Ficha de Queixa escolar

IDENTIFICAÇÃO DA ESCOLAR
Instituição
Endereço: ___________________________________________________________________________
Bairro: Telefone:

RESPONSÁVEL PELA QUEIXA

Nome:
Segmento:
( ) Equipe gestora
( ) Equipe Pedagógica
( ) Professor (a)
( ) Aluno
( ) Equipe de apoio

DETALHAR QUEIXA
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_____________________, _________ de _________ de 2022.

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Responsável pela queixa escolar

Recebido por: __________________________________________ Data: ___/___/______.