So danh gia HS mo hinh THM

TRƯỜNG THCS:…………………………………………………………………..
Huyện/ Quận/ Thị xã:………………………………………………………………
Tỉnh/ Thành phố:…………………………………………………………………...

SỔ ĐÁNH GIÁ HỌC SINH
TRUNG HỌC CƠ SỞ
(Sử dụng cho mô hình trường học mới)

LỚP

.........................................

NĂM HỌC 20 ………….- 20………….



TRƯỜNG THCS:…………………………………………………………………
Huyện/ Quận/ Thị xã:…………………………………………………………….
Tỉnh/ Thành phố:………………………………………………………………….

SỔ ĐÁNH GIÁ HỌC SINH
TRUNG HỌC CƠ SỞ

TRƯỜNG TRUNG HỌC CƠ SỞ
............................................................................................

Xã (phường, thị trấn): ................................Huyện (quận, TX, TP thuộc tỉnh):

.......................

Tỉnh(Thànhphố): ………………………………………………………………………………………

LỚP :………………………………………… NĂM HỌC: 20 ………….-20…………

Giáo viên chủ nhiệm
(Ký, ghi rõ họ tên)

Hiệu trưởng
(Ký, ghi rõ họ tên,đóng dấu)


SƠ YẾU LÝ LỊCH
Số
TT

1
2
3
4
5
6
7
8
9
10
1
11
12
13
14
15
16

17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46

47
48
49
50
2

Họ và tên

Ngày,
tháng,
năm sinh

Nơi sinh

Con LS, con TB,
con BB,con của
Nam/
Dân tộc người được hưởng
nữ
chế độ như TB, con
GĐ có công với CM

Địa chỉ gia đình


HỌC SINH
Số Họ và tên cha, nghề nghiệp
TT
(hoặc người giám hộ)

Họ và tên mẹ, nghề nghiệp
(hoặc người giám hộ)

Số ngày nghỉ học trong năm
Những thay đổi cần chú ý
(gia đình,nơi ở, sức khoẻ, chuyển
đi, đến…)
Có phép
Không phép

Kết quả học tập, rèn luyện
Lên lớp

Ở lại lớp

1
2
3
4
5
6
7
8
9
10
1
11
12
13
14

15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44

45
46
47
48
49
50

Ghi chú: Số TT ở trang này là số TT tên HS ở trang 2

3


HỌC KÌ I
Điểm bài kiểm tra cuối học kì
Số
T
T
1
2
3
4
5
6
7
8
9
10
11
12
13

14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43

44
45
46
47
48
49
50

Họ và tên

Toán

Ngữ
Văn

Khoa
học
tự
nhiên

Khoa
học
xã
hội

Công
nghệ

Tin
học

Giáo
dục
công
dân

Hoạt
động
giáo
dục

Tự chọn
Ngoại ngữ
(Tiếng……)


4

NHỮNG BIỂU HIỆN VỀ PHẨM CHẤT VÀ NĂNG LỰC CỦA HỌC SINH
Số
TT

1

2

3

4

5

6

7

8

9

10

Họ và tên

Biểu hiện nổi bật về sự tiến bộ, mức độ hình thành và phát
triển phẩm chất, năng lực; đạt thành tích nổi bật trong các
phong trào, các hoạt động giáo dục

Những nội dung chưa hoàn thành chương trình; những
điều cần khắc phục, giúp đỡ, bổ sung, rèn luyện thêm
khi bắt đầu học kì 2 (nếu có)


NHỮNG BIỂU HIỆN VỀ PHẨM CHẤT VÀ NĂNG LỰC CỦA HỌC SINH
Số
TT

11

12

13

14

15

16

17

18

19

20

Họ và tên

Biểu hiện nổi bật về sự tiến bộ, mức độ hình thành và phát
triển phẩm chất, năng lực; đạt thành tích nổi bật trong các
phong trào, các hoạt động giáo dục

Những nội dung chưa hoàn thành chương trình; những
điều cần khắc phục, giúp đỡ, bổ sung, rèn luyện thêm
khi bắt đầu học kì 2 (nếu có)

