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REPORTE DE INCIDENCIAS COLEGIO AZTLÁN CCT 15PJN6246V

Fecha: _____________Hora: _______ Nombre del alumno(a): ____________________________________________________________

¿En dónde sucedió el incidente?___________________________________


___________________________________________________________________

¿Cómo sucedió? __________________________________________________


___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
____________________________________________________________________
¿De qué manera intervine? _________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________

Recomendaciones:
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________

Acuerdos y/o compromisos:


__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________

__________________________________ _________________________________ _______________________________

Firma mamá, papá o tutor Firma docente Firma directora

REPORTE DE INCIDENCIAS COLEGIO AZTLÁN CCT 15PJN6246V

Fecha: _____________Hora: _______ Nombre del alumno(a): ____________________________________________________________

¿En dónde sucedió el incidente?___________________________________


___________________________________________________________________

¿Cómo sucedió? __________________________________________________


___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
____________________________________________________________________
¿De qué manera intervine? _________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________

Recomendaciones:
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________

Acuerdos y/o compromisos:


__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________

__________________________________ _________________________________ _______________________________

Firma mamá, papá o tutor Firma docente Firma directora

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