________________________________________ Nombre de la actividad ambiental: ________________________________________ Objetivo de la actividad ambiental: ________________________________________________________________________________________ Institución u organismo no gubernamental que impulsa la actividad: ________________________________________________________________________________________ Número, nombres y nivel de los estudiantes que participan en la actividad: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ________________________ Nombre del docente responsable de los estudiantes y de la actividad ambiental: _________________________________________________________________________________________ Resultados de la actividad __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Logros __________________________________________________________________________________________ __________________________________________________________________________________________ Dificultades __________________________________________________________________________________________ __________________________________________________________________________________________ Recomendaciones: __________________________________________________________________________________________ __________________________________________________________________________________________ Costo de la actividad: __________________________________________________________________________________________ __________________________________________________________________________________________