INSTRUMEN EVALUASI

KEPALA MI

Disusun Oleh:
MI ..........................................

MI .....................................................
Alamat : ...........................................................
Tahun ....................................
 KEMENTERIAN AGAMA
MI NEGERI JUNGPASIR
(TERAKREDITASI A)
Jl.KH.Fauzi Noor No.20 Jungpasir Demak Telp.029133145665
Demak

INSTRUMEN PENILAIAN GURU MADRASAH IBTIDAIYAH

Nama Guru : …………………………….. Kecamatan : ..............................................

Nama RA/Madrasah : …………………………….. Kab/Kota : ..............................................
SKOR PEROLEHAN
NO ASPEK YANG DIMONITORING
1 2 3 4 5
PENYUSUNAN PROGRAM PENGAJARAN
1 Program Tahunan
2 Program semester
3 Silabus
4 Rencana Pelaksanaan Pembelajaran (RPP)
5 Jadwal Mengajar
PELAKSANAAN KEGIATAN PEMBELAJARAN
6 Ketrampilan Membuka pelajaran (apersepsi)
7 Penguasaan Materi Pelajaran
8 Pendekatan/strategi pembelajaran
9 Pemanfaatan sumber belajar
10 Pemanfaatan media penbelajaran
11 Pembelajaran yang melibatkan siswa
EVALUASI BELAJAR
12 Program Evaluasi
13 Buku kumpulan soal
14 Daftar Nilai
15 Buku Analisis Hasil Evaluasi
16 Buku Perbaikan pengayaan
17 Dokumen Tugas Terstruktur
18 Dokumen Tugas Tidak terstruktur
ADMINISTRASI KELAS
19 Buku penghubung
20 Buku BK
21 Natula rapat
22 Buku penerimaan raport
23 Buku Taraf serap
24 Buku supervisi
25 Buku catatan pembelajaran diluar kelas
26 Absensi siswa
27 File guru

Jumlah Skor Perolehan

Nilai

KESIMPULAN :

a. Kesimpulan : ……………………………………………………………………………………
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SARAN PEMBINAAN :
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 Wedung , ……………………............20

Guru yang dinilai Kepala Madrasah

_________________ __________________________
NIP. ……………….. NIP.

Keterangan :
A = 86 – 100
B = 71 – 85
C = 56 – 70
D = 41 – 55
E = 1 – 40

Rumus Nilai Akhir :

Jumlah Nilai Semua
 100 
Nilai Akhir = 27  5 .........................................
 KEMENTERIAN AGAMA
MI NEGERI JUNGPASIR
(TERAKREDITASI A)
Jl.KH.Fauzi Noor No.20 Jungpasir Demak Telp.029133145665
Demak
PENILAIAN KEGIATAN PEMBELAJARAN GURU MI

Nama Sekolah/Madrasah : ................................................................................................................................................................

Kelas : ................................................................................................................................................................
Nama Guru / NIP : ................................................................................................................................................................
Hari, Tanggal Supervisi : ................................................................................................................................................................

NILAI
NO. INDIKATOR / ASPEK YANG DIAMATI KET.
5 4 3 2 1
I. Kegiatan Pendahuluan
1. Menyiapkan PD scr.psikis dan fisik utk keg.pembelajaran
2. Mengajukan pertanyaan2 kaitannya dg peng.sebelumnya A = 86 – 100
3. Menjelaskan tujuan pembelajaran dan cakupan materi
B = 71 – 85
II. Kegiatan inti(eksplorasi,elaborasi,dan konfirmasi) C = 56 – 70
A. EKSPLORASI D = 41 – 55
1. Melibatkan siswa mencari informasi ttg topik/materi
2. Menggunakan beragam pendekatan,media,dan sumber E = 1 – 40
3. Melibatkan siswa aktif,dan melakukan percobaan di lab.
B. ELABORASI
1. Membiasakan PD membaca,berfikir,menganalisis,dll
2. Memfasilitasi memberi tugas,diskusi,kooperatif dan kolabo.dll
3. Memfasilitasi PD berkompetisi ,buat lap.eksplorasi indiv/klp.
4. Memfasilitasi PD menyajikan hasil kerja sec.indv/klompok
5. Memfas.PD ada pameran ,turnamen,festival,dan keg.lain
C. KONFIRMASI
1. Memberi umpan balik,komfirmasi terhadap hasil kerja PD
2. Memfasilitasi PD melaku. refleksi dan pengalaman bermakna
III. KEGIATAN PENUTUP
1. Bersam PD membuat rangkuman/kesimpulan
2. Melakukan penilaian sec.konsisten dan terprogaram
3. Memberi umpan balik,RKTL,dan rencana pemblj,yg akan dtng.
JUMLAH

Jumlah Nilai Semua

Nilai Akhir =  100 
17  5

Kesimpulan/Saran:
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Demak, ...........................................
Guru kelas Kepala Madrasah

........................................................
______________________________
NIP: ............................................. NIP....................................................
 KEMENTERIAN AGAMA
MI NEGERI JUNGPASIR
(TERAKREDITASI A)
Jl.KH.Fauzi Noor No.20 Jungpasir Demak Telp.029133145665
Demak
PENILAIAN ADMINISTRASI GURU

Hari, Tanggal : ................................................................................................................................................................

SD/MI : ................................................................................................................................................................
Alamat : ................................................................................................................................................................
Kelas : ................................................................................................................................................................
Nama Guru / NIP : ................................................................................................................................................................

HASIL
NO. MATERI Ada/ Dikerjakan/ Rutin/ NILAI KET.
Tidak Tidak Tidak 5 4 3 2 1
A. ADMINISTRASI KP
1. Program Semester
2. Silabus A = 86 – 100
3. RPP B = 71 – 85
4. Jurnal C = 56 – 70
5. Kumpulan/Bank Soal D = 41 – 55
6. Daftar Nilai E = 1 – 40
7. Analisis Hasil Evaluasi
8. Program Perbaikan-Pengayaan
9. Buku Ulangan siswa A-B
10. Portopolio siswa

B. ADMINISTRASI KELAS
1. Program BK
2. Buku Daftar Kelas
3. Buku Absensi siswa
4. Buku Invetaris Kelas
5. Buku Penyerahan Lap. Pend.
6. Buku Notulen
7. Buku Ko Kurikuler
8. Buku Esktrakurikuler
9. Buku Kenaikan Kelas
10. Buku Supervisi
JUMLAH

Jumlah Nilai
Nilai Akhir =  100  ––––––––––––––– =
20  5

C. KESIMPULAN/SARAN-SARAN
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Demak, ............................................
Guru .................................. Kepala Madrasah,

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______________________________ NIP.....................................................
NIP: .............................................