Nama Madrasah
Kecamatan
Kabupaten/Kota
Hari, tanggal
:
:
:
:
...................................................................................................
...................................................................................................
Kab,KEDIRI
...................................................................................................
PROGRAM BIMBINGAN
1. Buku catatan bimbingan pribadi
2. Buku catatan bimbingan sosial
3. Buku catatan bimbingan belajar
4. Buku catatan bimbingan karir
Tdk (
tdk
ada)
Ya ( ada)
SKOR
2
3
KET
4
Jml siswa
Jml gr BK
MASALAH / KENDALA :
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SARAN PEMBINAAN :
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Guru BK/BP,
86 100 = A
71 - 85 = B
56 - 70 = C
< 56 = D
(................................................)
KRAS, ...........................................
Kepala Sekolah ,
HUSEIN,S.Si.,M.Si.
NIP. 19580401 198101 1 006