PREFEITURA MUNICIPAL DE NOVA ESPERANÇA DO PIRIÁ/PA

SECRETARIA MUNICIPAL DE EDUCAÇÃO – SEMED

CENTRO DE ATENDIMENTO EDUCACIONAL ESPECIALIZADO
– CAEE

ASPECTOS AVALIATIVOS

1. IDENTIFICAÇÃO DO (A) ALUNO(A):

Aluno (a):_____________________________________________________________
Data de Nascimento: _____/_____/_______ Idade: __________________
Responsável: __________________________________________________________
Endereço:________________________________________contato: ______-_______
Bairro: _______________________________________________________________
Indicativo de deficiência:_________________________________________________
Possui laudo: ( ) sim ( ) não
Faz uso de alguma medicação: ( ) sim ( ) não Qual? _______________________
Outros atendimentos: ___________________________________________________
Unidade de ensino: _____________________________
Ciclo: ________________ Turno: __________
Professor(a): __________________________________________________________
Data da avaliação: _____/_____/_________

2. ENTREVISTA FAMILIAR (gestação, parto, nutrição, imunizações, sono,

desenvolvimento psicomotor, desenvolvimento da linguagem, precedentes
patológicos, relacionamento familiar).
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
 PREFEITURA MUNICIPAL DE NOVA ESPERANÇA DO PIRIÁ/PA
SECRETARIA MUNICIPAL DE EDUCAÇÃO – SEMED
CENTRO DE ATENDIMENTO EDUCACIONAL ESPECIALIZADO
– CAEE

3. NECESSIDADES E PREFERÊNCIAS DO ALUNO:

Gosta de: _____________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Não gosta de: _________________________________________________________

_____________________________________________________________________
_____________________________________________________________________

Tem medo de:_________________________________________________________

_____________________________________________________________________
_____________________________________________________________________

4. ASPECTOS PSICOPEDAGÓGICOS
Atenção:______________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Concentração:_________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Memória:______________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Compreensão:_________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Esquema corporal:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Discriminação:_________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
 PREFEITURA MUNICIPAL DE NOVA ESPERANÇA DO PIRIÁ/PA
SECRETARIA MUNICIPAL DE EDUCAÇÃO – SEMED
CENTRO DE ATENDIMENTO EDUCACIONAL ESPECIALIZADO
– CAEE

_____________________________________________________________________
_____________________________________________________________________
Comunicação (receptiva e expressiva):
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Dinâmica lateral:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Conceitos básicos da educação infantil (relação temporal, espacial, visomotor, cores,
tamanhos, formas, etc...):
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Altos cuidados:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Relação sócio afetiva:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

Motricidade:___________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
5. PARECER TECNICO:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
 PREFEITURA MUNICIPAL DE NOVA ESPERANÇA DO PIRIÁ/PA
SECRETARIA MUNICIPAL DE EDUCAÇÃO – SEMED
CENTRO DE ATENDIMENTO EDUCACIONAL ESPECIALIZADO
– CAEE

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________