5

6

NHỮNG BIỂU HIỆN VỀ PHẨM CHẤT VÀ NĂNG LỰC CỦA HỌC SINH
Số
TT

21

22

23

24

25

26

27

28

29

30

Họ và tên

Biểu hiện nổi bật về sự tiến bộ, mức độ hình thành và phát
triển phẩm chất, năng lực; đạt thành tích nổi bật trong các

phong trào, các hoạt động giáo dục

Những nội dung chưa hoàn thành chương trình; những
điều cần khắc phục, giúp đỡ, bổ sung, rèn luyện thêm
khi bắt đầu học kì 2 (nếu có)


NHỮNG BIỂU HIỆN VỀ PHẨM CHẤT VÀ NĂNG LỰC CỦA HỌC SINH
Số
TT

31

32

33

34

35

36

37

38

39

40

Họ và tên

Biểu hiện nổi bật về sự tiến bộ, mức độ hình thành và phát
triển phẩm chất, năng lực; đạt thành tích nổi bật trong các
phong trào, các hoạt động giáo dục

Những nội dung chưa hoàn thành chương trình; những
điều cần khắc phục, giúp đỡ, bổ sung, rèn luyện thêm
khi bắt đầu học kì 2 (nếu có)

7


8

NHỮNG BIỂU HIỆN VỀ PHẨM CHẤT VÀ NĂNG LỰC CỦA HỌC SINH
Số
TT

41

42

43

44

45

46

47

48

49

Họ và tên

Biểu hiện nổi bật về sự tiến bộ, mức độ hình thành và phát
triển phẩm chất, năng lực; đạt thành tích nổi bật trong các
phong trào, các hoạt động giáo dục

Những nội dung chưa hoàn thành chương trình; những
điều cần khắc phục, giúp đỡ, bổ sung, rèn luyện thêm
khi bắt đầu học kì 2 (nếu có)


50

9

HỌC KÌ II
Điểm bài kiểm tra cuối năm học
Số
T
T
1
2

3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

33
34
35
36
37
38
39
40
41
42
43
44

Họ và tên

Toán

Ngữ
Văn

Khoa
học
tự
nhiên

Khoa
học
xã
hội

Công
nghệ

Tin
học

Giáo
dục
công
dân

Hoạt
Tự chọn
Ngoại ngữ
động
giáo (Tiếng……..)
dục


45
46
47
48
49
50

10

NHỮNG BIỂU HIỆN VỀ PHẨM CHẤT VÀ NĂNG LỰC CỦA HỌC SINH
Số

TT

1

2

3

4

5

6

7

8

9

Họ và tên

Biểu hiện nổi bật về sự tiến bộ, mức độ hình thành và phát triển
phẩm chất, năng lực; đạt thành tích nổi bật trong các phong
trào, các hoạt động giáo dục

Những nội dung chưa hoàn thành chương trình; những
điều cần khắc phục, giúp đỡ, bổ sung, rèn luyện thêm
trong hè và bắt đầu năm học mới (nếu có)

10

NHỮNG BIỂU HIỆN VỀ PHẨM CHẤT VÀ NĂNG LỰC CỦA HỌC SINH
Số
TT

11

12

13

14

15

16

17

18

19

Họ và tên

Biểu hiện nổi bật về sự tiến bộ, mức độ hình thành và phát
triển phẩm chất, năng lực; đạt thành tích nổi bật trong các
phong trào, các hoạt động giáo dục

Những nội dung chưa hoàn thành chương trình; những
điều cần khắc phục, giúp đỡ, bổ sung, rèn luyện thêm
trong hè và bắt đầu năm học mới (nếu có)

11


20

12

NHỮNG BIỂU HIỆN VỀ PHẨM CHẤT VÀ NĂNG LỰC CỦA HỌC SINH
Số
TT

21

22

23

24

25

26

27

28

29

Họ và tên

Biểu hiện nổi bật về sự tiến bộ, mức độ hình thành và phát
triển phẩm chất, năng lực; đạt thành tích nổi bật trong các
phong trào, các hoạt động giáo dục

