KEMENTERIAN AGAMA

KELOMPOK KERJA PENGAWAS PAI (POKJAWAS PAI)
KANTOR KABUPATEN CILACAP
Alamat : Jalan DI. Panjaitan No.44 Telp. (0282)531155 Cilacap

PEMANTAUAN ADMINISTRASI GURU RA
Nama RA
Alamat RA
Nama Guru / NIP
Hari, Tanggal Supervisi
NO.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.

:
:
:
:

.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
JAWABAN
ADA
TIDAK

KOMPONEN

5

4

NILAI
3
2

Kalender Pendidikan dan Penjabarannya
Dokumen Kurikulum
Program Pengajaran Semester
Satuan Kegiatan Mingguan
Satuan Kegiatan Harian
Analisis Hasil Evaluasi
Program Bimbingan dan Konseling
Pelaksanaan Program BK
Anecdota Record
Buku Rangkuman Penilaian
Daftar Pindah Kelompok
Buku Pemeriksaan/Supervisi
Buku Tamu
Daftar Penerimaan/Pengembalian Rapor
Daftar Hadir
Rekapitulasi Daftar Hadir
Daftar Kelompok
Daftar Inventaris Buku
Daftar Inventaris Sarana
Buku Keuangan
Denah Kelas
Daftar Regu Piket
Buku Notulen Rapat
Struktur Organisasi Kelas
Papan Absensi
Buku Pribadi Anak Didik
Buku Penghubung

KET.

1

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

JUMLAH

Jumlah Nilai
×100 =
27× 5

Nilai Akhir

:

Kesimpulan

:

.....................................................................................................
.....................................................................................................
.....................................................................................................
.....................................................................................................

Saran-saran

:

.....................................................................................................
.....................................................................................................
.....................................................................................................
.....................................................................................................
…………….., ............................................

Kepala RA ..................................

Pengawas

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

AGUS RUBIYANTO, S.Pd.I, MM
NIP: 19700429 199503 1 001

KEMENTERIAN AGAMA

KELOMPOK KERJA PENGAWAS PAI (POKJAWAS PAI)
KANTOR KABUPATEN CILACAP
Alamat : Jalan DI. Panjaitan No.44 Telp. (0282)531155 Cilacap
PEMANTAUAN ADMINISTRASI GURU
Hari, Tanggal
Nama MI
Alamat
Kelas
Nama Guru / NIP
NO.
A.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.

:
:
:
:
:

.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
HASIL
Ada/ Dikerjakan/
Rutin/Tidak
Tidak
Tidak

MATERI

5

4

NILAI
3
2

ADMINISTRASI PEMBELAJARAN
Program Tahunan
Program Semester
Silabus
RPP (Rencana Pelaksanaan Pemb.)
Jurnal Pembelajaran
Kumpulan/Bank Soal/UH, UTS/UKK
Daftar Nilai
Analisis Hasil Evaluasi
Program Perbaikan-Pengayaan
Keliling A-B
Ulangan/Pekerjaan Siswa
ADMINISTRASI KELAS
Buku Bimbingan & Penyuluhan
Buku Daftar Kelas
Buku Absensi Siswa
Buku Invetaris Kelas
Buku Penyerahan Lap. Pend.
Buku Notulen
Buku Ko Kurikuler
Buku Esktrakurikuler
Buku Kenaikan Kelas
Buku Pembinaan
Daftar inventaris Kelas
Kalender Pendidikan
Jadwal Pelajaran
Daftar Inventaris Kelas
Papan Absen Harian

KET.
1
A
B
C
D
E

=
=
=
=
=

86 – 100
71 – 85
56 – 70
41 – 55
1 – 40

JUMLAH

Nilai Akhir

=

C. KESIMPULAN/SARAN-SARAN

Jumlah Nilai
×100 = ––––––––––––––– =
26 × 5

..........................................................................................................................................................
..........................................................................................................................................................
..........................................................................................................................................................
..........................................................................................................................................................
..........................................................................................................................................................
..........................................................................................................................................................
…………….., ............................................
Kepala MI ..................................

Pengawas

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

AGUS RUBIYANTO, S.Pd.I, MM
NIP: 19700429 199503 1 001

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