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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 ___________________________________________________________
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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: _____________________
Profesor: ____________________________________
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