FICHA ALUMNOS PIE

1) IDENTIFICACIN
NOMBRE
EDAD
RUN
FECHA NAC.
CURSO
PROFESIONAL
EDUCADOR
DIFERENCIAL
PROFESIONAL
PSICLOGO
2) ANTECEDENTES RELEVANTES:
-ANTECEDENTES FAMILIARES
Nombre

Parentesco

Edad

Escolaridad

Ocupacin
Actual

1.
2.
3.
4.
5.
6.

-HISTORIA ACADEMICA: (EDAD DE INGRESO, REPITENCIA, DIFICULTAD DE

APRENDIZAJE)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

-AMBITOS DE APRENDIZAJES (APRENDIZAJES RELEVANTES LOGRADOS Y

PRINCIPALES DIFICULTADES QUE PRESENTA)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
-AMBITO SOCIAL: (REDES DE APOYO, CALIDAD DE LAS RELACIONES)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
3) ANTECEDENNTES EVALUACIN PSICLOGICA EN RELACIN A LAS
HABILIDADES INTELECTUALES.
-EVALUACIN: INGRESO NEE

REEVALUACIN NEE

-PRUEBA O PROCEDIMIENTOS UTILIZADOS:

WISC III

WAIS

OTROS

-DESEMPEO DE HABILIDADES INTELECTUALES:

DESEMPEO EN RANGO PROMEDIO O SOBRE EL PROMEDIO

DESEMPEO EN EL RANGO LIMITE O LIMITROFE (NT)

DESEMPEO EN EL RANGO INTELECTUALMENTE DEFICIENTE

TDA/H

CIT
CIV
CIE
-DESCRIPCIN DE LAS PRINCIPALES FORTALEZAS DEL ESTUDIANTE EN EL
AMBIENTO COGNITIVA:

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
-DESCRIPCIN DE LAS PRINCIPALES DEBILIDADES DEL ESTUDIANTE EN EL
AMBIENTO COGNITIVA:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

4) ANTECEDENTES EMOCIONALES
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
5) OBSERVACIONES:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
6) TIPO DE INTERVENCIN PSICLOGICA: (OBJETIVOS/ METAS
TERAPEUTICAS):
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________