SD Cendekia Harapan: Yayasan Griya Anak

YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
Jln. Seruni i2 No. 8 Perumahan Puri Gading Jimbaran-Bali
Telp. 0361 702121, email: info@balichildrenshouse. com, web: www.balichildrenshouse.com
FORM 1. TITLE
LETTER OF INTEREST IN CHALLENGE
Dear ……………………,
Challenge Controller
Hereby, I:
Student Name: ________________________________
Student No.: __________________________________
Grade: _____________
Propose:
Title of Challenge: _____________________________
This statement is made truthfully and is to be used accordingly.
__________________ _____________________
Signature of Supervisor Signature of the Student
Date: _________________ Date: _________________

YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
Table 1. Challenge Task

Challenge Area (To be filled in by the student)
(art/ICT/design
etc.)
Skills That I Have

Soft Technical
Challenge (To be filled in by the supervisor)

YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
FORM 2. BACKGROUND
Student’s name: Grade:
TITLE OF CHALLENGE
............................................................................................................................................................
............................................................................................................................................................
INTRODUCTION
Table 2. Background (Problem Identification, Purpose, Benefits)
Background Problem identification
(5W+1H)
Purpose
YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
Benefits
Jimbaran, …………………
Sincerely,
Supervisor, Student,
(………………………………) (…………………………..)
YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
FORM 3. INDICATOR INTEGRATION
Student Name: Grade:

LITERATURE REVIEW
Table 3. Indicator and Challenge Integrated Table
CONNECTION WITH
SUBJECT TOPIC SUMMARY
THE CHALLENGE
(………………………………) (…………………………..)
YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
FORM 4. METHOD
Student Name: Grade:
METHOD
Table 4.1 Method
Tools and
Materials Used
Method
Product Design
Procedure
YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
RESULT AND DISSCUSION

Table 4.2 Result and Discussion
Result and
Discussion
Name of Product
Picture of product
Market Price
Use of Product
YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
Product’s Strength(s)
Product’s Weakness(es)
Follow-up
CONCLUSION
............................................................................................................................................................
............................................................................................................................................................
(………………………………) (…………………………..)
YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
FORM WR
Student’s Name: Grade:
WEEKLY REPORT/PROGRESS REPORT
A. Daily Activities in This Week
B. Achievement(s) During This Week
C. Difficulties That I Have Faced and How I Overcame Them
D. Lesson(s) Learned
E. Activities Planned for Next Week

YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
Report Date :
Signature :
Student, Supervisor, Controller,
(………………………..) (……………………….) (………………………)

YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
FORM 6. EXAMINATION PROPOSAL
CHALLENGE EXHIBITION
PROPOSAL
Dear ……………………,
Challenge Controller
Hereby, I:
Student Name: ________________________________
Student No.: __________________________________
Grade: _____________
Propose:
Challenge Exhibition with the Title of: _____________________________
This statement is made truthfully and is to be used accordingly.
___________________ _____________________
Signature of Supervisor Signature of the Student

YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN
Date: _________________ Date: _________________
FORM 7. OPEN EXAMINATION REGISTRATION
Student’s Name: Grade:
Note: Students who will present should submit Form 1, Form 2, Form 3, Form 4, Form 6, weekly
report / progress report, final challenge report, product, and guidance card beforehand.
Tick the
boxes for
Requirements completed
requirements
(√)
Form 1, Form 2, Form 3, Form 4, Form 6
Weekly Report/Progress Report
Final Challenge Report

Product
Guidance Card
Controller, Student,
(………………………………) (…………………………..)
YAYASAN GRIYA ANAK
SD CENDEKIA HARAPAN

SD Cendekia Harapan: Yayasan Griya Anak

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YAYASAN GRIYA ANAK

Student Name: ________________________________

Student No.: __________________________________

This statement is made truthfully and is to be used accordingly.

Signature of Supervisor Signature of the Student

Date: _________________ Date: _________________

Table 1. Challenge Task

Skills That I Have

Challenge (To be filled in by the supervisor)

FORM 3. INDICATOR INTEGRATION

Student Name: Grade:

RESULT AND DISSCUSION

B. Achievement(s) During This Week

C. Difficulties That I Have Faced and How I Overcame Them

E. Activities Planned for Next Week

(………………………..) (……………………….) (………………………)

FORM 6. EXAMINATION PROPOSAL

Student Name: ________________________________

Student No.: __________________________________

This statement is made truthfully and is to be used accordingly.

Signature of Supervisor Signature of the Student

Date: _________________ Date: _________________

FORM 7. OPEN EXAMINATION REGISTRATION

Student’s Name: Grade:

Weekly Report/Progress Report

Final Challenge Report

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