You are on page 1of 3

Repblica Bolivariana De Venezuela.

Ministerio Del Poder Popular Para la Educacin.


U.E. Andrs Eloy Blanco
CPDE

Cuman _____/_______/_______

ACTIVIDADES PREVENTIVAS.

ACTIVIDAD:

________________________________________________________

PROPOSITO: ________________________________________________________
FACILITADO POR: _____________________________________________________
_________________________________________________________________________
LUGAR:_________________________________________________________________
_________________________________________________________________________

MATRICULA ATENDIDA:_________________________________________
DESCRIPCIN DE LA ACTIVIDAD:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_______________________________________

_________________
FACILITADOR/A.

______________
FACILITADOR/A.

Repblica Bolivariana De Venezuela.


Ministerio Del Poder Popular Para la Educacin.
U.E. Andrs Eloy Blanco
CPDE

FECHA:

ACTIVIDAD:__________________________________________
LUGAR:_____________________________________________
FACILITADO POR:_____________________________________
DOCENTE

GRADO

SECCIN

MATRICULA

FIRMA

You might also like