admisi n ense anza media - colegiorudolfsteiner.cl · 222 927 585 [email protected] __...
TRANSCRIPT
ANAMNESIS
1. TUS DATOS
Nombres:____________________________________________________________________
Apellidos:____________________________________________________________________
Edad:____________________
Fecha de nacimiento:__________________________________________________________
Estatura (aprox.):_______________________________
Peso:______________________
Rut:____________________________________________
Comuna:__________________________________________________
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Celular:__________________________________________
e-mail:_______________________________________________________________________
Vives con:____________________________________________________________________
Curso en que estas:_______________________________
Curso al que postulas:_______________________ Medio
Colegio anterior:________________________________________________________________
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ENTREVISTA
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11. En el cine:
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12. En el computador:
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probado?__________________________________________________
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(especificar)?_______________________
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Firma:__________________________________________Fecha_______________________
LOS PADRES
1. DATOS DE LOS PADRES
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Nombre madre:_______________________________________________________________
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bajo:____________________________Celular:________________________
E-mail:_______________________________________________________________________
Nombre del pap :______________________________________________________________
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E-mail:________________________________________________________________________
de semana (dar detalles).
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(Lo m s objetivamente posible)
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Pestes infantiles: _______________________________________________________________
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Respiratorias: __________________________________________________________________
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Motores:________________________________________________________________________
Lenguaje:_______________________________________________________________________
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Accidentes:_____________________________________________________________________
Otras:__________________________________________________________________________
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una dificultad conductual, social o de aprendizaje? ________________________________________________________________________________
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adjuntar los documentos al cuestionario) ________________________________________________________________________________
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12- Por ?
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14. Se incluyen los siguientes documentos:
- rior (promoviendo de curso)
- Informe de Personalidad del colegio anterior
- Certificado de Nacimiento (original y actualizado)
- Informes :
Nombre y firma de quienes respondieron:
Fecha: ____________________________________________________________________