1.

DATOS DEL ESTUDIANTE

Nombre del Estudiante: _______________________________________________

Edad:_____________________________________________________________

Grado o curso y/o nivel:_______________________________________________

Datos de los padres:_________________________________________________

Dirección:__________________________________________________________

Teléfono:__________________________________________________________

Con quién vive el estudiante:___________________________________________

Discapacidad:_______________SI______NO______

Número del documento: ______________________________________________

2. OBSERVACIÓN DEL DOCENTE

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 3. RECOPILACIÓN DE LA INFORMACIÓN DE LA EVALUACIÓN
PSICOPEDAGÓGICA INTEGRAL

Diagnóstico hipotético:

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Fortalezas:_____________________________________________________________

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Debilidades:____________________________________________________________

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Recomendaciones:______________________________________________________

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4. SELECCIÓN DE LAS ESTRATEGIAS PEDAGÓGICAS

Objetivo de las estrategias:

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ESTRATEGIAS PEDAGÓGICAS (aplicación)

En el aula:

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En el grupo:

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En la familia:

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5. SEGUIMIENTO

Logros alcanzados:

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Modificaciones:

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FIRMA DEL DOCENTE ENCARGADO