DEPARTAMENTO DE EDUCACIÓN ESPECIAL

EVALUACIÓN PSICOPEDAGÓGICA
SECUNDARIA

1. DATOS GENERALES

a) DATOS PERSONALES

Nombre del alumno:_______________________________________________________ Sexo:______

C.U.R.P.: __________________________ Fecha de nacimiento:_________ Edad:___ años ___ meses.
Domicilio:___________________________________________________Teléfono:________________N.E.E.
asociadas a______________________________________________ Clave:_________________

EXPERIENCIA EDUCATIVA
Servicio Período (meses y años) Continúa asistiendo
Intervención Temprana
C.A.P.E.P.
Grupo de Apoyo
Preescolar Regular
Primaria Regular
Otra(s) Secundaria(s) Regular(es)
Centro Psicopedagógico
Esc. de Educ Especial o C.A.M.
Otro (especificar)

¿Ha REPROBADO alguna(s) MATERIA(S) ó TODO un GRADO?

Si No Materia Grado No. de Motivo
veces

Escuela (actual):______________________________________________________________________
Ciclo escolar: _______________________________________Grado:___________ Grupo:__________
Nombre de la Persona que lo canaliza:____________________________________________________ Función que
desempeña: _____________________________________________
Nombre del(a) Maestro(a) de Apoyo:_____________________________________________________

b) DATOS FAMILIARES

TIPO de FAMILIA
FUNCIONAL (Relaciones DISFUNCIONAL (Relaciones
familiares armoniosas) familiares SIN armonía)
NUCLEAR [Conformada solamente por padre, madre e hijo(s)]
EXTENSIVA (Cuando hay más parientes agregados)
MIXTA (Cuando existe padrastro o madrastra)
DE UN SOLO PADRE (Cuando el padre o madre solo, es soltero, viudo o divorciado)

Composición de la familia:______________________________________________________________
Lugar que ocupa el(la) joven entre sus hermanos:___________
PADRE
Nombre:__________________________________________________ Fecha de nac.:______________
Escolaridad:______________________________ Ocupación:__________________________________
Domicilio del Trabajo:____________________________________________ Tel: _________________

MADRE
Nombre:__________________________________________________ Fecha de nac.:______________
Escolaridad:______________________________ Ocupación:__________________________________
Domicilio del Trabajo:____________________________________________ Tel: _________________

Actitud de la familia ante el A.N.E.E.:_____________________________________________________

___________________________________________________________________________________

Otros familiares con N.E.E.:_____________________________________________________________

2. MOTIVO de la EVALUACIÓN
_______________________________________________________________________________________________
_______________________________________________________________________________________________
___________________________________________________________

3. APARIENCIA FÍSICA
__________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________
___________________________________________________________________________________

4. ANTECEDENTES del DESARROLLO

_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
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_______________________________________________________________________________________________
_________________________________________________________________________________
5. INSTRUMENTOS y/o TÉCNICAS APLICADAS

Instr. /Técnica Fecha Justificación Conducta Aplicador

a) INTERPRETACIÓN de RESULTADOS

ESTILOS de APRENDIZAJE y MOTIVACIÓN para APRENDER

¿Cómo aprende el alumno? ¿Qué es lo que le motiva a aprender?
 CAPACIDADES DIFICULTADES
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
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_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________

INTERACCIONES que se ESTABLECEN en:

AULA CENTRO ESCOLAR

FAMILIA SOCIEDAD
SUGERENCIAS y/o ADECUACIONES para el APOYO que REQUIERE:
_______________________________________________________________________________________________
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b) EVOLUCIÓN en las ESFERAS del DESARROLLO por ÁREA, ASIGNATURA ó ACTIVIDADES
COMPLEMENTARIAS

Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
MOTRIZ
Área, Asig. ó
Activ. Compl.:
____________
MOTRIZ
Área, Asig. ó
Activ. Compl.
____________
MOTRIZ
Área, Asig. ó
Activ. Compl.:
____________
MOTRIZ
Área, Asig. ó
Activ. Compl.:
____________

Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
COMUNICATIVO
Área, Asig. ó
Activ. Compl.
____________
COMUNICATIVO
Área, Asig. ó
Activ. Compl.
____________
COMUNICATIVO
Área, Asig. ó
Activ. Compl.
____________
COMUNICATIVO
Área, Asig. ó
Activ. Compl.
____________

Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
SOCIAL
Área, Asig. ó
Activ. Compl.
____________
SOCIAL
 Área, Asig. ó
Activ. Compl.
____________
SOCIAL
Área, Asig. ó
Activ. Compl.
____________
SOCIAL
Área, Asig. ó
Activ. Compl.
____________
SOCIAL
Área, Asig. ó
Activ. Compl.
____________

Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________

Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
 COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
c) EVOLUCIÓN y DESARROLLO en su COMPETENCIA CURRICULAR

NIVEL de COMPETENCIA CURRICULAR

Área, Asiog. ó Fecha El alumno es Con ayuda, el alumno es Tipos de ayuda que El alumno todavía NO es Nombre y
Activ. Comp.
capaz de hacer capaz de hacer requiere capaz de hacer firma
d) ALCANCES OBTENIDOS al FINAL del CICLO ESCOLAR Fecha:__________________

GRADO: 1° 2° 3°

ESFERAS del DESARROLLO

Motriz:__________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Comunicación:____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Social:__________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Emocional:______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Cognitiva:_______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

6. CONCLUSIONES y RECOMENDACIONES
___________________________________________________________________________________
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___________________________________________________________________________________
___________________________________________________________________________________
_______________________________________________________________________________
 PERSONAL que INTERVINO en la ATENCIÓN del A.N.E.E.

Educador(a) Maestro(a) de Apoyo

Psicólogo(a) Maestro(a) en Comunicación

Trabajador(a) Social Director(a) de U.S.A.E.R.

Director(a) de Escuela

San Luis Potosí, S.L.P., a ______de _________________________________del_______________

 DEPARTAMENTO DE EDUCACIÓN ESPECIAL

EVALUACIÓN PSICOPEDAGÓGICA
PREPARATORIA

1. DATOS GENERALES

a) DATOS PERSONALES

Nombre del alumno:_______________________________________________________ Sexo:______

C.U.R.P.: __________________________ Fecha de nacimiento:_________ Edad:___ años ___ meses.
Domicilio:___________________________________________________Teléfono:________________
N.E.E. asociadas a______________________________________________ Clave:_________________

EXPERIENCIA EDUCATIVA
Servicio Período (meses y años) Continúa asistiendo
Intervención Temprana
C.A.P.E.P.
Grupo de Apoyo
Preescolar Regular
Primaria Regular
Otra(s) Secundaria(s) Regular(es)
Centro Psicopedagógico
Esc. de Educ Especial o C.A.M.
Otro (especificar)

¿Ha REPROBADO alguna(s) MATERIA(S) ó TODO un GRADO?

Si No Materia Grado No. de Motivo
veces

Escuela (actual):______________________________________________________________________
Ciclo escolar: _______________________________________Grado:___________ Grupo:__________
Nombre de la Persona que lo canaliza:____________________________________________________
Función que desempeña: _____________________________________________
Nombre del(a) Maestro(a) de Apoyo:_____________________________________________________

b) DATOS FAMILIARES

TIPO de FAMILIA
FUNCIONAL (Relaciones DISFUNCIONAL (Relaciones
familiares armoniosas) familiares SIN armonía)
NUCLEAR [Conformada solamente por padre, madre e hijo(s)]
EXTENSIVA (Cuando hay más parientes agregados)
MIXTA (Cuando existe padrastro o madrastra)
DE UN SOLO PADRE (Cuando el padre o madre solo, es soltero, viudo o divorciado)
Composición de la familia:______________________________________________________________
Lugar que ocupa el(la) joven entre sus hermanos:___________

PADRE
Nombre:__________________________________________________ Fecha de nac.:______________
Escolaridad:______________________________ Ocupación:__________________________________
Domicilio del Trabajo:____________________________________________ Tel: _________________

MADRE
Nombre:__________________________________________________ Fecha de nac.:______________
Escolaridad:______________________________ Ocupación:__________________________________
Domicilio del Trabajo:____________________________________________ Tel: _________________

Actitud de la familia ante el A.N.E.E.:_____________________________________________________

___________________________________________________________________________________

Otros familiares con N.E.E.:_____________________________________________________________

2. MOTIVO de la EVALUACIÓN
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

3. APARIENCIA FÍSICA
__________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

4. ANTECEDENTES del DESARROLLO

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
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___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

5. INSTRUMENTOS y/o TÉCNICAS APLICADAS

Instr. /Técnica Fecha Justificación Conducta Aplicador

a) INTERPRETACIÓN de RESULTADOS

ESTILOS de APRENDIZAJE y MOTIVACIÓN para APRENDER

¿Cómo aprende el alumno? ¿Qué es lo que le motiva a aprender?

