JADWAL EVALUASI

KELAS / SEMESTER : ....................... / ......................

BULAN / MINGGU

No. TEMA / SUBTEMA Juli Agustus September Oktober November Desember KETERANGAN

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Mengetahui, ........................................., .............

Kepala Sekolah................................. Guru / Wali Kelas .........................

(..........................................................) (..........................................................)
NIP. _________________________ NIP. _________________________
 FORMAT LAYOUT KISI-KISI SOAL
NAMA SEKOLAH : ..............................................
TEMA / SUBTEMA : ..............................................
KELAS / SEMESTER : ..............................................
JUMLAH SOAL : ..............................................

Kompetensi Dasar / Jumlah Bobot Aspek Bentuk Soal

No. Mata Pelajaran
Indikator yang di uji Soal Md Sd Skr C1 C2 C3 PG IS UT
 Kompetensi Dasar / Jumlah Bobot Aspek Bentuk Soal
No. Mata Pelajaran
Indikator yang di uji Soal Md Sd Skr C1 C2 C3 PG IS UT

Keterangan :

Md (Mudah) = ................ % C1 (Ingatan) = ................ % PG (Pilihan Ganda) = ............ Soal

Sd (Sedang) = ................ % C2 (Pemahaman) = ................ % IS (Isian) = ............ Soal
Skr (Sukar) = ................ % C3 (Penerapan) = ................ % UT (Uraian Terbatas) = ............ Soal

Mengetahui, ........................................., .............

Kepala Sekolah................................. Guru / Wali Kelas .........................

(..........................................................) (..........................................................)
NIP. _________________________ NIP. _________________________
 KISI-KISI PEMBUATAN SOAL
Tahun Pelajaran : ..........................................................................
Kelas / Semester : ..........................................................................
Mata Pelajaran : ..........................................................................
Tema : ..........................................................................
Soal : PG = ............... IS = ............... UT = ...............
Jumlah Soal : ..................................... Soal
Waktu : ..................................... Menit

KOMPETENSI KOMPETENSI BENTUK SOAL NO.

No. MATERI INDIKATOR
INTI DASAR PG IS UT SOAL
 KOMPETENSI KOMPETENSI BENTUK SOAL NO.
No. MATERI INDIKATOR
INTI DASAR PG IS UT SOAL

........................................., .............
Mengetahui,
Guru Kelas
Kepala Sekolah

(..........................................................)
(..........................................................)
NIP. _________________________
NIP. _________________________
 BANK SOAL
Mata Pelajaran : ..........................................................................
Kelas / Semester : ..........................................................................
Kompetensi Dasar : ..........................................................................
Jenis Ulangan : ..........................................................................
Tema : ..........................................................................
Hari / Tanggal : ..........................................................................
Waktu : ..................................... Menit

No. SOAL KUNCI JAWABAN

No. SOAL KUNCI JAWABAN

Mengetahui, ........................................., .............

Kepala Sekolah Guru Kelas

(..........................................................) (..........................................................)
NIP. _________________________ NIP. _________________________