1.
2.
3.
4.
5.
6.
7.
Nama Guru
Sekolah
Kelas/Semester
Mata pelajaran
Standar Kompetensi
Kompetensi Dasar
Hari tanggal
: ..
: ..
: ..
: ..
: ..
: ..
: ..
No
URAIAN KEGIATAN
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
KRITERIA NILAI
2
3
Klasifikasi
.
SARAN PEMBINAAN :
: 76% - 85%
C : Cukup
: 56% - 75%
D : Kurang
: dibawah 55%
Supervisor,
..........................................
NIP.
2. Nama guru
3. Mata pelajaran
Halaman
12
4. Kelas/semester
5. Hari/tanggal/jam ke :
6. Kompetensi dasar :
7. Jumlah peserta didik
No
ASPEK PENGAMATAN
KRITERIA NILAI
1
2
3
4
A. KEGIATAN AWAL
1.
2.
3.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
2.
Halaman
13
= ...........
Skor ideal 18 4 = 72
Nilai perolehan =
=
.........
100%
.........
= .
Saran Pembinaan:
........................................................................................................................................................
.
........................................................................................................................................................
.
........................................................................................................................................................
.
........................................................................................................................................................
.
........................................................................................................................................................
.
........................................................................................................................................................
.
........................................................................................................................................................
.
Supervisor,
D r s . S YAH R I R S A I N I
NIP. 195304061985031007
Halaman
14
Pertanyaan
1.
2.
3.
4.
5.
6.
7.
8.
Jawaban
Kesan umum:
Saran:
Guru Yunior,
Halaman
15
:...................................
Kuantitatif
Catatan Khusus
Tindak Lanjut
Supervisor,
D r s . S YAH R I R S A I N I
NIP. 195304061985031007
Halaman
16