BARN- OCH UTBILDNINGSSEKTORN Ansökan om utökad tid inom förskola och fritidshem enligt skollagen Kap 8 § 7/Kap 14 § 6 Barnets/Elevens för och efternamn: ___________________________________________ Personnummer: ___________________________________________ Förskola/Fritidshem: ___________________________________________ Adress: ___________________________________________ Bostadstelefon: ___________________________________________ Vårdnadshavare 1: ___________________________________________ Personnummer: ___________________________________________ Adress: ___________________________________________ Mobiltelefonnummer: ___________________________________________ Vårdnadshavare 2: ___________________________________________ Personnummer: ___________________________________________ Adress: ___________________________________________ Mobiltelefonnummer: ___________________________________________ Höörs kommun: Barn- och utbildningssektorn • Box 53 • 243 21 Höör Besöksadress: Södergatan 28 • Höör Vxl: 0413-280 00 [email protected] • www.hoor.se • www.facebook.com/Hoorskommun BARN- OCH UTBILDNINGSSEKTORN Nuläge (ex barnets/elevens nuvarande tider, hur fungerar detta?) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Önskade förändringar vad gäller utökad tid _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ På vilket sätt skulle detta stödja barnet/eleven i dess fortsatta utveckling? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ BARN- OCH UTBILDNINGSSEKTORN Eventuella bilagor (ex intyg) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Underskrifter Vårdnadshavare 1 ________________________________________________________ Vårdnadshavare 2 ________________________________________________________ Pedagog ________________________________________________________ Förskolechef/Rektor ________________________________________________________ Skickas till: Höörs kommun Barn- och utbildning Att: Cecilia Palmqvist Box 53 243 21 Höör
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