Şcoala Gimnazială Specială ,,C-tin Pufan''

,,Str.1 Decembrie 1918''nr.25 Galaţi

PLANURI DE INTERVENŢIE PERSONALIZATE

An şcolar__________

Profesor de psihopedagogie
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 PLAN DE INTERVENŢIE PERSONALIZAT

AN ŞCOLAR_____________

I.DATE PERSONALE

1.Nume şi prenume elev :_________________________________________________

2. Data naşterii :_________________________________________________________
3. Şcoală /clasă :_________________________________________________________

II. DIAGNOSTIC MEDICAL_____________________________________________

III. DIAGNOSTIC PSIHOLOGIC_________________________________________

IV. ECHIPA DE INTERVENŢIE

Responsabil de program ;

Specialişti ce intervin în aplicarea programului :

Director___________________________________
Profesor___________________________________
Educator şcolar_____________________________
Profesor logoped____________________________
Profesor CFM______________________________

Alte persoane implicate :

-Asistent social______________________________
-Asistent medical_____________________________
-Părinţi_____________________________________

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V. EVALUARE PSIHOLOGICĂ :

1.Nivel intelectual_________________________________________________________

2.Dezvoltare senzorio motorie_______________________________________________

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3.Dezvoltarea proceselor psihice

a) Percepţie______________________________________________________________

b) Gândire_______________________________________________________________

c) Imaginaţie_____________________________________________________________

d) Dezvoltare afectiv - motivaţională________________________________________

e) Dezvoltarea activităţii volitiv-regaltorii______________________________________

f) Autonomie personală şi comportamentală____________________________________

VI. PROGNOSTIC PSIHOLOGIC :________________________________________

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VII. DIAGNOSTIC EDUCAŢIONAL ŞI DE ÎNVĂŢARE :_____________________

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 FIŞĂ DE EVALUARE ŞI DE CARACTERIZARE PSIHOPEDAGOGICĂ

I.DATE PERSONALE

1.Nume şi prenume elev :_________________________________________________

2. Data naşterii :_________________________________________________________

3. Şcoală /clasă :_________________________________________________________

II. EVALUARE PSIHOINTELECTUALĂ ŞI EDUCAŢIONALĂ

1.Deprinderi instrumentale de :

a) Citit_________________________________________________________________

b) Scris________________________________________________________________

c) Calcul________________________________________________________________

2.Capacitate de comunicare :

3.Capacităţi logico matematice şi raţionale___________________________________

4.Capacităţi de înţelegere şi conştientizare____________________________________

5.Interese deosebite______________________________________________________

6. Evoluţie Şcolară______________________________________________________

7.Ruta şcolară___________________________________________________________

8.Informaţii semnificative_________________________________________________

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NUME ŞI PRENUME ELEV______________________________________________

DOMENIUL DE INTERVENŢIE__________________________________________
DISCIPLINA____________________________________________________________
ECHIPA DE LUCRU_____________________________________________________
PERIOADA DE IMPLEMENTARE________________________________________

SCOPURI_______________________________________________________________
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NIVELUL DE PLECARE_________________________________________________
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TIPURI DE ACTIVITATE _______________________________________________

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METODE ŞI PROCEDEE________________________________________________
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Notă____________________________________________________________________
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