Fiche de suivi de l’élève Situation familiale

(parents, place dans la fratrie ...)

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Nom : ___________________________________________________________________________
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Prénom : __________________________________________________________________________

__________________________ Antécédent de scolarité

Maternelle ________________________________________
20__ - 20__ 20__ - 20__ 20__ - 20__
Date de naissance : ___ /___/_____
Maintien
oui non Niveau :

Antécédent de scolarité
Élémentaire________________________________________
20__ - 20__ 20__ - 20__ 20__ - 20__ 20__ - 20__ 20__ - 20__

Maintien
oui non Niveau :

Liaison gs/cp
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cp
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___________________________________________________ avis rased Dispositif d’aides
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APC
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PAP
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PPS
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_____________________________________________________________________________ INCLUSION
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RASED
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cE1
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___________________________________________________ avis rased _______________________
Dispositif d’aides
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PPRE
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PAP
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______________________________ ____________________ INCLUSION
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RASED
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SUIVI EXTERIEUR
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Équipe éducative
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cE2
___________________________________________________ avis rased Dispositif d’aides
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PAP
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PPS
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INCLUSION
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cM1
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Dispositif d’aides
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PPRE
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PAP
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______________________________ ____________________ INCLUSION
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___________________________________________________ ____________________ RASED
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SUIVI EXTERIEUR
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Équipe éducative
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cM2
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avis rased
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Dispositif d’aides
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___________________________________________________ ____________________ PPS
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___________________________________________________ ____________________ INCLUSION
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___________________________________________________ ____________________ RASED
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___________________________________________________ ____________________ SUIVI EXTERIEUR
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_________________ __ Équipe éducative
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informations complémentaires
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