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DADOS PARA EMISSO DE CONTRATO CURRICULAR1- Empresa

Razo Social:________________________________________________________________
CNPJ:______________________________________________________________________
Endereo:___________________________________________________________________
Bairro:______________________________________________________________________
CEP:_______________________________________________________________________
Cidade:_____________________________________________________________________
Telefone:____________________________________________________________________
Representada por:_____________________________________________________________
RG:________________________________________________________________________
CPF:_______________________________________________________________________
Cargo:______________________________________________________________________
Supervisor do Estgio:_________________________________________________________
Cargo do Supervisor___________________________________________________________
Cdigo no conselho:__________________________________________________________
2- Estudante
Nome:______________________________________________________________________
RA:________________________________________________________________________
Telefone:____________________________________________________________________
RG:________________________________________________________________________
CPF:_______________________________________________________________________
Data de nascimento___________________________________________________________
Endereo:___________________________________________________________________
Bairro:___________________________________CEP:______________________________
Cidade:_____________________________________________________________________
Curso:______________________________________________________________________
Semestre:____________________________________________________________________
Carga Horria Obrigatria: ____________________________________________________
Perodo do estgio:______/______/______ at ______/______/_______
Dias do Estgio:______________________________________________________________
Horrio do estgio: ___________________________________________________________
Carga Horria Semanal: _______________________________________________________
Professor Orientador:__________________________________________________________
3 Atividades que ir desenvolver:_________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Americana, _____/_____/______.
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ASSINATURA DO(A) ALUNO(A)

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ASSINATURA PROF. ORIENTADOR