PEDOMAN PELAKSANAAN

PRAKTIKUM PEMBELAJARAN DI SLB SERTA LAYANAN INKLUSI DI

SEKOLAH DASAR

Dilaksanakan dalam Kegiatan Learning Outside The Classroom

Oleh :

NAMA/NIM : Linda Safitri Indriyani

Kelompok/Kelas : 2A PGSD

Pembimbing : 1. Drs. Ahmad Mulyadiprana, M.Pd.

2. Muhammad Rijal W. Muharram, M.Pd.

PROGRAM STUDI S-1 PENDIDIKAN GURU SEKOLAH DASAR

UNIVERSITAS PENDIDIKAN INDONESIA
A. PROFIL SEKOLAH
1. Nama Sekolah : SLB AT-TAQWA CISURUPAN
2. Alamat Sekolah : JL. Raya Cidatar No. 29 Kec. Cisurupan – Kab. Garut 44163
Tlp/Hp : -
3. Nama Kepala Sekolah : Maskur,S.Pd
Tlp/Hp : 081323455062
4. Waktu Kegiatan : Rabu, 25 November 2020
5. Keadaan Fisik Sekolah
a. Lurus Area Sekolah : ..................................................................................................
b. Jumlah Ruang kelas : ..................................................................................................
c. Jumlah Rombel/Kelas : ..................................................................................................
6. Keadaan Guru dan Siswa
a. Jumlah Guru : 10
b. Jumlah Siswa :
c. Jenjang Pendidikan : 1) SD
2) SMP
3) SMA
d. jumlah ABK yang ada di sekolah
- Tuna Netra
-Tuna Rungu Wicara
-Tuna Grahita
- Tuna Laras
- Anak Autis
-............................................................................................................................................
-............................................................................................................................................
- ...........................................................................................................................................
e. Jenis Keterampilan dilatihkan guru :
-............................................................................................................................................
-............................................................................................................................................
-............................................................................................................................................
7. Informasi tambahan sesuai dengan kebutuhan :
-............................................................................................................................................
-............................................................................................................................................
-............................................................................................................................................
B. ASESMEN UMUM

1. IDENTITAS ANAK
Nama : ........................................................................................................
Tempat, Tgl. Lahir : .........................................................................................................
Jenis Kelamin : ........................................................................................................
Anak ke/dari : ........................................................................................................
Usia saat ini : ........................................................................................................
Nama Sekolah/Kelas : ........................................................................................................
Alat Rumah : .........................................................................................................
: .........................................................................................................
2. IDENTITAS ORANG TUA
Nama (Ibu/Bapak) : .........................................................................................................
: .........................................................................................................
Pekerjaan : .........................................................................................................
Alamat (rumah) : .........................................................................................................
: .........................................................................................................
 KEMAMPUAN AWAL SISWA

NAMA SISWA : ..................................................................................................................

TEMPAT/TGL LAHIR : ...................................................................................................................

JENIS ABK : ...................................................................................................................

TANGGAL ASESMEN : ...................................................................................................................

PELAKSANA : ...................................................................................................................

GAMBARAN UMUM KASUS

1. PERKEMBANGAN KOGNITIF
a. Aspek Bahasa
Berbicara
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
Mendengar
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
Komunikasi
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
Membaca
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
b. Perhatian dan Konsentrasi
Perhatian
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
 Konsentrasi
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
2. PERKEMBANGAN MOTORIK
a. Motorik Kasar
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
b. Motorik Halus
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
3. PERKEMBANGAN PERILAKU
a. Adaptasi dengan guru
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
b. Respon terhadap intruksi
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
c. Kebiasaan yang menonjol
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
4. KEMAMPUAN PRA-AKADEMIK
a. Pengenalan terhadap bentuk/warna/ukuran
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
b. Pengenalan terhadap posisi/arah
..............................................................................................................................................
..............................................................................................................................................
 ..............................................................................................................................................
c. Kemampuan dalam
1) Klarifikasi
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
2) Seriasi
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
3) Konservasi
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
5. KEMAMPUAN AKADEMIK
a. Membaca
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
b. Menulis
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
c. Berhitung
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
KESIMPULAN SEMENTARA
1. Masalah yang dihadapi :
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
2. Aspek yang perlu dikembangan :
a. ..................................................................................................................................
b. ..................................................................................................................................
c. ..................................................................................................................................
d. ..................................................................................................................................
e. ..................................................................................................................................

Ttd, Guru
(_____________________)
C. PEDOMAN ASESMEN DI SD MITRA
1. MELAKSANAKAN OBSERVASI
a. Identitas Anak
Nama : ........................................................................................................
Tempat, Tgl. Lahir : ........................................................................................................
Jenis Kelamin : L/P
Anak ke/dari : .......................................................................................................
Usia saat ini : .......................................................................................................
Nama Sekolah/Kelas : .......................................................................................................
Alamat Rumah : ........................................................................................................
.......................................................................................................
b. Identitas Orang Tua
Nama (Ibu/Bapak) : .......................................................................................................
.......................................................................................................
Pekerjaan : .......................................................................................................
Alamat (rumah) : .......................................................................................................
.......................................................................................................
Tlp/Hp ..........................................................................................
Alamat Kantor : .......................................................................................................
.......................................................................................................
c. Kesulitan belajar yang dialami
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
d. Kemampuan dalam penyesuaian diri
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
 ........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
e. Upaya yang dilakukan guru
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
........................................................................................................................................
2. REFLEKSI PEMBELAJARAN
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................

Ttd, Guru
(______________________)