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Uppgifter under ledigheten, vänd. Elevens namn Klass ……………………………………………………………………………………………………………………………….. L e d ig h e t ö n sk a s fö lja n d e d a tu m …………………………………………………………………………….... ……………………………………………………………………………………………………………………………….... O rsa k ………………………………………………………………………………………………………………….….… ………………………………………………………………………………………………………………………………….. O rt/d a tu m ………………………………………………………………………………………………………………..... ………………………………………………………… ……………………………………………………………….… V å rd n a d sh a v a re u n d e rsk rift V å rd n a d sh a v a re u n d e rsk rift B ä g g e v å rd n a d sh a v a re u n d e rsk rift b e h ö v s B e v ilja s/a v slå s …………………………………………………………………………………………………………..... L ä ra re /m e n to rs u n d e rsk rift L ä r a r e / m e n t o r h a r r ä t t a t t b e v i l j a l e d i g h e t s a m m a n l a g t h ö g s t 1 0 s k o l d a g a r u n d e r e t t l ä s å r . O m d e t f i n n s s ä r s k i l d a s k ä l k a n r e k t o r b e v i l j a l ä n g r e l e d i g h e t . A n s ö k a n l ä m n a s t i l l l ä r a r e / m e n t o r f ö r y t t r a n d e o c h t i l l r e k t o r f ö r b e s l u t . P e r s o n u p p g i f t e r n a b e h a n d l a s e n l i g t p e r s o n u p p g i f t s l a g e n Nya Läroverket, Björkgatan 2, 973 31 Luleå ● Tel: 0920-­‐608 00 www.nlv.se ● Org.nr: 556667-­‐7927 ● Innehar F-­‐skattebevis Uppgifter under ledigheten Under d in l edighet k ommer d u a tt m issa m oment i u ndervisningen. N är d u g år r unt t ill l ärarna o ch informerar o m d in l edighet s ka d u b e l ärarna f ylla i d e u ppgifter d u k an g öra u nder d in l edighet. Den h är d elen b ehåller d u ( eleven) s jälv. Ämne/lärare Uppgifter __________________ __________________________________________________________ __________________ __________________________________________________________ __________________ __________________________________________________________ __________________ __________________________________________________________ __________________ __________________________________________________________ __________________ __________________________________________________________ __________________ __________________________________________________________ __________________ __________________________________________________________ __________________ __________________________________________________________ __________________ __________________________________________________________ __________________ __________________________________________________________ __________________ __________________________________________________________ Nya Läroverket, Björkgatan 2, 973 31 Luleå ● Tel: 0920-­‐608 00 www.nlv.se ● Org.nr: 556667-­‐7927 ● Innehar F-­‐skattebevis