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INSTITUCIÓN EDUCATIVA SECUNDARIA

“JOSÉ CARLOS MARIÁTEGUI”


RD. N° 7635 – 1984 / CM. N° 1029321

ENTREVISTA CON MADRE Y/O PADRE DE FAMILIA

LUGAR: _______________________________________ FECHA: _____/_____/______

HORA DE INICIO: ________/_______. GRADO Y SECCIÓN:


________________

NOMBRES DEL PADRE O MADRE: __________________________________________


NOMBRES DEL ESTUDIANTE: _____________________________________________
MOTIVO DE LA ENTREVISTA: ______________________________________________
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DESCRIPCIÓN: __________________________________________________________
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ACUERDOS:
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COMPROMETIDOS Y CONFORMES FIRMAN,

______________________ _______________________
MADRE/PADRE DOCENTE

Elaborado por: M. Sc. Edgar H. Quispe Vargas


INSTITUCIÓN EDUCATIVA SECUNDARIA
“JOSÉ CARLOS MARIÁTEGUI”
RD. N° 7635 – 1984 / CM. N° 1029321

HORA DE CULMINACIÓN________/______.

Elaborado por: M. Sc. Edgar H. Quispe Vargas


INSTITUCIÓN EDUCATIVA SECUNDARIA
“JOSÉ CARLOS MARIÁTEGUI”
RD. N° 7635 – 1984 / CM. N° 1029321

ENTREVISTA CON ESTUDIANTE POR INDISCIPLINA

LUGAR:______________________________________. FECHA: _____/_____/______.


HORA DE INICIO: ________/_______.
NOMBRE:__________________________________. GRADO Y SECCIÓN: __________

DESCRIPCIÓN: __________________________________________________________
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ACUERDOS:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Elaborado por: M. Sc. Edgar H. Quispe Vargas


INSTITUCIÓN EDUCATIVA SECUNDARIA
“JOSÉ CARLOS MARIÁTEGUI”
RD. N° 7635 – 1984 / CM. N° 1029321

________________________________________________________________________
COMPROMETIDOS Y CONFORMES FIRMAN,

_______________________ ______________________ _______________________


ESTUDIANTE DOCENTE TUTOR (A)

HORA DE CULMINACIÓN________/______.

Elaborado por: M. Sc. Edgar H. Quispe Vargas

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