Д Н Е В Н И К

проведения учебной практики

Учебная группа №___________________________________________________

Специальное звание___________________________________________________

Фамилия_____________________________________________________________

Имя_________________________________________________________________

Отчество____________________________________________________________

Профилирующая кафедра______________________________________________

____________________________________________________________________

Место проведения практики____________________________________________

____________________________________________________________________

Должность на практике________________________________________________

Руководитель практики от университета_________________________________

____________________________________________________________________

Руководитель практики от подразделения_________________________________

____________________________________________________________________

Контактные телефоны_________________________________________________

____________________________________________________________________

1. Задание по программе учебной практике

Изучить:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Провести:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Подготовить:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Задание выдал__________________________________

(специальное звание, Ф.И.О)