BUKU MONITORING JADWAL KEGIATAN PRAKERIN KELAS XII PS/RPL/MM/TKJ

PELAKSANAAN PRAKTIK KERJA INDUSTRI 1. Pembekalan PRAKERIN : 09 – 19 November 2023

(PRAKERIN) 2. Penerjunan Siswa : 20 November 2023

3. Monitoring I : Minggu ke 3 Bulan November 2023
Tahun Pelajaran 2023/2024
4. CC (Khusus APAL) : Menyesuaikan
5. Penarikan Siswa : 20 Maret 2023
6. Pembimbingan Siswa di sekolah setiap Hari Sabtu setelah (siswa membawa Jurnal Kegiatan
Prakerin).
7. Kegiatan monitoring dan pembimbingan wajib dicatat dalam Buku Monitoring Guru.
8. Pembimbing wajib mengecek kegiatan PRAKERIN Siswa, apabila terjadi permasalahan,
segera dikomunikasikan ke POKJA PRAKERIN melalui Ketua Kompetensi Keahlian.
9. Untuk Kegiatan PRAKERIN, 1 hari hanya berlaku 1 Surat Tugas saja.
10. Laporan PRAKERIN Siswa harus dikumpulkan paling lambat 1 minggu setelah penarikan
11. Selesai PRAKERIN, Siswa wajib mengumpulkan copy Nilai PRAKERIN sebanyak 2 lembar
ke Ketua Kompetensi Keahlian (paling lambat 2 minggu setelah penarikan).
NAMA PEMBIMBING : ……………………………………………
12. Surat tugas dibuat rangkap 2, diserahkan ke Sekretaris Kompetensi Keahlian untuk dibuat
NIP : ……………………………………………
rekapnya (format bisa minta di POKJA PRAKERIN), rangkap 1 diserahkan ke POKJA
PELAKSANAAN PRAKERIN : 20 November 2023 s.d 20 Maret 2023 PRAKERIN beserta rekap maksimal 2 minggu dari masing-masing pelaksanaan kegiatan,
KELAS : XI APAL rangkap 2 diarsip Sekretaris Kompetensi Keahlian. Berlaku pula untuk Berita Acara Serah
KOMPETENSI KEAHLIAN : AGRIBISNIS PERIKANAN Terima (kecuali apabila pihak DuDi minta 1 rangkap, maka POKJA PRAKERIN cukup di
copykan saja, sedangkan yang asli diarsip Sekretaris Kompetensi Keahlian).
13. Masing – masing peserta didik wajib membuat laporan kegiatan PRAKERIN. Laporan yang
diserahkan ke POKJA PRAKERIN cukup 5 laporan terbaik dari masing-masing Kompetensi
Keahlian, selanjutnya diarsip di Kompetensi Keahlian masing-masing.
14. Buku Monitoring wajib ditandatangani DuDi dan stempel DuDi, dikumpulkan ke POKJA
PRAKERIN maksimal 2 minggu setelah penarikan.

DINAS PENDIDIKAN PROVINSI KEPRI

SEKOLAH MENENGAH KEJURUAN NEGERI 2 ANAMBAS
Jl. Tanjungmulia No.024 Dusun Muntai, Desa Teluk Siantan
KEPULAUAN ANAMBAS
 DAFTAR NAMA SISWA YANG DIBIMBING DAN NAMA DUDI DAFTAR NAMA SISWA YANG DIBIMBING DAN NAMA DUDI

NAMA SISWA : NAMA SISWA :

KELAS/ABS : KELAS/ABS :

NAMA DUDI : NAMA DUDI :

PIMPINAN DUDI : PIMPINAN DUDI :

PEMBIMBING DUDI : PEMBIMBING DUDI :

ALAMAT DUDI : ALAMAT DUDI :

NAMA SISWA : NAMA SISWA :

KELAS/ABS : KELAS/ABS :

NAMA DUDI : NAMA DUDI :

PIMPINAN DUDI : PIMPINAN DUDI :

PEMBIMBING DUDI : PEMBIMBING DUDI :

ALAMAT DUDI : ALAMAT DUDI :

NAMA SISWA : NAMA SISWA :

KELAS/ABS : KELAS/ABS :

NAMA DUDI : NAMA DUDI :