CAPACIDADES DIFICULTADES
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
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_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
_________________________________________ _________________________________________
___________________________________ __________________________________

INTERACCIONES que se ESTABLECEN en:

AULA CENTRO ESCOLAR

FAMILIA SOCIEDAD

SUGERENCIAS y/o ADECUACIONES para el APOYO que REQUIERE:

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
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_
b) EVOLUCIÓN en las ESFERAS del DESARROLLO por ÁREA, ASIGNATURA ó ACTIVIDADES
COMPLEMENTARIAS

Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
MOTRIZ
Área, Asig. ó
Activ. Compl.:
____________
MOTRIZ
Área, Asig. ó
Activ. Compl.
____________
MOTRIZ
Área, Asig. ó
Activ. Compl.:
____________
MOTRIZ
Área, Asig. ó
Activ. Compl.:
____________

Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
COMUNICATIVO
Área, Asig. ó
Activ. Compl.
____________
COMUNICATIVO
Área, Asig. ó
Activ. Compl.
____________
COMUNICATIVO
Área, Asig. ó
Activ. Compl.
____________
COMUNICATIVO
Área, Asig. ó
Activ. Compl.
____________

Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
SOCIAL
Área, Asig. ó
Activ. Compl.
____________
SOCIAL
Área, Asig. ó
Activ. Compl.
____________
SOCIAL
Área, Asig. ó
Activ. Compl.
____________
SOCIAL
Área, Asig. ó
Activ. Compl.
____________
SOCIAL
Área, Asig. ó
Activ. Compl.
____________

Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
EMOCIONAL
Área, Asig. ó
Activ. Compl.
____________
Evolución y Fecha Por arriba Igual Por debajo Observaciones
Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
COGNITIVO
Área, Asig. ó
Activ. Compl.
____________
c) EVOLUCIÓN y DESARROLLO en su COMPETENCIA CURRICULAR

NIVEL de COMPETENCIA CURRICULAR

Área, Asiog. ó Fecha El alumno es Con ayuda, el alumno es Tipos de ayuda que El alumno todavía NO es Nombre y
Activ. Comp.
capaz de hacer capaz de hacer requiere capaz de hacer firma

d) ALCANCES OBTENIDOS al FINAL del CICLO ESCOLAR Fecha:__________________

 GRADO: 1° 2° 3°

ESFERAS del DESARROLLO

Motriz:__________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Comunicación:____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Social:__________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Emocional:______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Cognitiva:_______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

6. CONCLUSIONES y RECOMENDACIONES
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
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_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
______________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
______________________________________________________________________________________________

PERSONAL que INTERVINO en la ATENCIÓN del A.N.E.E.

Educador(a) Maestro(a) de Apoyo

Psicólogo(a) Maestro(a) en Comunicación

Trabajador(a) Social Director(a) de U.S.A.E.R.

 Director(a) de Escuela

San Luis Potosí, S.L.P., a ______de _________________________________del_______________

DEPARTAMENTO DE EDUCACIÓN ESPECIAL

EVALUACIÓN PSICOPEDAGÓGICA
CAPACITACIÓN LABORAL

1. DATOS GENERALES

a) DATOS PERSONALES

Nombre del alumno:_______________________________________________________ Sexo:______

C.U.R.P.: __________________________ Fecha de nacimiento:_________ Edad:___ años ___ meses.
Domicilio:___________________________________________________Teléfono:________________N.E.E. asociadas
a______________________________________________ Clave:_________________

EXPERIENCIA EDUCATIVA
Servicio Período (meses y años) Continúa asistiendo
Intervención Temprana
C.A.P.E.P.
Grupo de Apoyo
Preescolar Regular
Primaria Regular
Otra(s) Secundaria(s) Regular(es)
Centro Psicopedagógico
Esc. de Educ Especial o C.A.M.
Otro (especificar)

¿Ha REPROBADO alguna(s) MATERIA(S) ó TODO un GRADO?

Si No Materia Grado No. de Motivo
veces

Escuela (actual):_____________________________________________ Fecha de Ingreso: _________

Ciclo escolar: ____________ Taller: _____________________Módulo: _________ Puesto:__________
Nombre del(a) Instructor(a) de Taller: ____________________________________________________

b) DATOS FAMILIARES

TIPO de FAMILIA
FUNCIONAL (Relaciones DISFUNCIONAL (Relaciones
familiares armoniosas) familiares SIN armonía)
NUCLEAR [Conformada solamente por padre, madre e hijo(s)]
EXTENSIVA (Cuando hay más parientes agregados)
MIXTA (Cuando existe padrastro o madrastra)
DE UN SOLO PADRE (Cuando el padre o madre solo, es soltero, viudo o divorciado)

Composición de la familia:______________________________________________________________
Lugar que ocupa el(la) joven entre sus hermanos:___________

PADRE
Nombre:__________________________________________________ Fecha de nac.:______________
Escolaridad:______________________________ Ocupación:__________________________________
Domicilio del Trabajo:____________________________________________ Tel: _________________
MADRE
Nombre:__________________________________________________ Fecha de nac.:______________
Escolaridad:______________________________ Ocupación:__________________________________
Domicilio del Trabajo:____________________________________________ Tel: _________________

