Anda di halaman 1dari 1

SUPERVISI PERPUSTAKAAN

Nama Sekolah : .....................................................................................

Nama Guru/Kep.Perpus :....................................................................................

Jumlah Jam Tambahan : .....................................................................................

Tidak Skore (ada)


No. Perangkat Keterangan
Ada 4 3 2 1
1 SK
2 Program Tahunan
3 Program Semester
4 Struktur Organisasi
5 Jurnal Kegiatan
6 Buku Kunjungan
7 Buku Peminjam
8 Buku Induk
9 Tata Tertib
10 Katalog
11 Grafik Kunjungan
12 Grakfi Peminjam
13 Kartu Buku Pemimjan
14 Jml buku
15 Jml Judul
16 Laporan Kegiatan
Jml Skor perolehan
Skor maksimal = 64
Skor Perolehan x 100
Nilai Akhir ( NA ) = .. = =
Skor Maksimal

Keterangan : Nilai : 86- 100 (Baik Sekali) 55- 70 (Cukup)


71- 85 (Baik ) <55 (Kurang)

Kesimpulan :..................................................................................................................................
..................................................................................................................................
Saran-saran:.................................................................................................................................
...................................................................................................................................
.......................i,.............................

Kepala Sekolah Pengawas Sekolah

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