LAPORAN PENGEMBANGAN DIRI

Nama
M.Pd
NIP.
Jabatan/Gol.
Unit Kerja
Tahun

Kepala Sekolah

Drs. M. Irianto Mewal, M.Pd

NIP. 196305301995121001

: Drs. M. Irianto Mewal,

:
:
:
:

196305301995121001
Pembina / IVa
SMP Negeri 3 Slogohimo
2013/2014

Wonogiri, Juni 2014

Koordinator PKB

Samin, S.Pd
NIP.

IDENTITAS GURU

1. Nama sekolah

: SMP N3 Slogohimo

2. Nama guru

: Drs. M. Irianto Mewal, M.Pd

3. NIP.

: 196305301995121001

4. Jabatan/Gol.

: Pembina / IVa

5. Alamat sekolah
a. Desa
b. Kecamatan
c. Kabupaten

: Bandung - Watusomo
: Slogohimo
: Wonogiri

6. Mengajar Mata Pelajaran

: Ilmu Pengetahuan Alam (IPA)

7. SK Pengangkatan
a. Sebagai CPNS
Pejabat yang mengangkat
Nomor SK
Tanggal SK
b. Pangkat Terakhir
Pejabat yang mengangkat
Nomor SK
Tanggal SK
8. Alamat Rumah
a. Jalan
b. Desa
c. Kecamatan
d. Kabupaten
e. No. Tlp/HP

:
:
:
:
:
:

:
:
:
:
:

Anggrek 2
Wonoboyo
Wonogiri
Wonogiri
(0273) 325847 / 081329055127

PENGESAHAN
LAPORAN PENGEMBANGAN DIRI

Nama
M.Pd
NIP.
Jabatan/Gol.
Unit Kerja
Tahun

Kepala Sekolah

Drs. M. Irianto Mewal, M.Pd

NIP. 196305301995121001

: Drs. M. Irianto Mewal,

:
:
:
:

196305301995121001
Pembina / IVa
SMP Negeri 3 Slogohimo
2013/2014

Wonogiri, Juni 2014

Koordinator PKB

Samin, S.Pd
NIP.

KATA PENGANTAR

DAFTAR ISI

Hal

Lembar
sampul .........................................................................................
...................
Lembar
identitas ......................................................................................
...................
Lembar
Pengesahan .................................................................................
...................
Kata
Pengantar ....................................................................................
........................
Daftar
isi .................................................................................................
.....................
I. PENDAHULUAN ............................................................................
.........................
A. Latar
Belakang ...............................................................................
...........
B. Tujuan
Umum ...................................................................................
........
II. PENGEMBANGAN DIRI 1 (Diklat Fungsional / Kegiatan Kolektif
Guru) ........................
A. Waktu
Pelaksanaan ..........................................................................
........
B. Penyelenggara
kegiatan ...........................................................................
C. Jenis
kegiatan ................................................................................
...........
D. Tujuan pengembangan diri
(PD) .............................................................
E. Uraian materi
PD ......................................................................................
F. Tindak
Lanjut ....................................................................................
........
G. Dampak
PD .........................................................................................
......
H. Lampiran-lampiran
Foto copy Surat Undangan

Foto copy surat Tugas

Foto copy sertifikat (jika mengikuti diklat fungsional)
Makalah (materi) jika yang bersangkutan mengikuti
kegiatan kolektif guru

III. PENGEMBANGAN DIRI 2 (Diklat Fungsional / Kegiatan Kolektif

Guru) ....................
A. Waktu
Pelaksanaan ..........................................................................
.........
B. Penyelenggara
kegiatan .............................................................................
C. Jenis
kegiatan ................................................................................
.............
D. Tujuan pengembangan diri
(PD) ................................................................
E. Uraian materi
PD .......................................................................................
F. Tindak
Lanjut ....................................................................................
.........
G. Dampak
PD .........................................................................................
.......
Foto copy Surat Undangan
Foto copy surat Tugas
Foto copy sertifikat (jika mengikuti diklat fungsional)
Makalah (materi) jika yang bersangkutan mengikuti
kegiatan kolektif guru baik sebagai peserta maupun
maupun nara sumber
IV. PENGEMBANGAN DIRI ....dst
V. PENUTUP .....................................................................................
..........................
REKAPITULASI KEGIATAN PENGEMBANGAN
DIRI ......................................................

BAB I
PENDAHULUAN
A. Latar Belakang
(latar belakang guru melakukan Pengembangan Diri)
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
.........................................
B. Tujuan Umum
(Tujuan guru melakukan Pengembangan Diri)
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
.........................................

BAB II
PENGEMBANGAN DIRI 1
(Tulis judul Diklat atau kegiatan kolektif guru yang diikuti)
A. Waktu Pelaksanaan
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
...............
B. Penyelenggara Kegiatan
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
................
C. Jenis Kegiatan
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
................
D. Tujuan Kegiatan PD
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
................
E. Uraian Materi PD
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
................
F. Tindak Lanjut
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
................
G. Dampak PD
...............................................................................................
...............................................................................................

...............................................................................................
...............................................................................................
................
H. Lampiran-lampiran
FC surat undangan
FC surat tugas
FC sertifikat/sttpl (jika mengikuti diklat Fungsional)
Makalah/materi (sebagai narassumber pada kegiatan
kolektif guru)

PENGEMBANGAN DIRI 2
(Tulis judul Diklat atau kegiatan kolektif guru yang diikuti)
A. Waktu Pelaksanaan
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
...............
B. Penyelenggara Kegiatan
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
................
C. Jenis Kegiatan
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
................
D. Tujuan Kegiatan PD
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
................
E. Uraian Materi PD
...............................................................................................
...............................................................................................
...............................................................................................

...............................................................................................
................
F. Tindak Lanjut
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
................
G. Dampak PD
...............................................................................................
...............................................................................................
...............................................................................................
...............................................................................................
................
H. Lampiran-lampiran
FC surat undangan
FC surat tugas
FC sertifikat/sttpl (jika mengikuti diklat Fungsional)
Makalah/materi (sebagai narassumber pada kegiatan
kolektif guru)

BAB III
PENUTUP
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...........................

REKAPITULASI KEGIATAN PENGEMBANGAN DIRI

TAHUN 2013/2014
NO

NAMA KEGIATAN

MATERI PD
/KOMPETENSI

PERAN GURU

WAKTU/JAM
PD

NAMA
FASILITATOR

TEMPAT
KEGIATAN

INSTITUSI
PENYELENGGARA

Wonogiri, Juni 2014

Drs. M. Irianto Mewal, M.Pd

NIP. 196305301995121001