PREFEITURA MUNICIPAL DE GUAREÍ

SECRETARIA MUNICIPAL DE EDUCAÇÃO

Rua José de Oliveira Matos, 366 – Alto do Cruzeiro
Guareí – SP – CEP 18250-000 Fone/Fax (15) 3258 – 2045
e-mail:supervisaosem@gmail.com

TERMO DO MOTIVO DE DESISTÊNCIA DO ATENDIMENTO EDUCACIONAL

PELA EQUIPE MULTIDICIPLINAR

Nome do
aluno:________________________________________________________

D.N. ____/_____/_____. Ano escolar:

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Atendimento
especializado:__________________________________________________

Profissional atuante no atendimento

multidisciplinar:_____________________________

Motivo da desistência do atendimento especializado

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Assinatura por extenso do responsável