JURNAL KEGIATAN SUPERVISI

LPMP JAWA BARAT

TAHUN 2017

A. IDENTITAS PETUGAS
a. Nama Supervisor : .....................................................................................
b. NIP : .....................................................................................
c. Pangkat / Gol : .....................................................................................
d. Jabatan : .....................................................................................
e. No. HP/Email : .....................................................................................

B. SEKOLAH MODEL
a. Nama Sekolah : .....................................................................................
b. Nama Kepala Sekolah : .....................................................................................
c. Alamat : .....................................................................................
.....................................................................................
d. Telp./Fax./web : .....................................................................................
 JURNAL KEGIATAN HARIAN
SUPERVISI IMPLEMENTASI SPMI DI SEKOLAH MODEL
TAHUN 2017
Hari/tanggal : ..................................................................................

Hasil Kerja Permasalahan dan Keterna

No. Deskripsi Kegiatan
Banuan gan

Mengetahui ………………….., …………………….

Kepala Sekolah Supervisor

……………………………… ………………………………….