SUPERVISI ADMINISTRASI PERENCANAAN PEMBELAJARAN

(Berdasarkan Standart Proses)

Nama Sekolah : ..............................................................................................................
Nama Guru : ..............................................................................................................
NIP : .........................................................................................
Pangkat/ Golongan : ..............................................................................................................
Mata Pelajaran : ..............................................................................................................
Jumlah Jam Tatap Muka : ..............................................................................................................

Sertifikasi : ..............................................................................................................
Nomer Hp/Email : .........................................................................................

Komponen Administrasi Ketersediaan Skor Nilai Keterangan

No.
Pembelajaran Ada Tidak 3 2 1 0 Kesesuaian

1. Kalender Pendidikan

2. Rencana Pekan Efektif

3. Program Tahunan

4. Program Semester

5. Pemetaan KI dan KD

6. Pengembangan Silabus

7. RPP
Perencanaan Penilaian ;
8. Sikap, Pengetahuan dan
Ketrampilan
9. KKM

10. Jadwal Mengajar

11. Jurnal Mengajar

12 Jurnal Pengamatan Sikap

13. Daftar Hadir Siswa

14. Daftar Nilai

Jumlah skor

Keterangan :

Nilai akhir =
100 3 = lengkap dan benar

2 = lengkap kurang benar
1 = ada tidak lengkap
0 = Tidak Ada
Ketercapaian 91 - 100 = Unggul NILAI AKHIR/KATAGORI
81 - 90 = Baik
71 - 80 = Cukup
<71 = Kurang

Rekomendasi/Tindak lanjut :

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Situbondo, ......................................
Guru Mata Pelajaran, Pengawas Sekolah

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NIP. NIP.

Mengetahui
Kepala Sekolah................................

....................................................
NIP.