PARAF
NO KEGIATAN TEMPAT NILAI KRITERIA Orang Guru/
Tua Pembina
KEGIATAN AMALAN IBADAH ;
1 Shalat Subuh
2 Shalat Dzuhur
3 Shalat Ashar
4 Shalat Maghrib
5 Shalat Isya
6 Shalat Tahajud
7 Shalat Dhuha
8 Baca Quran/Hafalan Surat
SIKAP & PENAMPILAN
9 Bersih Diri (Mandi)
10 Rambut/Jilbab
11 PSAS
12 Kaos kaki & Sepatu
KRITERIA SIKAP
13 Menyimak & Berbicara
HAL BAIK YG DILAKUKAN
14 Kehadiran
15 Piket Kelompok
16 Keg. Bhakti Keluarga
17 Keg. Bhakti Ling/Masyarakat
18 Keg. Ekstrakurikuler
19 Keg. Lainnya
20 Amalan Kebaikan
JUMLAH/RERATA
Keterangan Kriteria
D = Dilakukan Br = Bersih S = Sopan
TD= Tidak Dilakukan R = Rapih B = Baik
H = Halangan W= Wangi K = Kurang
TW = Tepat waktu TL = Terlambat
Catatan:
Lembar isian untuk agama Islam
Catatan Penilaian:
Baik sekali (A) = 4, MEMBUDAYA
Baik (B) = 3, SUDAH BERKEMBANG TETAPI BELUM MEMBUDAYA
Cukup (C) = 2, MULAI BERKEMBANG
Kurang (D) = 1, MULAI TAMPAK
Mengetahui
Orang tua/Wali
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HARI : ..................................................................
TANGGAL : ..................................................................
TEMPAT : ..................................................................
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URAIAN : .....................................................................................................
KEGIATAN .....................................................................................................
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Dengan ini saya telah melaksanakan kegiatan HAT, dan berhak mendapatkan sertifikat
dan brevet HAT.
,
Mengetahui,
GURU /Pembina Pramuka
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HARI : ..................................................................
TANGGAL : ..................................................................
TEMPAT : ..................................................................
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URAIAN : ..........................................................................
KEGIATAN ..........................................................................
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Mengetahui,
GURU /Pembina Pramuka Pemangku Kepentingan
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Hari Tanggal :
Tempat : ..
Golongan Pramuka : ..
Regu/Barung : ..
Hasil Identifikasi Muatan
Pembelajaran :
Komponen Penilaian
No Nama Peserta Didik Kelas Rerata
1 2 3 4 5 dst
1
2
3
4
5
6
7
8
Catatan Komponen Penilaian:
1 = Mengamati, 2 = Menanya, 3 = Mengumpulkan Data, 4 = Mengasosiasikan,
5 = Mengkomunikasikan, 6 = Kerjasama, 7 = Disiplin, 8 = Kejujuran, 9 = Aktifitas,
10 = Pemahaman, 11 = Penghayatan, 12 = Penerapan, 13 = Demo/Presentasi
Hari /Tanggal :
Tempat Kegiatan :
Golongan Pramuka :
Regu/Barung :
Mata Pelajaran :
Hasil Identifikasi Muatan
Pembelajaran :
Kompetensi Inti 3 dan 4 :
Kompetensi Dasar :
Muatan Pembelajaran : ..
Kegiatan Kepramukaan:
Komponen Penilaian
No Nama Peserta Didik Rerata
1 2 3 4 5 6
1
2
3
4
5
6
7
8
Catatan Komponen Penilaian:
Semester :
Kelas :