Remisión a psicoorientación

Datos del estudiante

Nombres y Apellidos _________________________________________

Edad: ___________años Grado: ________ Fecha____________

Descripción de la situación.
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Desempeño académico.
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Interacción con los compañeros.

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Respeta la autoridad y acepta órdenes.

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Nombre del docente ____________________________________________

Orientación y seguimiento psicoorientación

Datos de los estudiantes

Nombres y Apellidos
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Grado: ________ Fecha______________

Descripción de la situación.

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Nombre del docente _____________________________________________