PIMPINAN DUDI : PIMPINAN DUDI :

PEMBIMBING DUDI : PEMBIMBING DUDI :

ALAMAT DUDI : ALAMAT DUDI :

NAMA SISWA : NAMA SISWA :

KELAS/ABS : KELAS/ABS :

NAMA DUDI : NAMA DUDI :

PIMPINAN DUDI : PIMPINAN DUDI :

PEMBIMBING DUDI : PEMBIMBING DUDI :

ALAMAT DUDI : ALAMAT DUDI :

NAMA SISWA :
TEMPAT PRAKTIK DAN
KEGIATAN PEMBIMBINGAN
KELAS/ABS :

NAMA DUDI : A. TEMPAT PRAKTIK/PRAKERIN

PIMPINAN DUDI : Nama Perusahaan / Industri :________________________________________________________

PEMBIMBING DUDI :
Alamat Perusahaan / Industri : ________________________________________________________
ALAMAT DUDI :
No. Telepon : ________________________________________________________

NAMA SISWA : Periode : 20 November s.d. 20 Maret 2023

KELAS/ABS :

NAMA DUDI : B. KEGIATAN PEMBIMBINGAN

PIMPINAN DUDI : TTD PEMBIMBING DU / DI

NO. KEGIATAN HARI/TANGGAL
dan CAP
PEMBIMBING DUDI :
1. Penerjunan
ALAMAT DUDI :

2. Monitoring (kesatu)
FO-012 Bukti Monitoring

3. Monitoring (kedua)

4. Monitoring (ketiga)/CC

5. Penarikan Siswa

Pembimbing DuDi,

NIP.

FO-012 Bukti Monitoring

 TEMPAT PRAKTIK DAN TEMPAT PRAKTIK DAN
KEGIATAN PEMBIMBINGAN KEGIATAN PEMBIMBINGAN

A. TEMPAT PRAKTIK/PRAKERIN A. TEMPAT PRAKTIK

Nama Perusahaan / Industri :________________________________________________________ Nama Perusahaan / Industri :________________________________________________________

Alamat Perusahaan / Industri : ________________________________________________________ Alamat Perusahaan / Industri : ________________________________________________________

No. Telepon : ________________________________________________________ No. Telepon : ________________________________________________________

Periode : 20 November s.d. 20 Maret 2023 Periode : 20 November s.d. 20 Maret 2023

B. KEGIATAN PEMBIMBINGAN B. KEGIATAN PEMBIMBINGAN

TTD PEMBIMBING DU / DI TTD PEMBIMBING DU / DI

NO. KEGIATAN HARI/TANGGAL NO. KEGIATAN HARI/TANGGAL
dan CAP dan CAP

1. Penerjunan 1. Penerjunan

2. Monitoring (kesatu) 2. Monitoring (kesatu)

3. Monitoring (kedua) 3. Monitoring (kedua)

4. Monitoring (ketiga)/CC 4. Monitoring (ketiga)/CC

5. Penarikan Siswa 5. Penarikan Siswa

Pembimbing DuDi, Pembimbing DuDi,

NIP. NIP.

FO-012 Bukti Monitoring FO-012 Bukti Monitoring

 TEMPAT PRAKTIK DAN KEGIATAN PEMBIMBINGAN
KEGIATAN PEMBIMBINGAN
A. TEMPAT PRAKTIK
A. TEMPAT PRAKTIK
Nama Perusahaan / Industri :________________________________________________________
Nama Perusahaan / Industri :________________________________________________________
Alamat Perusahaan / Industri : ________________________________________________________
Alamat Perusahaan / Industri : ________________________________________________________
No. Telepon : ________________________________________________________
No. Telepon : ________________________________________________________
Periode : 20 November s.d. 20 Maret 2023
Periode : 20 November s.d. 20 Maret 2023

B. KEGIATAN PEMBIMBINGAN B. KEGIATAN PEMBIMBINGAN

TTD PEMBIMBING DU / DI TTD PEMBIMBING DU / DI

NO. KEGIATAN HARI/TANGGAL NO. KEGIATAN HARI/TANGGAL
dan CAP dan CAP

1. Penerjunan 1. Penerjunan

2. Monitoring (kesatu) 2. Monitoring (kesatu)

3. Monitoring (kedua) 3. Monitoring (kedua)

4. Monitoring (ketiga)/CC 4. Monitoring (ketiga)/CC

5. Penarikan Siswa 5. Penarikan Siswa

Pembimbing DuDi, Pembimbing DuDi,

NIP. NIP.

