KARTA PRACY DORADCY

Data ................................... Doradca: ................................................................

Imię i nazwisko klienta/osoby radzącej się ...........................................................................................

Adres: ................................................................................................................tel.: ...............................................

Data ur. ...................................................... ; PESEL: ............................................................................................

1. Opis problemu: ..................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

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2. Opis problemu z punktu widzenia klienta:

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3. Doświadczenie zawodowe:

A/ formalne /staż pracy/:

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B/ nieformalne /prace dorywcze/:

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4. Kwalifikacje /poziom wykształcenia, uprawnienia, ukończone kursy i szkolenia/

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5. Umiejętności zawodowe:

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6. Zainteresowania, hobby, sposób spędzania czasu wolnego:

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7. Ograniczenia zdrowotne

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8. Cechy charakteru, motywacja /zaobserwowane przez doradcę/

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9. Sytuacja rodzina, społeczno-ekonomiczna

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10. Wyniki przeprowadzonych testów i badań lekarskich, konsultacji:

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11. Plany zawodowe i edukacyjne:

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12. Uwagi- postępy- podjęte działania przy rozwiązywaniu problemu/problemów klienta, terminy kolejnych wizyt w ramach porady indywidualnej, podsumowanie przebiegu procesu doradczego,

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