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Accademia Nazionale dei Lincei

 

All. 2  PROGETTO ‘I LINCEI PER UNA NUOVA DIDATTICA NELLA SCUOLA: UNA RETE NAZIONALE’  POLO DI BOLOGNA  Dal laboratorio alla cattedra   

MODULO DI PREISCRIZIONE  da inviare entro il 28 giugno 2013 a: lincei‐polobologna@golinellifondazione.org | fax. 051.389929  informazioni: Fondazione Marino Golinelli – Area Formazione e didattica: tel. 051.0251003  Dati dell’Istituto Scolastico   

Scuola:_____________________________________________________________________________ Via___________________________________________CAP_________Città_____________________  Tel.________________Fax______________e‐mail _____________________________________________    Docenti   

1) Nome e Cognome_________________________________________________________________  Classe di insegnamento ______________________________________________________________  Tel./Cel.____________________________e‐mail_________________________________________  Lezioni/laboratori in programma a cui si desidera partecipare __________________________________  ______________________________________________________________________________________ 

2) Nome e Cognome_________________________________________________________________  Classe di insegnamento ______________________________________________________________  Tel./Cel.____________________________e‐mail_________________________________________  Lezioni/laboratori in programma a cui si desidera partecipare __________________________________  ______________________________________________________________________________________ 

3) Nome e Cognome_________________________________________________________________  Classe di insegnamento ______________________________________________________________  Tel./Cel.____________________________e‐mail_________________________________________  Lezioni/laboratori in programma a cui si desidera partecipare __________________________________  ______________________________________________________________________________________    4) Nome e Cognome_________________________________________________________________  Classe di insegnamento ______________________________________________________________  Tel./Cel.____________________________e‐mail_________________________________________  Lezioni/laboratori in programma a cui si desidera partecipare __________________________________  ______________________________________________________________________________________ 

ALL2-Scheda%20di%20preiscrizione%20-%20Polo%20ER%20FMG-LINCEI  

http://www.ictrecasali.gov.it/attachments/article/142/ALL2-Scheda%20di%20preiscrizione%20-%20Polo%20ER%20FMG-LINCEI.pdf

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