GAZİANTEP ÖZEL GÜNEY FIRAT LİSESİ

                              REHBERLİK VE PSİKOLOJİK DANIŞMA MERKEZİ

                                                   VELİ  GÖRÜŞME   FORMU

Görüşülen Velinin:                                                              Görüşenin        :

Adı Soyadı                     : ………………………………      Adı Soyadı        : ……….………………..

Velinin Adresi                : ………………………………       Görüşme Tarihi: ……/……/200…

Telefonları                      :İ ……………………………..        Görüşme No    : ………….

Öğrencisinin Adı             : ………………………………                                 

Numarası                         : ……………….……………..

Sınıfı                                : ………………………………

Görüşme Nedeni              : ……………………………………………………………………………….

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Görüşmenin  Özeti           :….. …………………………………………………………………………..

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Görüşmeye Ait  Notlar, Alınan Kararlar ve Tavsiyeler     : ………………….………………………….

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Gelecek Görüşme İçin Randevu ve Geçici Plan: ………………………………………………………..

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                                                                                                                       Halil TÜRKMEN

                                                                                                               Psikolog – Rehber  Öğretmen