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insrumen supervisi bagi guru TK,RA,SD,MI yang mengajukan usul PAK

insrumen supervisi bagi guru TK,RA,SD,MI yang mengajukan usul PAK

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Published by Agus Rubiyanto
SUPERVISI BAGI GURU RA YANG MENGAJUKAN USUL "PAK"
Nama Guru : NIP : Jenis Guru : Gol. Ruang/TMT : Periode Penilaian : Masa Penilaian :
NO. I.

................................................. ................................................. ................................................. ................................................. ........
SUPERVISI BAGI GURU RA YANG MENGAJUKAN USUL "PAK"
Nama Guru : NIP : Jenis Guru : Gol. Ruang/TMT : Periode Penilaian : Masa Penilaian :
NO. I.

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

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Published by: Agus Rubiyanto on Mar 12, 2011
Copyright:Attribution Non-commercial

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01/17/2013

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KEMENTERIAN AGAMA
KELOMPOK KERJA PENGAWAS PAI (POKJAWAS PAI)KANTOR KABUPATEN CILACAP
 Alamat : Jalan DI. Panjaitan No.44 Telp. (0282)531155 Cilacap
SUPERVISI BAGI GURU RA YANG MENGAJUKAN USUL "PAK"
Nama Guru : ................................................. Nama Sekolah : ........................................NIP : ................................................. Alamat Sekolah : ........................................Jenis Guru : ................................................. Kecamatan : ........................................................Gol. Ruang/TMT : ................................................. Kabupaten : CilacapPeriode Penilaian : ................................................. Propinsi : Jawa TengahMasa Penilaian : ................................................. Hari, Tgl. Supervisi : ........................................
NO. MATERIADA/TIDAKADADIKERJAKANKET.SEMESTERSEMESTER
I.WAJIB
1. Penyajian Materi2. Satuan Kegiatan Harian (SKH)3. Satuan Kegiatan Mingguan (SKM)4. Program Evaluasi5. Rangkuman Penilaian6. Buku Analisa Bimbingan7. Daftar Kelas8. Presentase Kehadiran Siswa9. Program Semester 
II.PENUNJANG
1. Buu Supervisi Kelas2. Buku Induk dan Klaper 3. Laporan Penilaian Perkembangan Siswa4. Buku Penyerahan/Pengembalian Laporan Penilaian5. Buku Hasil KKG/Notula6. Buku Pindah Kelompok/Kenaikan
Kesimpulan dan Saran-saran:
................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Rekomendasi:
Berdasarkan hasil supervisi tersebut, maka guru yang bersangkutan LAYAK / TIDAK LAYAK untuk mengajukan"PAK" pada periode tersebut di atas.Guru yang disupervisi ______________________________ NIP: .............................................Cilacap, ............................................Pengawas
 _______________________________ 
NIP: ..........................................................MengetahuiKepala RA ......................................... ______________________________ NIP: .............................................
KEMENTERIAN AGAMA

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