1. IDENTITAS :
Mata Pelajaran :………………..
Kelas/semester :………………..
Tahun Pelajaran :………………..
2. PROGRAM PERBAIKAN
a. Penyajian ulang materi pelajaran :
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b. Evaluasi ulang KD nomor
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c. Alat evaluasi :
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3. PROGRAM PENGAYAAN
a. Jumlah siswa yang mengikuti pengayaan :................. siswa
b. Bentuk Pengayaan :..........................
c. Latihan soal pengayaan :
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JUMLAH SKOR
JUMLAH SKOR MAKS. (IDEAL)
% KETERCAPAIAN
1. Ketuntasan Belajar :
Kriteria Ketuntasan Minimal (KKM) :.................
a. Perorangan
Jumlah Siswa seluruhnya :................. Siswa
Banyak Siswa yang sudah tuntas belajar :................. Siswa
Persentase siswa yang sudah tuntas belajar :.................%
b. Klasikal : Tuntas/Tidak *)
2. Kesimpulan :
a. Perlu Perbaikan secara klasikal : Ya/Tidak *)
b. Perlu perbaikan secara individu, siswa yang bernama :
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3. Keterangan :
a. Seorang siswa disebut telah tuntas belajar, jika ia telah menguasai materi
pelajaran sesuai Kriteria Ketuntasan Minimal (KKM) yang ditetapkan.
b. Daya serap klasikal. Suatu kelas dinyatakan tuntas belajar, jika di kelas
tersebut terdapat minimal 85 % siswa yang sudah tuntas belajar.
Mengetahui : …………,.......................................
Kepala Sekolah Guru Mata Pelajaran
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NIP. NIP.
PROGRAM remedial
Mengetahui : ……………..,.......................................
Kepala Sekolah Guru Mata Pelajaran
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NIP. NIP.