LEMBAR PELAPORAN LITERASI SMA NEGERI 1 CEPU

TAHUN PELAJARAN 2019/2020

NAMA : .............................
KELAS : .............................
SEMESTER : .............................

A. HASIL BACA BUKU/BACAAN NON PAKET

TANDA
JUDUL BUKU/ HALA
NO TANGGAL ISI BACAAN TANGAN
BACAAN MAN
GURU
 TANDA
JUDUL BUKU/ HALA
NO TANGGAL ISI BACAAN TANGAN
BACAAN MAN
GURU

Cepu, ...............................
Wali Kelas

_____________________
NIP.
LEMBAR PELAPORAN LITERASI SMA NEGERI 1 CEPU
TAHUN PELAJARAN 2019/2020

NAMA : .............................
KELAS : .............................
SEMESTER : .............................

B. HASIL RANGKUMAN BUKU/BACAAN

 NAMA PENGARANG/
NO TANGGAL JUDUL BUKU/ BACAAN HALAMAN
PENULIS BUKU

RANGKUMAN:
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Cepu, ...............................
Wali Kelas Guru

_____________________ _____________________
NIP. NIP.
LEMBAR PELAPORAN LITERASI SMA NEGERI 1 CEPU
TAHUN PELAJARAN 2019/2020

C. PENILAIAN PRESENTASI

NILAI PRESENTASI TANDA TANGAN

NO NAMA SISWA
(A,B,C)* GURU PENILAI

8
 NILAI PRESENTASI TANDA TANGAN
NO NAMA SISWA
(A,B,C)* GURU PENILAI

10

11

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27

28

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31

32

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34

35

36
 Cepu, ...............................
Wali Kelas

_____________________
NIP.
*) KETERANGAN:
Nilai A jika tampilan presentasi bagus
Nilai B jika tampilan presentasi bagus tetapi ada kekurangan
Nilai C jika tampilan presentasi kurang bagus

LEMBAR PELAPORAN LITERASI SMA NEGERI 1 CEPU

TAHUN PELAJARAN 2019/2020

NAMA : .............................
KELAS : .............................
SEMESTER : .............................

D. LEMBAR PRODUKSI (Boleh memakai kertas folio dengan format yang sama)
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Cepu, ...............................
Wali Kelas

_____________________
NIP.