GAZİANTEP ÖZEL GÜNEY FIRAT LİSESİ

                               REHBERLİK VE PSİKOLOJİK DANIŞMA MERKEZİ

                                                 ÖĞRENCİ   GÖRÜŞME   FORMU

Görüşülen Öğrencinin:                                                      Görüşenin        :

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

Sınıfı                              : ………………………………       Görüşme Tarihi: ……/……/200…

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

Baba Adı                        : ………………………………                                 

Baba  Mesleği                 : ……………….……………..

Velinin Adresi                 : ………………………………

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

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

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Görüşmeye Ait  Tahlil, Teşhis  ve  Hükümler: ………………………………………………………….

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

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                                                                                                                       Halil TÜRKMEN

                                                                                                               Psikolog – Rehber  Öğretmen