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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 : .....................................................................................................................

JAWABAN NILAI
NO. KOMPONEN KET.
ADA TIDAK 5 4 3 2 1
1. Kalender Pendidikan dan Penjabarannya
2. Dokumen Kurikulum
3. Program Pengajaran Semester
A = 86 – 100
4. Satuan Kegiatan Mingguan
5. Satuan Kegiatan Harian B = 71 – 85
6. Analisis Hasil Evaluasi C = 56 – 70
7. Program Bimbingan dan Konseling
D = 41 – 55
8. Pelaksanaan Program BK
9. Anecdota Record E = 1 – 40
10. Buku Rangkuman Penilaian
11. Daftar Pindah Kelompok
12. Buku Pemeriksaan/Supervisi
13. Buku Tamu
14. Daftar Penerimaan/Pengembalian Rapor
15. Daftar Hadir
16. Rekapitulasi Daftar Hadir
17. Daftar Kelompok
18. Daftar Inventaris Buku
19. Daftar Inventaris Sarana
20. Buku Keuangan
21. Denah Kelas
22. Daftar Regu Piket
23. Buku Notulen Rapat
24. Struktur Organisasi Kelas
25. Papan Absensi
26. Buku Pribadi Anak Didik
27. Buku Penghubung
JUMLAH

Jumlah Nilai
Nilai Akhir :  100 
27  5

Kesimpulan : .....................................................................................................
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Saran-saran : .....................................................................................................
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…………….., ............................................
Kepala RA .................................. Pengawas

______________________________ AGUS RUBIYANTO, S.Pd.I, MM


NIP: ............................................. 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 : .....................................................................................................................

HASIL
NO. MATERI Ada/ Dikerjakan/ NILAI KET.
Rutin/Tidak
Tidak Tidak 5 4 3 2 1
A. ADMINISTRASI PEMBELAJARAN
1. Program Tahunan
A = 86 – 100
2. Program Semester B = 71 – 85
3. Silabus C = 56 – 70
4. RPP (Rencana Pelaksanaan Pemb.) D = 41 – 55
E = 1 – 40
5. Jurnal Pembelajaran
6. Kumpulan/Bank Soal/UH, UTS/UKK
7. Daftar Nilai
8. Analisis Hasil Evaluasi
9. Program Perbaikan-Pengayaan
10. Keliling A-B
11. Ulangan/Pekerjaan Siswa
B. ADMINISTRASI KELAS
1. Buku Bimbingan & Penyuluhan
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 Pembinaan
11. Daftar inventaris Kelas
12. Kalender Pendidikan
13. Jadwal Pelajaran
14. Daftar Inventaris Kelas
15. Papan Absen Harian
JUMLAH

Jumlah Nilai
Nilai Akhir =  100  ––––––––––––––– =
26  5
C. KESIMPULAN/SARAN-SARAN
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..........................................................................................................................................................
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…………….., ............................................
Kepala MI .................................. Pengawas
______________________________ AGUS RUBIYANTO, S.Pd.I, MM
NIP: ............................................. NIP: 19700429 199503 1 001

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