FO-012 Bukti Monitoring FO-012 Bukti Monitoring

TEMPAT PRAKTIK DAN TEMPAT PRAKTIK DAN
 KEGIATAN PEMBIMBINGAN KEGIATAN PEMBIMBINGAN

A. TEMPAT PRAKTIK A. TEMPAT PRAKTIK

Nama Perusahaan / Industri :________________________________________________________ Nama Perusahaan / Industri :________________________________________________________

Alamat Perusahaan / Industri : ________________________________________________________ Alamat Perusahaan / Industri : ________________________________________________________

No. Telepon : ________________________________________________________ No. Telepon : ________________________________________________________

Periode : 20 November s.d. 20 Maret 2023 Periode : 20 November s.d. 20 Maret 2023

B. KEGIATAN PEMBIMBINGAN
B. KEGIATAN PEMBIMBINGAN
TTD PEMBIMBING DU / DI
NO. KEGIATAN HARI/TANGGAL
TTD PEMBIMBING DU / DI dan CAP
NO. KEGIATAN HARI/TANGGAL
dan CAP
1. Penerjunan
1. Penerjunan

2. Monitoring (kesatu)
2. Monitoring (kesatu)

3. Monitoring (kedua)
3. Monitoring (kedua)

4. Monitoring (ketiga)/CC
4. Monitoring (ketiga)/CC

5. Penarikan Siswa
5. Penarikan Siswa

Pembimbing DuDi,
Pembimbing DuDi,

NIP.
NIP.
FO-012 Bukti Monitoring
FO-012 Bukti Monitoring TEMPAT PRAKTIK DAN
TEMPAT PRAKTIK DAN
 KEGIATAN PEMBIMBINGAN KEGIATAN PEMBIMBINGAN

A. TEMPAT PRAKTIK A. TEMPAT PRAKTIK

Nama Perusahaan / Industri :________________________________________________________ Nama Perusahaan / Industri :________________________________________________________

Alamat Perusahaan / Industri : ________________________________________________________ Alamat Perusahaan / Industri : ________________________________________________________

No. Telepon : ________________________________________________________ No. Telepon : ________________________________________________________

Periode : 20 November s.d. 20 Maret 2023 Periode : 20 November s.d. 20 Maret 2023

B. KEGIATAN PEMBIMBINGAN B. KEGIATAN PEMBIMBINGAN

TTD PEMBIMBING DU / DI TTD PEMBIMBING DU / DI

NO. KEGIATAN HARI/TANGGAL NO. KEGIATAN HARI/TANGGAL
dan CAP dan CAP

1. Penerjunan 1. Penerjunan

2. Monitoring (kesatu) 2. Monitoring (kesatu)

3. Monitoring (kedua) 3. Monitoring (kedua)

4. Monitoring (ketiga)/CC 4. Monitoring (ketiga)/CC

5. Penarikan Siswa 5. Penarikan Siswa

Pembimbing DuDi, Pembimbing DuDi,

NIP. NIP.

FO-012 Bukti Monitoring FO-012 Bukti Monitoring

TEMPAT PRAKTIK DAN TEMPAT PRAKTIK DAN
 KEGIATAN PEMBIMBINGAN LAPORAN HASIL PENERJUNAN

A. TEMPAT PRAKTIK
A. Nama Du/Di : …………………………………………………...............................………….
Nama Perusahaan / Industri :________________________________________________________ Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
Alamat Perusahaan / Industri : ________________________________________________________
1. ……………………………………….........................................................................................
No. Telepon : ________________________________________________________ 2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
Periode : 20 November s.d. 20 Maret 2023
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
B. KEGIATAN PEMBIMBINGAN 6. ……………………………………….........................................................................................
TTD PEMBIMBING DU / DI 7. ……………………………………….........................................................................................
NO. KEGIATAN HARI/TANGGAL
dan CAP 8. ……………………………………….........................................................................................

