CENTRO EDUCATIVO MONTES DE OCA

CAMPUS PLAN DE AYALA

HIGH SCHOOL SECTION

ACADEMIC INCIDENT REPORT FECHA ______________________

ALUMNO (S)
REPORTADO_____________________________________________________________________________________________________________

PARTICIPANTES___________________________________________________________________________________________________________

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RELATO GENERAL DE
INCIDENCIA______________________________________________________________________________________________________________

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MEDIDA
CORRECTVA______________________________________________________________________________________________________________

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FIRMA DEL MAESTRO FIRMA DE EL (LOS) ALUMNO (S)

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"En Sevilla hay que tener paciencia y prudencia, verbal continencia; no exhibir excesiva ciencia, y
presencia y ausencia según conveniencia".

CENTRO EDUCATIVO MONTES DE OCA

CAMPUS PLAN DE AYALA

HIGH SCHOOL SECTION

ACADEMIC INCIDENT REPORT DATE______________________

REPORTED STUDENT_______________________________________________________________________________________________________

ACCOMPLICES____________________________________________________________________________________________________________

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HOW DID IT HAPPENED ____________________________________________________________________________________________________

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ACTION TAKEN ___________________________________________________________________________________________________________

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