UNIDAD DE GESTIÓN EDUCATIVA LOCAL AYABACA

DIRECCIÓN REGIONAL DE EDUCACIÓN PIURA

INSTITUCIÓN EDUCATIVA
“JUAN VELASCO ALVARADO”- PAIMAS
CÓDIGO MODULAR: 0536383-0348946-0512343

HOJA DE REGISTRO DE ENTREVISTA CON EL ESTUDIANTE

ESTUDIANTE: __________________________________________________FECHA___________
AÑO/GRADO: __________________________SECCION:_______________DIA:______________
TUTORIA: _______________________________________________________________________
ENTREVISTA SOLICITADO POR:____________________________________________________
MOTIVO DE ATENCION____________________________________________________________

PRINCIPALES PUNTOS ABORDADOS:_______________________________________________

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ACUERDOS Y COMPROMISOS:____________________________________________________
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OBSERVACIONES:_______________________________________________________________
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ESTUDIANTE PROFESOR (A)

 UNIDAD DE GESTIÓN EDUCATIVA LOCAL AYABACA
DIRECCIÓN REGIONAL DE EDUCACIÓN PIURA
INSTITUCIÓN EDUCATIVA
“JUAN VELASCO ALVARADO”- PAIMAS
CÓDIGO MODULAR: 0536383-0348946-0512343

HOJA DE REGISTRO DE ENTREVISTA CON EL PADRE DE FAMILIA

PADRE / MADRE: ________________________________________________________________

ESTUDIANTE:____________________________________________________________________
AÑO/GRADO: __________________________SECCION:_______________DIA:______________
TUTORA: _______________________________________________________________________
ENTREVISTA SOLICITADO POR:____________________________________________________
MOTIVO DE ATENCION:___________________________________________________________
_______________________________________________________________________________
PRINCIPALES PUNTOS ABORDADOS:_______________________________________________
_______________________________________________________________________________
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ACUERDOS Y COMPROMISOS:____________________________________________________
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OBSERVACIONES:_______________________________________________________________
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PADRE/MADRE PROFESOR (A)