Derivació Orientació

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Generalitat de Catalunya

Departament dEnsenyament
Institut de Palams

FULL DE DERIVACI AL DEPARTAMENT

DORIENTACI
NOM DE L'ALUMNE:
TUTOR:
DATA:
NIVELL:
DATA DE NAIXEMENT:

ASPECTES PERSONALS I FAMILIARS A DESTACAR:

ASPECTES DAPRENENTATGE A DESTACAR:

NIVELL DESTUDIS (MOLT IMPORTANT):

T LA PRIMRIA APROVADA: S
NO
QUIN S EL DARRER CICLE APROVAT: CI CM CS 1r ESO 2n ESO 3r ESO
MOTIU DE LA DEMANDA:

C/ NPOLS, 22 - 17230 PALAMS Telfon 972 60 23 44

Correu electrnic: info@inspalamos.cat; Pgina web: http://www.inspalamos.cat

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