1. Penerjunan 9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................

2. Monitoring (kesatu) C. Hasil Diskusi dengan DuDi :

3. Monitoring (kedua)

4. Monitoring (ketiga)/CC

5. Penarikan Siswa

Pembimbing DuDi,
Mengetahui Candi, …………….2023
Pembimbing DU/DI Pembimbing Sekolah

NIP. ………………………………. ……………………………………

NIP. NIP.
FO-014 Laporan Hasil Penerjunan FO-014 Laporan Hasil Penerjunan
 LAPORAN HASIL PENERJUNAN LAPORAN HASIL PENERJUNAN

A. Nama Du/Di : …………………………………………………...............................…………. A. Nama Du/Di : …………………………………………………...............................………….

Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Diskusi dengan DuDi :
Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Diskusi dengan DuDi :

Mengetahui Candi, …………….2023 Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah Pembimbing DU/DI Pembimbing Sekolah

………………………………. …………………………………… ………………………………. ……………………………………

NIP. NIP. NIP. NIP.
FO-014 Laporan Hasil Penerjunan FO-014 Laporan Hasil Penerjunan
 LAPORAN HASIL PENERJUNAN LAPORAN HASIL PENERJUNAN

A. Nama Du/Di : …………………………………………………...............................…………. A. Nama Du/Di : …………………………………………………...............................………….

Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Diskusi dengan DuDi :
Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Diskusi dengan DuDi :

Mengetahui Candi, …………….2023 Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah Pembimbing DU/DI Pembimbing Sekolah

………………………………. …………………………………… ………………………………. ……………………………………

NIP. NIP. NIP. NIP.
FO-014 Laporan Hasil Penerjunan FO-014 Laporan Hasil Penerjunan
 LAPORAN HASIL PENERJUNAN LAPORAN HASIL PENERJUNAN

A. Nama Du/Di : …………………………………………………...............................…………. A. Nama Du/Di : …………………………………………………...............................………….

Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Diskusi dengan DuDi :
Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Diskusi dengan DuDi :

Mengetahui Candi, …………….2023 Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah Pembimbing DU/DI Pembimbing Sekolah

………………………………. …………………………………… ………………………………. ……………………………………

NIP. NIP. NIP. NIP.
FO-014 Laporan Hasil Penerjunan FO-014 Laporan Hasil Penerjunan
 LAPORAN HASIL PENERJUNAN LAPORAN HASIL MONITORING
KE 1 (satu)

A. Nama Du/Di : …………………………………………………...............................…………. A. Nama Du/Di : …………………………………………………...............................………….

Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Diskusi dengan DuDi :
Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Monitoring / Evaluasi Pelaksanaan :

D. PemecahanMasalah / Solusi/ Saran :

Mengetahui Candi, …………….2023 Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah Pembimbing DU/DI Pembimbing Sekolah

………………………………. …………………………………… ………………………………. ……………………………………

NIP. NIP. NIP. NIP.
FO-014 Laporan Hasil Monitoring FO-014 Laporan Hasil Monitoring
 LAPORAN HASIL MONITORING LAPORAN HASIL MONITORING
KE 1 (satu) KE 1 (satu)

A. Nama Du/Di : …………………………………………………...............................…………. A. Nama Du/Di : …………………………………………………...............................………….

Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Monitoring / Evaluasi Pelaksanaan :
Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Monitoring / Evaluasi Pelaksanaan :

D. PemecahanMasalah / Solusi/ Saran : D. PemecahanMasalah / Solusi/ Saran :

Mengetahui Candi, …………….2023 Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah Pembimbing DU/DI Pembimbing Sekolah

………………………………. …………………………………… ………………………………. ……………………………………

NIP. NIP. NIP. NIP.
FO-014 Laporan Hasil Monitoring FO-014 Laporan Hasil Monitoring
 LAPORAN HASIL MONITORING LAPORAN HASIL MONITORING
KE 1 (satu) KE 1 (satu)

A. Nama Du/Di : …………………………………………………...............................…………. A. Nama Du/Di : …………………………………………………...............................………….

Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Monitoring / Evaluasi Pelaksanaan :
Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Monitoring / Evaluasi Pelaksanaan :

D. PemecahanMasalah / Solusi/ Saran : D. PemecahanMasalah / Solusi/ Saran :

Mengetahui Candi, …………….2023 Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah Pembimbing DU/DI Pembimbing Sekolah

………………………………. …………………………………… ………………………………. ……………………………………

NIP. NIP. NIP. NIP.
FO-014 Laporan Hasil Monitoring FO-014 Laporan Hasil Monitoring
 LAPORAN HASIL MONITORING LAPORAN HASIL MONITORING
KE 1 (satu) KE 1 (satu)

A. Nama Du/Di : …………………………………………………...............................…………. A. Nama Du/Di : …………………………………………………...............................………….

Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Monitoring / Evaluasi Pelaksanaan :
Alamat : ……………………………………………………………................................
B. Nama Peserta :
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Monitoring / Evaluasi Pelaksanaan :

D. PemecahanMasalah / Solusi/ Saran : D. PemecahanMasalah / Solusi/ Saran :

Mengetahui Candi, …………….2023 Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah Pembimbing DU/DI Pembimbing Sekolah

………………………………. …………………………………… ………………………………. ……………………………………

NIP. NIP. NIP. NIP.
FO-014 Laporan Hasil Monitoring FO-014 Laporan Hasil Monitoring
 LAPORAN HASIL MONITORING LAPORAN HASIL MONITORING
KE 1 (satu) KE 1 (satu)

A. Nama Du/Di : …………………………………………………...............................…………. A. Nama Du/Di : …………………………………………………...............................………….

Alamat : ……………………………………………………………................................
B. Nama Peserta : B.
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Monitoring / Evaluasi Pelaksanaan : C.
Alamat : ……………………………………………………………................................
Nama Peserta :
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
Hasil Monitoring / Evaluasi Pelaksanaan :

D. PemecahanMasalah / Solusi/ Saran : D. PemecahanMasalah / Solusi/ Saran :

Mengetahui Candi, …………….2023 Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah Pembimbing DU/DI Pembimbing Sekolah

………………………………. ……………………………………
………………………………. …………………………………… NIP. NIP.
NIP. NIP. FO-014 Laporan Hasil Monitoring
FO-014 Laporan Hasil Monitoring
 LAPORAN HASIL MONITORING LAPORAN HASIL PENARIKAN
KE 1 (satu)

A. Nama Du/Di : …………………………………………………...............................…………. A. Nama Du/Di : …………………………………………………...............................………….

Alamat : ……………………………………………………………................................
B. Nama Peserta : B.
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
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7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Monitoring / Evaluasi Pelaksanaan : C.
Alamat : ……………………………………………………………................................
Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
Hasil Evaluasi Pelaksanaan :

D. PemecahanMasalah / Solusi/ Saran : D. Kritik dan Saran DuDi :

Mengetahui Candi, …………….2023 Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah Pembimbing DU/DI Pembimbing Sekolah

………………………………. …………………………………… ………………………………. ……………………………………

NIP. NIP. NIP. NIP.
FO-014 Laporan Hasil Monitoring FO-014 Laporan Hasil Penarikan
 LAPORAN HASIL PENARIKAN
LAPORAN HASIL PENARIKAN

A. Nama Du/Di : …………………………………………………...............................………….

A. Nama Du/Di : …………………………………………………...............................………….
Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Evaluasi Pelaksanaan :
Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Evaluasi Pelaksanaan :

D. Kritik dan Saran DuDi :

D. Kritik dan Saran DuDi :

Mengetahui Candi, …………….2023

Mengetahui Candi, …………….2023 Pembimbing DU/DI Pembimbing Sekolah
Pembimbing DU/DI Pembimbing Sekolah

………………………………. ……………………………………
………………………………. …………………………………… NIP. NIP.
NIP. NIP. FO-014 Laporan Hasil Penarikan
FO-014 Laporan Hasil Penarikan
 LAPORAN HASIL PENARIKAN LAPORAN HASIL PENARIKAN

A. Nama Du/Di : …………………………………………………...............................…………. A. Nama Du/Di : …………………………………………………...............................………….

Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Evaluasi Pelaksanaan :
Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Evaluasi Pelaksanaan :

D. Kritik dan Saran DuDi : D. Kritik dan Saran DuDi :

Mengetahui Candi, …………….2023 Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah Pembimbing DU/DI Pembimbing Sekolah

………………………………. …………………………………… ………………………………. ……………………………………

NIP. NIP. NIP. NIP.
FO-014 Laporan Hasil Penarikan FO-014 Laporan Hasil Penarikan
 LAPORAN HASIL PENARIKAN LAPORAN HASIL PENARIKAN

A. Nama Du/Di : …………………………………………………...............................…………. A. Nama Du/Di : …………………………………………………...............................………….

Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Evaluasi Pelaksanaan :
Alamat : ……………………………………………………………................................
B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
3. ……………………………………….........................................................................................
4. ……………………………………….........................................................................................
5. ……………………………………….........................................................................................
6. ……………………………………….........................................................................................
7. ……………………………………….........................................................................................
8. ……………………………………….........................................................................................
9. ……………………………………….........................................................................................
10. ……………………………………….......................................................................................
C. Hasil Evaluasi Pelaksanaan :

D. Kritik dan Saran DuDi : D. Kritik dan Saran DuDi :

Mengetahui Candi, …………….2023 Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah Pembimbing DU/DI Pembimbing Sekolah

………………………………. …………………………………… ………………………………. ……………………………………

NIP. NIP. NIP. NIP.
FO-014 Laporan Hasil Penarikan FO-014 Laporan Hasil Penarikan
 LAPORAN HASIL PENARIKAN DAFTAR PRESENSI PEMBIMBINGAN SISWA
Paraf
Nov-23 Desember-23 Januari-24 Februari-24 Maret-24 Pembim
A. Nama Du/Di : …………………………………………………...............................…………. bing

Alamat : ……………………………………………………………................................ No Nama Peserta III IV I II III IV I II III IV I II III IV I II

B. Nama Peserta : ……………………………………………………………................................
1. ……………………………………….........................................................................................
2. . ……………………………………….......................................................................................
1 ADITIA ANGGA RESKI
3. ……………………………………….........................................................................................
4. ………………………………………......................................................................................... 2 HERMAN
5. ……………………………………….........................................................................................
6. ………………………………………......................................................................................... 3 LAURA DAKOSTA

7. ……………………………………….........................................................................................
8. ………………………………………......................................................................................... 4 MADRIANSYAH

9. ……………………………………….........................................................................................
10. ………………………………………....................................................................................... 5 MIKI MARDIANSYAH

C. Hasil Evaluasi Pelaksanaan :

6 REHAN

7 RINDIANI

8 SASTI ULANDARI

D. Kritik dan Saran DuDi :

9 SATRI ARIF BUDIMAN

10 SUSILAWATI

11 TERI YUDA

Mengetahui Candi, …………….2023

12 WINDA WULANSARI
Pembimbing DU/DI Pembimbing Sekolah

………………………………. ……………………………………
NIP. NIP.
KETERANGAN : CATATAN PEMBIMBINGAN PRAKERIN
1. Tiap hari Sabtu siswa wajib hadir di sekolah untuk melakukan bimbingan dan Guru pembimbing
di sekolah wajib melakukan pembimbingan dan mengisi absensi siswa. NO TANGGAL CATATAN PEMBIMBINGAN PRAKERIN
2. Apabila Pembimbing berhalangan hadir, mohon dikonfirmasikan ke siswa dan bimbingan dapat
digantikan hari yang lain sesuai kesepakatan dengan siswa.
3. Catatan selama pelaksanaan pembimbingan di sekolah dapat dituliskan di lembar CATATAN
PEMBIMBINGAN PRAKERIN.

Mengetahui Candi, …………….2023

Pembimbing DU/DI Pembimbing Sekolah

………………………………. ……………………………………
NIP. NIP.
 CATATAN PEMBIMBINGAN PRAKERIN CATATAN PEMBIMBINGAN PRAKERIN

NO TANGGAL CATATAN PEMBIMBINGAN PRAKERIN NO TANGGAL CATATAN PEMBIMBINGAN PRAKERIN

 CATATAN PEMBIMBINGAN PRAKERIN CATATAN PEMBIMBINGAN PRAKERIN

NO TANGGAL CATATAN PEMBIMBINGAN PRAKERIN NO TANGGAL CATATAN PEMBIMBINGAN PRAKERIN

 CATATAN PEMBIMBINGAN PRAKERIN CATATAN PEMBIMBINGAN PRAKERIN

NO TANGGAL CATATAN PEMBIMBINGAN PRAKERIN NO TANGGAL CATATAN PEMBIMBINGAN PRAKERIN