República
Bolivariana de Venezuela
U.E. Colegio Santa
Mariana de Jesús
Inscrito en el MPPE en el año 1950-1951
Cod. Plantel: S0399D2015 Cod. AVEC:
230028 RIF : J-31070540-2
Subsistema de
educación básica
Niveles:
Preescolar, Primaria y Media General
Convenio MPPE-AVEC
INFORME PSICO-EDUCATIVO
A.
DATOS PERSONALES
NOMBRES
:________________________APELLIDOS:_____________________________________
GRADO/AÑO:_________________EDAD:_________SEXO:__________DIRECCION:______________________________________________________________________TELEFONOS:_________________________REPRESENTANTE
LEGAL :_________________________TELEFONOS:_____________ PARENTESCO : MADRE
( ) PADRE ( ) OTRO:______________________ PERSONAS CON
QUIEN VIVE
:___________________________________________________________________________
DOCENTE GUIA O
MAESTRA:____________________________________________________
B. CONTEXTO SOCIO-FAMILIAR
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
C. APARIENCIA FISICA Y MOTRICIDAD
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
D. ASPECTOS LINGUISTICOS
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
E. ASPECTOS CODUCTUALES
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
F. HABILIDADES INTELECTUALES Y APTIDUDES
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
G. ASPECTOS EMOCIONALES Y ADAPTACION SOCIAL
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
H. SITUACIONES QUE AMERITEN ATENCIÓN INMEDIATA
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I. SUGERENCIAS
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
FECHA ____/_______/__________
__________________________________________ FIRMA DEL DOCENTE C.I.
No hay comentarios:
Publicar un comentario