ANEXA 2

FIŞĂ PRIVIND TRASEUL EDUCAŢIONAL

Nume ________________________ Prenume _____________________ Data naşterii ___________

Adresa ___________________________________________________________________________
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Grădiniţa/Şcoala/Centrul de zi/Centrul de recuperare timpurie _______________________________
________________________________________________________ Grupa/Clasa ______________

Pregătirea şcolară
Denumirea instituţiei _________________________________________________________
Tipul de şcolarizare __________________________________________________________
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Rezultate obţinute ___________________________________________________________
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Activităţi (inclusiv extraşcolare) de sprijin anterioare şi prezente (inclusiv extraşcolare):

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Aprecieri asupra comportamentului în timpul activităţilor şcolare anterioare şi prezente

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Comportamentul în afara şcolii
______________________________________________________________________________
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1. Atenţia ____________________________________________________________________
2. Motivaţia de învăţare __________________________________________________________
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3. Receptivitatea, participarea şi implicarea ___________________________________________
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4. Relaţiile sociale (cu colegii şi profesorii)___________________________________________
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Capacitatea de adaptare la cerinţele şcolare _________________________________________
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1
Recomandări pentru forma de şcolarizare:

Grădiniţă specială
Grădiniţă de masă
Şcoala generală
Şcoală generală cu profesor de sprijin
Şcoală generală cu currículum adaptat
Şcoală specială / CŞEI
Şcolarizare la domiciliu
Frecvenţă redusă în grupa sau şcoala specială
Programul educaţional “A doua şansă”
Ciclul primar
Ciclul secundar inferior

Alte servicii/programe educaţionale (se specifică care) ____________________________

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Numele persoanei care a completat fişa ____________________________________

Semnătura _______________________________
Numele psihologului / psihopedagogului
Semnătura ____________________________________
Coordonator CIEvC (valabil doar pentru CŞEI-uri) ____________________________
Semnătura _______________________________

Data completării fişei ____________________ Director ____________________