PROGRAM DE INTERVENTIE PERSONALIZAT
- INFORMAŢII DE BAZĂ
Numele si prenumele preşcolarului: ______________________________________________
Data naşterii: ______________________
Domiciliul: ____________________________________________________________________
Grupa: _______________________________________________________________________
Echipa de intervenţie: __________________________________________________________
Data elaborării planului: ____________________
- STAREA ACTUALĂ A PREŞCOLARULUI
- DIAGNOSTIC:
- Medical:_______________________________________________________________________________________________________________________________________________
- psihologic:_____________________________________________________________________________________________________________________________________________
- psihopedagogic: __________________________________________________________ ______________________________________________________________________________
- COMPORTAMENT COGNITIV
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- AUTONOMIA PERSONALĂ ŞI SOCIALĂ
- Aria de autoservire: ______________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
- Aria de socializare: ___________________________________________________ ____________________________________________________________________________________________________________________________________________________________
- Aria comportamentelor psihomotrice: ______________________________________ ____________________________________________________________________________________________________________________________________________________________
- EVALUARE INIŢIALĂ
- Instrumente folosite în evaluare: _____________________________________________ ______________________________________________________________________________
- Observaţii:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
- DERULAREA PROGRAMULUI DE INTERVENŢIE
- Domeniul/domeniile de intervenţie: _________________________________________
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- Scopul programului de intervenţie:_________________________________________ ____________________________________________________________________________________________________________________________________________________________
- Obiective pe termen scurt: _________________________________________________ ____________________________________________________________________________________________________________________________________________________________
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- Obiective pe termen lung: _________________________________________________ ____________________________________________________________________________________________________________________________________________________________
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- EVALUAREA CRITERIALĂ
- Criterii de evaluare minimală: ___________________________________________ ____________________________________________________________________________________________________________________________________________________________
- Criterii de evaluare maximală: _____________________________________________ ____________________________________________________________________________________________________________________________________________________________
- Instrumente de evaluare: __________________________________________________ ____________________________________________________________________________________________________________________________________________________________
STRUCTURA PROGRAMULUI DE INTERVENŢIE PERSONALIZAT
Domeniul de intervenţie:__________________________________
Perioada vizată:_________________________________________
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Nr. crt. |
Obiective |
Metode şi mijloace de realizare |
Perioada de timp |
Criterii de evaluare |
Metode şi instrumente de evaluare |
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VI. CONCLUZII:
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- RECOMANDARI
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