__________________________________________________________
(прізвище, ініціали)
з “___” _________ до “___” ________ 20___ р.
| № з/п | Заплановані заходи | Термін виконання | Відмітка про виконання | Примітка |
| У З Г О Д Ж Е Н О Керівник стажування від Університету ___________________________________ (посада) ___________________________________ (підпис, прізвище та ініціали) “ __” ______________ 20__ р. | Студент ___ групи ___курсу ___________________________ (прізвище, ініціали) __________________ (підпис) “___”_______________ 20__ р. |
З А Т В Е Р Д Ж У Ю
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(посада, звання)
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(підпис)
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(прізвище керівника структурного підрозділу установи)
“ ___” ____________ 20_ р.
П Л А Н Р О Б О Т И
Студента на час проходження стажування
| № з/п | Заплановані заходи | Дата виконання | Відмітка про виконання | Примітка |
Студент _____________ _____________________
(підпис) (прізвище, ініціали)
“___”___________20__ р.
Н О Т А Т К И
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