DEPARTAMENTO ESTADUAL DE TRÂNSITO DE GOIÁS - DETRAN/GO
PROGRAMA EDUCANDO E VALORIZANDO A VIDA – EVV/UEG
1º PRÊMIO DA SEMANA NACIONAL DE TRÂNSITO 2017
ANEXO I - FORMULÁRIO DE ADESÃO
ESCOLAS PARTICIPANTES
Nome da Escola
Rede de Ensino ( ) Estadual ( ) Municipal ( ) Particular
Quantidade de alunosmatriculados no ano de 2017
Diretor(a)
Município
*Para as escolas estaduais:
Subsecretaria Regional deEnsino que jurisdiciona a escola
( ) SRE- Anápolis ( ) SRE- Aparecida ( ) SRE - Inhumas
( ) SRE- Metropolitana ( ) SRE - Trindade
Endereço da Escola
Telefone
Níveis de Ensino ( ) Fundamental- 1º ao 5º ano ( ) Fundamental- 6º ao 9º ano ( ) Médio
Modalidade de participaçãono concurso
( ) Desenho Livre ( ) História em Quadrinhos ( ) Crônica ( ) Redação ( ) Relatório de Mobilização ( ) Fotografia
Obs.: Todas as escolas que participarão do 1º PRÊMIO DA SEMANA NACIONAL DETRÂNSITO 2017 deverão preencher os dados do quadro acima e proceder a entrega do formulário noperíodo de 15/08/2017 a 15/09/2017, conforme previsto no Regulamento.
ANEXO III – FORMULÁRIO CRÔNICA
Tema: “Minha escolha faz a diferença no trânsito”. Instruções: a crônica deve ter no mínimo 20 e nomáximo 30 linhas. Não esqueça de preencher a identificação na parte inferior do formulário.
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Escola: __________________________________________________________Município:___________________UF:____
Rede de Ensino: ( ) Estadual ( ) Municipal
Diretor:_____________________________________________________________________________________________
Aluno(a):_______________________________________________________________________________Idade:________
Professor(a) Orientador(a):______________________________________________________________________________
Série: ( ) 9º ano do Ensino Fundamental ( ) 1º ano do Ensino Médio
ANEXO IV
FORMULÁRIO DE REDAÇÃO – TEXTO DISSERTATIVO-ARGUMENTATIVO________________________________________________________________________________Tema: “Minha escolha faz a diferença no trânsito”. Instruções: a redação deve ter no mínimo 20 e nomáximo 30 linhas. Não esqueça de preencher a identificação na parte inferior do formulário.
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Escola: __________________________________________________________Município:_________________________________UF:____
Rede de Ensino: ( ) Estadual ( ) Municipal
Diretor:___________________________________________________________________________________________________________
Aluno(a):_________________________________________________________________________________________Idade:____________
Professor(a) Orientador(a):____________________________________________________________________________________________
Série: Ensino Médio ( ) 2º ano ( ) 3º ano
ANEXO V
FORMULÁRIO RELATÓRIO DE MOBILIZAÇÃO
Escola___________________________________________________Muncípio:______________________
UF:______
Rede de ensino: ( ) Estadual ( ) Municipal
Professores e Alunos envolvidos
Listar o número total de alunos da escola por série, o número de professores que participaram das atividadese o número total de alunos por eles orientados.
Total de alunos na série Professores envolvidos Alunos participantes
1.º ano do Ensino Fundamental
2.º ano do Ensino Fundamental
3.º ano do Ensino Fundamental
4.º ano do Ensino Fundamental
5.º ano do Ensino Fundamental
6.º ano do Ensino Fundamental
7.º ano do Ensino Fundamental
8.º ano do Ensino Fundamental
9.º ano do Ensino Fundamental
1.º ano do Ensino Médio
2.º ano do Ensino Médio
3.º ano do Ensino Médio
CONCEPÇÃO, CONTEXTUALIZAÇÃO E OBJETIVOS DA MOBILIZAÇÃO:Aqui é importante descrever as peculiaridades da realidade da escola para facilitar a compreensão docontexto em que as atividades foram realizadas (demandas e necessidades da escola, suas dificuldades,capacidade e disposição para inovação)...________________________________________________________________________________
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RELATO DAS ATIVIDADES DESENVOLVIDAS
Descrição das atividades realizadas pela direção, coordenação e equipe pedagógica da escola parafomentar a prática pedagógica dos professores, estimular a participação dos alunos e envolver acomunidade escolar no desenvolvimento da ação (respeitado o tema — “Minha escolha faz adiferença no trânsito”). Devem ser listadas todas as atividades realizadas, preferencialmente, em ordem cronológica.Também é importante registrar: • se e como foi feito o monitoramento das ações; • recursos utilizados; • material de apoio etc.
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DESCRIÇÃO DE RESULTADOS
Relatar o impacto, indicando os benefícios verificados com a realização da mobilização de participação naação, seus resultados (quantitativos ou qualitativos), sendo válidos, por exemplo, depoimentos de pais,família, entrevistas, etc , que representem informação, construção de novos conhecimentos em relação aotema trabalhado.
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ANEXOS:
Descrição do material que será utilizado como comprovação das ações realizadas. ( P. e. quantidade de fotos, características dos áudios e dos vídeos).________________________________________________________________________________
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OBS: Caso deseje enviar áudio e/ou vídeos, os arquivos devem ser carregados no sistema.Atenção ao limite de envio de anexos conforme regulamento:Fotos: máximo de 15Áudio – 1 arquivo com no máximo 5 minutos de duraçãoVídeo – 1 arquivo com no máximo 5 minutos de duração
DEPARTAMENTO ESTADUAL DE TRÂNSITO DE GOIÁS – DETRAN/GO
PROGRAMA EDUCANDO E VALORIZANDO A VIDA – EVV/UEG
1º PRÊMIO DA SEMANA NACIONAL DE TRÂNSITO 2017
ANEXO VI – FORMULÁRIO DE IDENTIFICAÇÃO DO ALUNO
MODALIDADE - HISTÓRIA EM QUADRINHOS
Aluno(a):_____________________________________________________________________Idade:_______
Série - Ensino Fundamental: ( ) 6º ano ( ) 7º ano ( ) 8º ano
Escola: __________________________________________________________________________________
Rede de ensino: ( ) Estadual ( ) Municipal
Município:____________________________________UF:____
Diretor (a):_______________________________________________________________________________
Professor(a) Orientador(a):__________________________________________________________________
Obs.: Não deverá constar nenhuma identificação do aluno no trabalho na Modalidade de HISTÓRIA EMQUADRINHOS. Todos os alunos selecionados, nesta modalidade, deverão preencher os dados acima eproceder a entrega deste formulário, grampeado, na última página do trabalho, no período de 25 de setembroa 04 de outubro de 2017, conforme previsto no regulamento.