YAYASAN PENDIDIKAN AL IKHLAS CERIH

( YPAC )
MADRASAH ALIYAH AL IKHLAS CERIH
Alamat : Jl. Raya Cerih Rt.17 Rw.01 Kec. Jatinegara Kab. Tegal
TUGAS ANGKET KESISWAAN
Nama
Kelas

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

Untuk memenuhi tugas dari Koordinator Kesiswaan maka kami mengadakan pengumpulan data
serta observasi terhadap siswa / siswi kelas IX SMP / MTs di wilayah sekitar MA AL - IKHLAS Cerih.
Nama Siswa Sasaran : .....................................................
Asal Sekolah
: .....................................................
Nama Orang Tua
*Ayah
: .....................................................
*Ibu
: .....................................................
Rencana Anda Setelah Lulus SMP /
MTs : ...........................................................................................................................................................
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Harapan Anda Setelah Lulus SMP /
MTs : ...........................................................................................................................................................
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Pendapat Anda tentang MA AL
IKHLAS : ....................................................................................................................................................
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Pendapat Anda tentang Siswa / Siswi MA AL
IKHLAS : ....................................................................................................................................................
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Sekolah Idaman Anda Pasca SMP /
MTs : ...........................................................................................................
Harapan Orang Tua Anda Setelah Lulus SMP /
MTs : ...........................................................................................................................................................
......................................................................................................................................................................
......................................................................................................................................................................
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Di Manakah Anda Akan Melanjutkan Sekolah Setelah Lulus SMP / MTs :
Kritik dan Saran Anda Untuk MA AL
IKHLAS : ....................................................................................................................................................
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Demikian tugas ini kami buat dengan sebenar benarnya. Kami atas nama Keluarga Besar MA
AL IKHLAS mengucapkan terima kasih dan mendoakan Anda beserta keluarga agar senantiasa di
Berkahi ALLAH SWT serta sukses dalam mengerjakan Ujian Nasional tahun ini.
Aaaamiiin...
............................,
Hormat Kami,

April 2016

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