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Instrumen Supervisi Peserta Didik

Instrumen Supervisi Peserta Didik

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Dipublikasikan oleh Agus Rubiyanto

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Published by: Agus Rubiyanto on Mar 14, 2011
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09/11/2014

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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
PESERTA DIDIK
1. Nama Madrasah : ...................................................................................................
2. Kecamatan : ...................................................................................................
3. Kabupaten/Kota : CILACAP
4. Har! tan""a# : ...................................................................................................
N$ A%P&K K&'IA(AN / K$N)I%I
(d*
+ td*
ada,
-a + ada,
%K$. K&(
1 2 3 4
(nda* #an/ut terhadap saran 0an" dber*an
A ADMINISTRASI KESISWAAN
1. 1u*u ndu* ss2a ds #en"*ap dan benar
2. 1u*u *#aper ds #en"*ap dan benar
3. 1u*u mutas ss2a ds den"an benar! dtutup setap a*hr bu#an! dan ada
surat persetu/uan mutas masu*
4. )a3tar 4355 dtanda tan"an Kep.%e* dan Pen"a2as madrasah
5. Pro"ram %A% untu* men"admnstras data dan n#a ss2a
B KEHADIRAN DAN DISIPLIN
1. )ata statst* /um#ah ss2a perbu#an
2. )a3tar hadr ss2a per*e#as
3. .e*aotu*as *ehadran ss2a rata6rata tap bu#an 7 89:
4. (ata tertb ss2a tertu#s dan d#a*sana*an den"an ba*
5. Peraturan pemberan pen"har"aan
;. 1u*t pen"har"aan *epada ss2a 0an" berprestas dan te"uran *epada
ss2a 0an" me#an""ar tata tertb
C KELANGSUNGAN BELAJAR
1. <umah ss2a 0an" #u#us tahun 299=/2994 dbandn"/*an /um#ah saat
dterma + Ke#as 1 tahun ............/............, 7 45:
2. (n"*at *e#u#usan ss2a tahun ........../............. 7 85:
3. 1u*t pen0erahan /a>ah dan %KH?N tahun ............./..................
4. )a3tar ss2a #u#usan 0an" me#an/ut*an madrasah
D ORGANISASI SISWA INTRA MADRASAH (OSIS)
1. %tru*tur $r"ansas $%I%! dan uraaan pemba"an tu"as
2. Pro"ram *er/a $%I%! termasu* /ad2a# pe#a*sanaan *e"atan dan
an""aran ba0a *e"atan
3. Kumpu#an proposa# *e"atan $%I%
4. Catatan pe#a*sanaan / do*umentas *e"atan $%I%
5. Ke*utsertaan ss2a da#am berba"a per#ombaan
;. Laporan *eter#a*sanaan pro"ram $%I%
E PENGEMBANGAN DIRI
1. Ke"atan pen"emban"an dr / e*stra*ur*u#er
2. Prestas ss2a d bdan" a*adem*
3. Prestas ss2a d bdan" nona*adem*
JUMLAH SKOR / NILAI
MASALAH / KENDALA :
................................................................................................................................................................................
................................................................................................................................................................................
SARAN PEMBINAAN :
................................................................................................................................................................................
................................................................................................................................................................................
Kepa#a Madrasah! 4; @ 199 A A C#acap! ...........................................
=1 6 45 A 1 Pen"a2as !
5; 6 =9 A C
B 5; A )
+................................................, ...................................................
NIP.

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