Está en la página 1de 1

INFORME DE DOCENTES DE

ESTUDIANTES PARA PRCTICAS

Cdigo: FOR-BI-ID
Versin 02
Fecha: 12-Octubre-2016

Fecha: ________________________Docente: ___________________________________


Programa: _______________________________________________________________
Nombre del estudiante: _____________________________________________________
Apto SI ______ NO ______
Recomendacin:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Observaciones de Coord. Acadmica: __________________________________________


_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

_________________________________
Firma del Docente

_________________________________
Firma Coordinador Acadmico

También podría gustarte