ORGANISASI SISWA INTRA SEKOLAH

UNIT PELAKSANA TEKNIS SATUAN PENDIDIKAN

SMA NEGERI 1 SOOKO
Jalan R.Akhmad Basuni 361 Telepon (0321) 322637 Kab. Mojokerto

REKOMENDASI
Nama Siswa

Kelas

NIS

Nama Pemeberi Rekomendasi :

Dalam Kaitan / Hubungan

1. Bagaimanakah karakter siswa sehari-hari?

...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
2. Bagaimanakah siswa dalam menajalankan kewajiban dan tanggung jawabnya?
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
..................................................................................................................................................................
3. Apa sajakah kelebihan yang dimiliki siswa?
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
4. Apa sajakah kekurangan yang dimiliki siswa?
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
..................................................................................................................................................................

5. Kesimpulan :
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................

Mojokerto, ....................................2013

Guru,

(...............................................)

*NB : setelah diisi mohon dimasukkan ke dalam amplop tertutup

Siswa,

(...............................................)