FORMAT PRA OBSERVASI SUPERVISI KLINIS

Nama Sekolah :
Nama Guru :
NIP :
Mata Pelajaran :
Semester/Kelas :
Tahun Pelajaran :
Hari/Tanggal :
Waktu :

NO ASPEK PRS SUPERVISI CATATAN

1 Masalah
2 Masalah yang dihadapi siswa
3 Kompetensi yang ingin dicapai siswa
4 Materi pokok pembelajaran
5 Tujuan pembelajaran
6 Langkah-langkah pembelajaran
7 Media yang akan digunakan
8 Sistem penilaian yang akan
digunakan
9 Tindak lanjut

Kesimpulan:
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Ujunggading, 2023
Guru Yang Bersangkutan Kepala Sekolah

......................... ELMIDA,S.Pd
NIP NIP. 19710418 199305 2 002
 FORMAT OBSERVASI SUPERVISI KLINIS

Nama Sekolah :
Nama Guru :
NIP :
Mata Pelajaran :
Semester/Kelas :
Tahun Pelajaran :
Hari/Tanggal :
Waktu :

dokumen/Alat peraga/Media yang digunakan oleh guru:

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.............................................................................................................................................

Aktivitas
NO ASPEK Keterangan
Guru Siswa
A Kegiatan Pendahuluan
Mengkondisikan siswa (apersepsi,
motivasi, dan/atau yang lainnya)
Menyampaikan SK-KD/ indikator/
tujuan pembelajaran
B Kegiatan inti (bagaimana siswa
belajar)
C Kegiatan Penutup
Refleksi
Membuat rangkuman/kesimpulan
Post test
Menentukan tindak lanjut

Kesimpulan:
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.................., .......... 20.......

Mengetahui
Kepala Sekolah ............... Guru. Pengawas .....................
................................................. .................................. .................................
NIP. NIP. NIP
FORMAT POST SUPERVISI KLINIS

Nama Sekolah :
Nama Guru :
NIP :
Mata Pelajaran :
Semester/Kelas :
Tahun Pelajaran :
Hari/Tanggal :
Waktu :

NO TEMUAN REKOMENDASI/BALIKAN KETERANGAN

1 Persiapan Pembelajaran

2 Pelaksanaan
Pembelajaran
a. Guru
b. Siswa

3 Lainnya

Kesimpulan:
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............., ............... 20.......

Guru. Pengawas .....................

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NIP. NIP.