Entrevista con apoderado N°___
Nombre alumno : ___________________________________________________________
Nombre apoderado : ___________________________________________________________
Nombre Profesor : ___________________________________________________________
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