Kelas :...........................................
Semester :...........................................
Tahun pelajaran :...........................................
A. Kontrak Belajar
1. ..............................................................................................................................................
2. ..............................................................................................................................................
3. ..............................................................................................................................................
4. ..............................................................................................................................................
5. ..............................................................................................................................................
6. ..............................................................................................................................................
7. ..............................................................................................................................................
8. ..............................................................................................................................................
9. ..............................................................................................................................................
10. ...........................................................................................................................................
B. Sanksi Bagi Siswa yang Melanggar
1. ..............................................................................................................................................
2. ..............................................................................................................................................
3. ..............................................................................................................................................
4. ..............................................................................................................................................
5. ..............................................................................................................................................
C. Catatan
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..................................................................................................................................................
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Mengetahui, Surabaya,........................
Wakamad Kesiswaan Wali Kelas
Catatan:
1. Poin A (Kontrak Belajar); kontrak belajar yang dibuat dengan murid tidak harus berjumlah
10 poin namun mencakup seluruh aspek Pendidikan dan Pembelajaran.
2. Poin B (Sanksi Bagi Siswa Yang Melanggar): disesuaikan dengan kesepakatan dengan
murid di kelas yang menjadi tanggungjawabnya.
3. Poin C (Catatan): poin ini bisa digunakan oleh wali kelas untuk menuliskan ketentuan-
ketentuan lain yang relevan dengan Poin A dan B.