KARTA INDYWIDUALNYCH POTRZEB UCZNIA
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(imiona i nazwisko ucznia)
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(data i miejsce urodzenia)
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(klasa)
Wstępna diagnoza ucznia wynikająca z posiadanej dokumentacji oraz obserwacji nauczycieli i rodziców:
Diagnoza wynikająca z orzeczenia lub opinii Poradni Psychologiczno - Pedagogicznej
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Diagnoza medyczna
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Podstawa założenia karty - rozpoznanie dokonane przez Zespół:
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Ocena realizowanych oddziaływań
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Miejscowość i data Podpisy członków Zespołu:
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Podpis dyrektora:
Obszary w których uczeń potrzebuje pomocy:
Mocne strony ucznia:
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Słabe strony ucznia:
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Zalecane formy pomocy psychologiczno - pedagogicznej, sposoby ich udzielania, czas trwania, wymiar godzin:
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Miejscowość i data Podpisy członków Zespołu:
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Podpis dyrektora:
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