LAPORAN PENGEMBANGAN DIRI

Nama
NIP.
Jabatan/Gol.
Unit Kerja
Tahun

: Drs. M. Irianto Mewal, M.Pd

: 196305301995121001
: Pembina / IVa
: SMP Negeri 3 Slogohimo
: 2013/2014

Kepala Sekolah

Wonogiri, Juni 2014

Koordinator PKB

Drs. M. Irianto Mewal, M.Pd

NIP. 196305301995121001

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
NIP.
Jabatan/Gol.
Unit Kerja
Tahun

: Drs. M. Irianto Mewal, M.Pd

: 196305301995121001
: Pembina / IVa
: SMP Negeri 3 Slogohimo
: 2013/2014

Kepala Sekolah

Wonogiri, Juni 2014

Koordinator PKB

Drs. M. Irianto Mewal, M.Pd

NIP. 196305301995121001

Samin, S.Pd
NIP.

KATA PENGANTAR

DAFTAR ISI
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 ......................................................

Hal

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