SATUAN KEGIATAN LAYANAN

BIMBINGAN KONSELING

A. Judul/Spesifikasi layanan
: .................................................................................
B. Bidang Bimbingan
: .................................................................................
C. Fungsi Layanan
: .................................................................................
D.Tujuan Layanan
: .................................................................................
E. Hasil Yang Ingin dicapai
: .................................................................................
F. Sasaran Layanan
: .................................................................................
G.Uraian Kegiatan & Materi Layanan
: .................................................................................
................................................................
.................
................................................................
.................
H.Tempat Penyelenggaraan
: .................................................................................
I. Waktu / Tanggal / Semester
: .................................................................................
J. Penyelenggara Layanan
: .................................................................................
K.Pihak yang disertakan dalam penyelenggaraan layanan
: .................................................................................
: ...............................................................
..................
: ...............................................................
..................
: ...............................................................
..................
M.

Alat

dan

Perlengkapan

yang

digunakan

: .................................................................................
N.

Rencana

Penilaian

dan

Tindak

: .................................................................................

Lanjut

O. Catatan Khusus
: .................................................................................
.,
20....
Kepala Madrasah

Drs.H. Ahmad Deding, M.M.Pd

Guru BK

Chansa Luthfiyyah,

S.Psi
NIP. 196607141993031003
197611032009012002

NIP.