ENTREVISTA CON APODERADO

 

 

Nombre del alumno: ________________________________________________________

Nombre del apoderado: ______________________________________________________

Curso: _______________________  Fecha: ______________________________________

 

 

Motivo de la entrevista: ______________________________________________________

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Antecedentes familiares: (Conducta del alumno en el hogar, lugar que ocupa,  otros que ayuden al conocimiento del alumno). ________________________________________________________________________________________________

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Sugerencias: ______________________________________________________________

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Acuerdos: ________________________________________________________________

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      Firma del Profesor                                                                      Firma del Apoderado