Warszawski Hufiec Harcerek
"Skarpa"
Karta próby
Związek Harcerstwa Rzeczypospolitej
Mazowiecka Chorągiew Harcerek
Ursynowska Kapituła Stopnia Wędrowniczki
Karta próby na stopień wędrowniczki
Planowany termin zamknięcia: ....................................................................................................................................................................................................................................................
Termin spotkania połówkowego: ................................................................................................................................................................................................................................................
1. Dane kandydatki
imię i nazwisko: .....................................................................................................................................................................................................................................................................................
hufiec: ..........................................................................................................................................................................................................................................................................................................
drużyna/ gromada: ..............................................................................................................................................................................................................................................................................
aktualnie pełniona funkcja: .............................................................................................................................................................................................................................................................
data i miejsce urodzenia: .................................................................................................................................................................................................................................................................
adres:.............................................................................................................................................................................................................................................................................................................
telefon i e- mail: ...................................................................................................................................................................................................................................................................................
miejsce nauki/pracy: ...........................................................................................................................................................................................................................................................................
data wstąpienia do ZHR: ..................................................................................................................................................................................................................................................................
posiadany stopień harcerski: .........................................................................................................................................................................................................................................................
kto go przyznał, data, nr rozkazu: ...............................................................................................................................................................................................................................................
2. Opiekunka próby
imię, nazwisko i stopnie: .................................................................................................................................................................................................................................................................
aktualnie pełniona funkcja: ............................................................................................................................................................................................................................................................
telefon kontaktowy i e- mail: .......................................................................................................................................................................................................................................................
3. Proponowane zadania do zrealizowania przez kandydatkę opracowane wraz z opiekunką na podstawie wymagań na stopień
zadanie termin realizacji
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................................................................. ......................................................................... podpis opiekunki podpis kandydatki
4. Zadania dodatkowe wyznaczone przez kapitułę:
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podpis przewodniczącej podpis kandydatki
5. Otwarcie próby
Kapituła na posiedzeniu w dniu............................. otwiera próbę na stopień wędrowniczki i zatwierdza do realizacji w/w zadania.
......................................................................... podpis przewodniczącej
Karta próby zostaje w dokumentacji kapituły.
6. Zamknięcie próby
Kapituła na posiedzeniu w dniu ................................................ na podstawie przedstawionego materiału, sprawozdania z przebiegu i realizacji próby, rozmowy z kandydatką i opiekunką zamyka z wynikiem ...................................... próbę na stopień wędrowniczki.
......................................................................... podpis przewodniczącej
Kapituła na posiedzeniu w dniu ............................... umorzyła próbę na stopień wędrowniczki z powodu ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
......................................................................... podpis przewodniczącej
7. Przyznanie stopnia
Stopień został przyznany przez .......................................................................................................................... rozkazem .......................................... z dnia.......................................
8. Uwagi (zmiany zadań, przesunięcia terminów itp.)
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