UNIVERSIDADE FEDERAL DE LAVRAS PRÓ-REITORIA DE ASSUNTOS ESTUDANTIS E COMUNITÁRIOS

FORMULÁRIO DE RECURSO GRADUAÇÃO

PÓS-GRADUAÇÃO:

Mestrado

Doutorado

NOME:

CPF:

TEL: ( )_____________ ( )____________ ( )____________

CURSO:

MATRÍCULA:

Recurso contra: Resultado de avaliação socioeconômica de estudantes de graduação e pós-graduação; Perda de condição de vulnerabilidade socioeconômica; Perda de vaga reservada de bolsa institucional; Perda de prazo estabelecido em edital: avaliação socioeconômica bolsa institucional moradia estudantil Outro recurso:____________________________________________________________ __________________________________________________________________________________ RELATO: _________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________. ________________________________________________ ASSINATURA DO ESTUDANTE

PARA USO DA PRAEC

RECEBIMENTO: RECEBIDO EM: ____/____/_______

POR: ________________________________________________ CARIMBO E ASSINATURA

PARA USO DA PRAEC

PARECER DA COORDENADORIA RESPONSÁVEL: _________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________

DATA: ____/____/_______

POR: ________________________________________________ CARIMBO E ASSINATURA DO ASSISTENTE SOCIAL

PARA USO DA PRAEC

RESULTADO: RECURSO:

Deferido

Indeferido

JUSTIFICATIVA: ___________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________

DATA: ____/____/_______

POR: ________________________________________________ CARIMBO E ASSINATURA DO PRÓ-REITOR