Actitud de la familia ante el A.N.E.E.:_____________________________________________________

___________________________________________________________________________________

Otros familiares con N.E.E.:_____________________________________________________________

2. MOTIVO de la EVALUACIÓN
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
___________

3. APARIENCIA FÍSICA
__________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________
___________________________________________________________________________________

4. ANTECEDENTES del DESARROLLO

_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
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5. INSTRUMENTOS y/o TÉCNICAS APLICADAS

Instr. /Técnica Fecha Justificación Conducta Aplicador

a) INTERPRETACIÓN de RESULTADOS

ESTILOS de APRENDIZAJE y MOTIVACIÓN para APRENDER

¿Cómo aprende el alumno? ¿Qué es lo que le motiva a aprender?
 CAPACIDADES DIFICULTADES
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INTERACCIONES que se ESTABLECEN en:

TALLER: _______________________ CENTRO ESCOLAR
 FAMILIA SOCIEDAD

SUGERENCIAS y/o ADECUACIONES para el APOYO que REQUIERE:

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b) EVOLUCIÓN en las ESFERAS del DESARROLLO en EDUCACIÓN FÍSICA, EDUCACIÓN ARTÍSTICA ó ACTIVIDADES
COMPLEMENTARIAS

TALLER: ____________________ MÓDULO: ________ PUESTO DE TRABAJO: _________

Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
MOTRIZ
 Área, Asig. ó
Activ. Compl.:
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MOTRIZ
Área, Asig. ó
Activ. Compl.
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MOTRIZ
Área, Asig. ó
Activ. Compl.:
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MOTRIZ
Área, Asig. ó
Activ. Compl.:
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Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
COMUNICATIVO
Área, Asig. ó
Activ. Compl.
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COMUNICATIVO
Área, Asig. ó
Activ. Compl.
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COMUNICATIVO
Área, Asig. ó
Activ. Compl.
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COMUNICATIVO
Área, Asig. ó
Activ. Compl.
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Evolución y Fecha Por arriba Igual Por debajo Observaciones
Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
SOCIAL
Área, Asig. ó
Activ. Compl.
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SOCIAL
Área, Asig. ó
Activ. Compl.
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SOCIAL
Área, Asig. ó
Activ. Compl.
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SOCIAL
Área, Asig. ó
Activ. Compl.
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SOCIAL
Área, Asig. ó
Activ. Compl.
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Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
EMOCIONAL
Área, Asig. ó
Activ. Compl.
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EMOCIONAL
Área, Asig. ó
Activ. Compl.
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EMOCIONAL
Área, Asig. ó
Activ. Compl.
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EMOCIONAL
Área, Asig. ó
Activ. Compl.
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EMOCIONAL
Área, Asig. ó
Activ. Compl.
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EMOCIONAL
Área, Asig. ó
Activ. Compl.
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EMOCIONAL
Área, Asig. ó
Activ. Compl.
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Evolución y Fecha Por arriba Igual Por debajo Observaciones

Desarrollo De sí Del A sí Al De sí Del
mismo grupo mismo grupo mismo grupo
COGNITIVO
Área, Asig. ó
Activ. Compl.
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COGNITIVO
Área, Asig. ó
Activ. Compl.
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COGNITIVO
Área, Asig. ó
Activ. Compl.
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 COGNITIVO
Área, Asig. ó
Activ. Compl.
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COGNITIVO
Área, Asig. ó
Activ. Compl.
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COGNITIVO
Área, Asig. ó
Activ. Compl.
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Área, Asig. ó
Activ. Compl.
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c) EVOLUCIÓN y DESARROLLO en su COMPETENCIA CURRICULAR

NIVEL de COMPETENCIA CURRICULAR, en el TALLER: _________________________________

Módulo y Puesto Fecha El alumno es Con ayuda, el alumno es Tipos de ayuda que El alumno todavía NO es Nombre y
de Trabajo
capaz de hacer capaz de hacer requiere capaz de hacer firma
d) ALCANCES OBTENIDOS al FINAL del CICLO ESCOLAR Fecha:__________________

TALLER: MÓDULO: PUESTO DE TRABAJO:

ESFERAS del DESARROLLO

Motriz:__________________________________________________________________
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Comunicación:____________________________________________________________
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Social:__________________________________________________________________
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Emocional:______________________________________________________________
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6. CONCLUSIONES y RECOMENDACIONES
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 PERSONAL que INTERVINO en la ATENCIÓN del A.N.E.E.

Instructor(a) de Taller Maestro(a) Especialista

Psicólogo(a) Maestro(a) en Comunicación

Trabajador(a) Social Director(a) de C.A.M.

San Luis Potosí, S.L.P., a ______de _________________________________del_______________