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Supervisi Hasil Penilaian Semester I

Supervisi Hasil Penilaian Semester I

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Dipublikasikan oleh Agus Rubiyanto
FORMAT INSTRUMEN SUPERVISI

SUPERVISI HASIL PENILAIAN SEMESTER 1
1. 2. 3. 4.
NO
A

Nama Madrasah Kecamatan Kabupaten/Kota Hari, tanggal

: : : :

................................................................................................... ................................................................................................... CILACA
FORMAT INSTRUMEN SUPERVISI

SUPERVISI HASIL PENILAIAN SEMESTER 1
1. 2. 3. 4.
NO
A

Nama Madrasah Kecamatan Kabupaten/Kota Hari, tanggal

: : : :

................................................................................................... ................................................................................................... CILACA

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Published by: Agus Rubiyanto on Mar 14, 2011
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07/13/2013

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KEMENTERIAN AGAMA

KELOMPOK KERJA PENGAWAS PAI (POKJAWAS PAI)
KANTOR KABUPATEN CILACAP
Alamat : Jalan DI. Panjaitan No.44 Telp. (0282)531155 Cilacap
FORMAT INSTRUMEN SUPERVISI
SUPERVISI HASIL PENILAIAN SEMESTER 1
1. Nama Madrasah : ...................................................................................................
2. Kecamatan : ...................................................................................................
3. Kabupaten/Kota : CILACAP
4. Har! tan""a# : ...................................................................................................
NO ASPEK KEGIATAN / KONDISI
Tdk (
tdk
ada)
Ya ( ada)
SKOR KET
1 ! "
$nda% #an&ut terhadap saran 'an" dber%an
A ADMINISTRASI KESISWAAN
1. (u%u ndu% ss)a ds #en"%ap dan benar
2. (u%u %#aper ds #en"%ap dan benar
3. (u%u mutas ss)a ds den"an benar! dtutup setap a%hr bu#an! dan ada
surat persetu&uan mutas masu%
4. *a+tar ,3-- dtanda tan"an Kep..e% dan Pen"a)as madrasah
-. Pro"ram .A. untu% men"admnstras data dan n#a ss)a
B KEHADIRAN DAN DISIPLIN
1. *ata statst% &um#ah ss)a perbu#an
2. *a+tar hadr ss)a per%e#as
3. /e%aotu%as %ehadran ss)a rata0rata tap bu#an 1 234
4. $ata tertb ss)a tertu#s dan d#a%sana%an den"an ba%
-. Peraturan pemberan pen"har"aan
5. (u%t pen"har"aan %epada ss)a 'an" berprestas dan te"uran %epada
ss)a 'an" me#an""ar tat tertb
C KELANGSUNGAN BELAJAR
1. 6umah ss)a 'an" #u#us tahun ........../......... dbandn"&%an &um#ah saat
dterma 7 Ke#as 1 tahun ........../.........8 1 ,-4
2. $n"%at %e#u#usan ss)a tahun ........../.........1 2-4
3. (u%t pen'erahan &a9ah dan .KH:N tahun ........../.........
4. *a+tar ss)a #u#usan 'an" me#an&ut%an madrasah
D ORGANISASI SISWA INTRA MADRASAH (OSIS)
1. .tru%tur ;r"ansas ss)a! dan uraaan pemba"an tu"as
2. Pro"ram %er&a %ess)aan! termasu% &ad)a# pe#a%sanaan %e"atan dan
an""aran ba'a %e"atan
3. Kumpu#an proposa# %e"atan %ess)aan
4. Catatan pe#a%sanaan / do%umentas %e"atan %ess)aan
-. Ke%utsertaan ss)a da#am berba"a per#ombaan
5. Laporan %eter#a%sanaan pro"ram %ess)aan
E PENGEMBANGAN DIRI
1. Ke"atan pen"emban"an dr / e%stra%ur%u#er
2. Prestas ss)a d bdan" a%adem%
3. Prestas ss)a d bdan" nona%adem%
JUMLAH SKOR / NILAI
MASALAH / KENDALA #
................................................................................................................................................................................
................................................................................................................................................................................
SARAN PEMBINAAN #
................................................................................................................................................................................
................................................................................................................................................................................
Kepa#a Madrasah! ,5 < 133 = A C#acap! ...........................................
>1 0 ,- = ( Pen"a)as !
-5 0 >3 = C
? -5 = *
7................................................8 ...................................................
NIP.

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