COLETA DE DADOS:

PLANO DE DESENVOLVIMENTO INDIVIDUAL

IDENTIFICAÇÃO

Nome da criança: _________________________________________________

Data de
e nasc.: ___/___/___ Idade: ___anos e ___meses Sexo: M ( ) F ( )
Endereço:: ______________________________________________________

Mãe: ____________________________________________ Idade: _________

Telefone: _____________
____________Profissão: ___________________________
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Pai: _____________________________________________ Idade: _________

Telefone: _____________
____________Profissão: ____________________________
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Número de irmãos: ___________ Mora com: ___________________________

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ESCOLA

Nome da escola: _________________________________________________

Endereço: ______________________________________________________
Ano Escolaridade: __________ Turno: ____________ Hor
Horário:_____________
ário:_____________
Histórico escolar: _________________________________________________
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Adequação curricular necessária: ____________________________________
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Necessidades específicas da criança: _________________________________

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TIPO DE ATENDIMENTO EDU

EDUCACIONAL ESPECIALIZADO
( ) Sala de recursos multifuncional
( ) Intérprete na sala de aula regular
( ) Professor de apoio em sala de aula regular
( ) Atendimento domiciliar
( ) Atendimento hospitalar
( ) Outro. Qual? _________________________________________________
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Frequência dos atendimentos: ______________________________________
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Atendimento de especialistas:
( ) Fonoaudiologia
( ) Terapia Ocupacional
( ) Fisioterapia
( ) Psicologia
( ) Psicopedagogia
( ) Analista do Comportamento
( ) Neurologia
( ) Outro. Qual? _________________________________________________
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JUSTIFICATIVA DO PLANO DE ENSINO INDIVIDUAL

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JUSTIFICATIVA DO PLANO DE ENSINO INDIVIDUAL

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OBJETIVOS GERAIS AO FINAL DO ANO LETIVO
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CRITÉRIOS E INSTRUMENTOS DE AVALIAÇÃO

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ASSINATURAS:

Responsável pelo AEE ____________________________________________

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Direção da Escola ______________

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Equipe Pedagógica da Escola _______________________________________

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Professores _____________________________________________________
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Local e data: ____________________________________________________

 PLANO DE ENSINO INDIVIDUAL

NOME DO ALUNO:

IDADE:

ANO ESCOLARIDADE: TURMA:

PROFESSOR(A):

DISCIPLINA

( ) BIMESTRE / ( ) TRIMESTRE:

HABILIDADES/EXPECTATIVAS DE APRENDIZAGEM:

CONTEÚDOS:

ESTRATÉGIAS:

INSTRUMENTOS DE AVALIAÇÃO:

CRITÉRIOS DE AVALIAÇÃO: