You are on page 1of 7

FORMATO PLAN EDUCATIVO PERSONALIZADO

Nombres y apellidos:
___________________________________________________________________________________
Lugar y Fecha de nacimiento:
__________________________________________________________ Edad: __________________
Fecha de realizacin: _______________________

Telfono: ______________________________

Institucin: _______________________________ Municipio: _____________________________


Nivel de Alfabetizacin:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Grado: __________________Periodos de Piaget: _________________________________________
Proyecto Integral Comunitario
___________________________________________________________________________________
___________________________________________________________________________________
Proyecto de Aprendizaje:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
HISTORIA ESCOLAR DEL ESTUDIANTE
Presenta dificultades de aprendizaje:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Diversidad Funcional Intelectual:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

___________________________________________________________________________________
___________________________________________________________________________________
Ha repetido: Si: __________ No: _______ Grado que ha repetido: __________________________
Ha cambiado frecuentemente de institucin:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Presenta ausentismo escolar:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Ha recibido apoyo Pedaggico:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Teraputico:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Otro: De qu tipo:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Apoyos que recibe en la institucin:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

Apoyos extraescolares de:


___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
DATOS IMPORTANTES PARA LA TOMA DE DECISIONES
Nivel de adaptacin curricular. (Slo se evalan las reas en las que presenta mayor potencial).
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Anlisis de procesos acadmicos (De acuerdo con la evaluacin de las reas en las que presenta
mayor potencial).
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Procesos motivacionales
Fortalezas

Debilidades

Procesos cognitivos
Fortalezas

Debilidades

reas que se sugiere modificar con adaptaciones curriculares:


___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Plan de Orientacin con la docente de aula que se ha acordado:

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Plan de orientacin con la familia que se ha acordado:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
SEGUIMIENTO
Lapso de tiempo: ___________________________________________________________________
Propsito General: __________________________________________________________________
___________________________________________________________________________________

Fecha

Propsitos Especficos

Estrategias

Trabajo Familiar
Familiar

Compromiso adquirido

Firmas:

Docente Especialista

Docente de Aula

Director(a)

Padre y/o representante

Vto Bno DEPPECD:


___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Firmas: