Escuela F-942 Millantú

Convivencia Escolar

ACTA DE MEDIACIÓN

DATOS BÁSICOS

 Mediador (es):______________________________________________

 Partes del conflicto:__________________________________________

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 Fecha: ____________________________________________________

 Temas:____________________________________________________

NARRACIÓN DE LOS HECHOS

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 Escuela F-942 Millantú
Convivencia Escolar

ACUERDOS

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OBSERVACIONES

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SEGUIMIENTO

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 Escuela F-942 Millantú
Convivencia Escolar

FIRMAS:

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MEDIADORES:

 1) NOMBRE:..............................................FIRMA…………………………………

ACTORES DEL CONFLICTO

 1)NOMBRE:.....................................................................................

CURSO.................... FIRMA…………………………………………….

 2)NOMBRE:.....................................................................................

CURSO.................... FIRMA…………………………………………….