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PROGRAM DE INTERVENTIE PERSONALIZAT

1. Numele beneficiarului: __________________________________________________


2. Data nasterii: __________________________________________________________
3. Domiciliul: ____________________________________________________________
4. Scoala si clasa de integrare: ______________________________________________
5. Concluziile evaluarii complexe:
• din punct de vedere medical:
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• din punct de vedere psihopedagogic:
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• din punct de vedere al competentelor scolare:
-limba romana:
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-matematica:
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-din punct de vedere social:
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6. Echipa de caz
• invatator / professor: __________________________________________
• logoped: ____________________________________________________
• professor de sprijin: ___________________________________________
• alti membrii: ________________________________________________

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7. Obiective pe termen lung:

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8. Obiective pe termen scurt:


Semestrul I
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Semestrul II
• ___________________________________________________________
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• ___________________________________________________________

9. Activitati repartizate pe fiecare membru al echipei de interventie:


a) invatator
•elaborarea programei adaptate si aplicarea ei,
•metode differentiate,
•evaluarea periodica,
•parteneriat cu membri echipei

b) logoped
• terapie logopedica
c) psihopedagog
• consilierea cadrelor didactice si a parintilor,
• parteneriat cu membri familiei.
d) profesor de sprijin
• aplicarea programului de sprijin,
• evaluare.
e) parinti
• parteneri in programul de recuperare.
f) medicul
• urmarirea evolutiei bolii sau stagnarii si daca este cazul a
tratamentului corespunzator.

Data elaborarii: _____________________


Data revizuirii: _____________________

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Profesor: ____________________________________