YAYASAN ISTIQOMAH SAMBAS PURBALINGGA

SMP ISTIQOMAH SAMBAS PURBALINGGA

“STATUS AKREDITASI : A”
REGULER SCHOOL : Jl. A.W. Soemarmo 52-A Purbalingga  (0281)895635 Jateng - 53318
BOARDING PUTRA : Jl. Letnan Sudani, Desa Gemuruh  (0281) 6580548, Jateng - 53372
BOARDING PUTRI : Jl. Kopral Tanwir, Purbalingga Lor  (0281) 695866, Jateng - 53311

” Dengan Sadar Mutu Menjadi Sekolah Unggul, Model dan Islami ”

LAPORAN PELAKSANAAN LAYANAN

KONSELING INDIVIDUAL
SEMESTER ... .......... TAHUN PELAJARAN ..........................

1. Nama Konseli :............................ (inisial/disamarkan)

2. Kelas/Semester :............................
3. Hari, tanggal :............................
4. Pertemuan ke- :............................
5. Tempat :............................
6. Permasalahan :
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7. Pendekatan dan teknik konseling yang digunakan :
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8. Hasil yang dicapai :
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9. Tindak lanjut :
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Mengetahui Purbalingga...............................20.....
Kepala Sekolah, Guru BK

Syaefudin Purwanto, S.Pd Amalia Cahya S, S.Pd

NIY. 28.06.07.122 NIY. 28.06.14.208

Keterangan :
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