ࡱ> dfc{`!bjbjBrBrc  R v v 8,I +*******$-b0n*U"UU**cccUd*cU*cc(h)Pj()u**0 +9)X00 ))0)c w** +UUUU0v ! : Ministero dellIstruzione Ufficio Scolastico Regionale per la Sicilia - Ambito Territoriale - Osservatorio Provinciale sul fenomeno della Dispersione Scolastica Osservatorio di Area . c/o . Ai componenti del G.O.S.P. dellIstituto AllOperatore psicopedagogico . SCHEDA DI SEGNALAZIONE DELLALUNNO CognomeNomeLuogo e data di nascitatelefonodomiciliovialuogo Scuola di appartenenza dell'alunno Nome ScuolaClasse e sez.Coordinatore di classe/Insegnante di classe Descrizione sintetica della segnalazione: Evasione scolasticaabbandonoFrequenza irregolareProblematiche legate al Covid 19Comportamenti problematiciDifficolt di apprendimentoProblematiche familiariAltro* * Per la segnalazione altro indispensabile definire la natura della segnalazione utilizzando lo spazio indicato con la dicitura specificare o tramite una relazione riservata Specificare:....................................................................................................................................................................................................................................................................................................... .............................................................................................................................................................................................................................................................................................................................. ............................................................................................................................................................... ............................................................................................................................................................... ............................................................................................................................................................... ............................................................................................................................................................... Problematiche legate al Covid 19: (Assenze per contagio, quarantena o isolamento fiduciario; fragilit dellalunno o di un familiare; mancanza di dispositivi digitali; assenza di connessione dati; assenze alla DAD o alla DID) ............................................................................................................................................................... ............................................................................................................................................................... ............................................................................................................................................................... Ambiti di osservazione: Cognitivo .............................................................................................................................................................................................................................................................................................................................................................................................................................................................. Relazionale ............................................................................................................................................................................................................................................................................................................................................................................................................................................................. Dell'autonomia personale e sociale ............................................................................................................................................................................................................................................................................................................................................................................................................................................................... Partecipazione della famiglia alla vita scolastica dell'alunno ............................................................................................................................................................................................................................................................................................................................................................................................................................................................... Comportamenti particolarmente preoccupanti messi in atto dall'alunno (descrivere fatti ed episodi atti a descrivere il comportamento) ............................................................................................................................................................................................................................................................................................................................................................................................................................................................... Interventi effettuati Attivit progettate dal Consiglio di ClasseColloqui con le famiglieAttivit progettate dalla scuolaCoinvolgimento del terzo settore (Associazioni, cooperative, legge 328)Coinvolgimento agenzie del territorio (N.P.I., Servizio Sociale, Forze dellordine..)Altro, specificare:  NOTA BENE: Tutti gli operatori della scuola, per vincolo deontologico, sono tenuti alla riservatezza dei dati acquisiti ai sensi della normativa vigente. Si ricorda che l'utilizzo della scheda strettamente riservato, non pu essere fotocopiata e/o divulgata ; uno strumento funzionale per lo studio del caso . Data della segnalazione .................................................Il Docente o i Docenti segnalanti ............................................................................................................................................................................................ 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