Những nội dung chưa hoàn thành chương trình; những
điều cần khắc phục, giúp đỡ, bổ sung, rèn luyện thêm
trong hè và bắt đầu năm học mới (nếu có)


30

NHỮNG BIỂU HIỆN VỀ PHẨM CHẤT VÀ NĂNG LỰC CỦA HỌC SINH
Số
TT

31

32

33

34

35

36

37

38

Họ và tên

Biểu hiện nổi bật về sự tiến bộ, mức độ hình thành và phát
triển phẩm chất, năng lực; đạt thành tích nổi bật trong các
phong trào, các hoạt động giáo dục

Những nội dung chưa hoàn thành chương trình; những
điều cần khắc phục, giúp đỡ, bổ sung, rèn luyện thêm
trong hè và bắt đầu năm học mới (nếu có)

13


39

40

14

NHỮNG BIỂU HIỆN VỀ PHẨM CHẤT VÀ NĂNG LỰC CỦA HỌC SINH
Số
TT

41

42

43

44

45

46

47

48

Họ và tên

Biểu hiện nổi bật về sự tiến bộ, mức độ hình thành và phát
triển phẩm chất, năng lực; đạt thành tích nổi bật trong các
phong trào, các hoạt động giáo dục

Những nội dung chưa hoàn thành chương trình; những
điều cần khắc phục, giúp đỡ, bổ sung, rèn luyện thêm
trong hè và bắt đầu năm học mới (nếu có)


49

50

15

XẾP LOẠI CẢ NĂM HỌC
Số
TT

Họ và tên

Xếp loại
Năng lực Phẩm chất

TS ngày
nghỉ học

Được
lên lớp

Không được Xếp loại sau khi học tập,
Danh hiệu
rèn luyện thêm trong hè
thi đua
lên lớp
Năng lực
Phẩm chất

Tổng hợp chung

1.............................................................................................................................................................................................................................
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Tổng số học sinh: ....
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Được lên lớp: ..........
4.............................................................................................................................................................................................................................
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trong đó ……... được
5.............................................................................................................................................................................................................................
lên lớp sau khi học
6...............................................................................................................................................................................................................................................................
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tập, rèn luyện thêm
7...............................................................................................................................................................................................................................................................
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..........................................................................................
trong hè.
8...............................................................................................................................................................................................................................................................

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9...............................................................................................................................................................................................................................................................
10............................................................................................................................................................................................................................................................
Không

được lên
lớp:...................
11............................................................................................................................................................................................................................................................
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13............................................................................................................................................................................................................................................................
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14............................................................................................................................................................................................................................................................
15............................................................................................................................................................................................................................................................Giáo

viên chủ
nhiệm
16............................................................................................................................................................................................................................................................
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(Ký và ghi rõ họ, tên)
17............................................................................................................................................................................................................................................................

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18............................................................................................................................................................................................................................................................
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19............................................................................................................................................................................................................................................................
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21............................................................................................................................................................................................................................................................
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24............................................................................................................................................................................................................................................................
25............................................................................................................................................................................................................................................................

Hiệu trưởng
26............................................................................................................................................................................................................................................................
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(Ký tên, đóng dấu)

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29............................................................................................................................................................................................................................................................
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32............................................................................................................................................................................................................................................................
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33............................................................................................................................................................................................................................................................
34............................................................................................................................................................................................................................................................
35............................................................................................................................................................................................................................................................
36
37
38
39
40


41............................................................................................................................................................................................................................................................
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42............................................................................................................................................................................................................................................................
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43............................................................................................................................................................................................................................................................
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44............................................................................................................................................................................................................................................................
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46............................................................................................................................................................................................................................................................
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47............................................................................................................................................................................................................................................................
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49............................................................................................................................................................................................................................................................
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Ghi chú: Số TT ở trang này là số TT ở trang 2

NHẬN XÉT CỦA HIỆU TRƯỞNG VỀ SỦ DỤNG SỔ ĐÁNH GIÁ HỌC SINH
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