
2.4. – Endereço: _____________________________________________________.
2.5. – Cidade: _______________________________________________________.
2.6. – Curso: _______________________________________________________.
2.7. – Série: ________________________________________________________.
2.8. – Telefone: _____________________________________________________.
2.9. – E-mail: ______________________________________________________.
3 – DADOS REFERENTES AO ESTÁGIO
 3.1. – Tipo de Estágio: Prática de Ensino na Forma de Estágio Supervisionado em: Educação Física – Áreas Afins
 3.2. – Início: _____________________________________________________
 3.3. – Número de horas previstas: ____________________________________
 Santa Fé do Sul, ______de __________________ de 2009.
 _____________________________
 Assinatura do(a) Estagiário(a)�
Ilmo(a) Sr.(a) Diretor(a)/Proprietário da ___________________________________
____________________________________________________________________
Município : _______________________________ Estado : ___________________
____________________________________________________________________,
RG. n.º ________________________, aluno(a) regularmente matriculado(a) no _____________ ano do Curso de Educação Física das Faculdades Integradas de Santa Fé do Sul, Estado de São Paulo, juntando a documentação necessária, vem à presença de Vossa Senhoria, REQUERER autorização para realizar o Estágio de Prática de Ensino sob Forma de Estágio Supervisionado em Educação Física – Áreas Afins, nesse conceituado estabelecimento – Campo de Estágio – na área de ____________________________________________________________________.
Termos em que,
Pede Deferimento.
 Santa Fé do Sul, ________ de __________________de 2009.
 ______________________________________
 Assinatura do(a) Estagiário(a) 
 
I – IDENTIFICAÇÃO DO ESTAGIÁRIO
ALUNO__________________________________________________________RM____________
RG______________________________________CPF___________________________________
Estado Civil______________________________________________________________________
Curso__________________________________Semestre __________________Ano____________
Disciplina_______________________________________________________________________
Trabalho atual
Local___________________________________________________________________________
Função__________________________________________________________________________
Endereço
Rua____________________________________________________________nº_______________
Cidade_____________________________________Estado______________CEP______________
Telefone_________________________________________________________________________
Assinatura:_______________________________________________________________________
Data:______________
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II – IDENTIFICAÇÃO DO CAMPO DE ESTÁGIO EM ÁREAS AFINS
Nome da Instituição: _______________________________________________________________
Endereço: _______________________________________________________________________
Cidade: _____________________________________________________________UF:_________
Telefone: ________________________________________________________________________
Diretor/Proprietário: _______________________________________________________________
Coordenador: ____________________________________________________________________
Professores responsáveis: ___________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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RELATÓRIO DE ESTÁGIO DE ESTUDO E PESQUISA 
Data:______/______/_______ Carga Horária:_________________
Resumo da pesquisa do Planejamento Institucional:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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Estagiário _______________________________________________________________________
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RELATÓRIO DE ESTÁGIO DE OBSERVAÇÃO
Área do Estágio: __________________________________________________________________
Atividade física desenvolvida: _______________________________________________________
Início: ___/___ 		Término: ___/___ 			Carga Horária:_____horas/aulas.
Característica do local de atuação do estágio ____________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Atuação do professor_______________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Forma de apresentação e/ou desenvolvimento da atividade física ____________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Relacionamento professor/aluno______________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Objetivos da atividade física proposta _________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Aplicação da atividade física proposta _________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Estagiário _______________________________________________________________________ 
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RELATÓRIO DE ESTÁGIO DE PARTICIPAÇÃO
Área do Estágio: __________________________________________________________________
Atividade física desenvolvida: _______________________________________________________
Início: ___/___ 		Término: ___/___ 			Carga Horária:_____horas/aulas.
Relate a atividade_________________________________________________________________ ________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Metodologia e recursos utilizados_____________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Avaliação do estagiário____________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Estagiário:_______________________________________________________________________
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RELATÓRIO DE ESTÁGIO DE REGÊNCIA
Área do Estágio: __________________________________________________________________
Atividade física desenvolvida: _______________________________________________________
Início: ___/___ 		Término: ___/___ 			Carga Horária:_____horas/aulas.
Objetivo(s)_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Procedimentos utilizados ___________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Recursos utilizados _______________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Avaliação _______________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Bibliografia utilizada ______________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Estagiário ______________________________________________________________________ 
 
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