SUPERVISI BIMBINGAN DAN KONSELING
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(Berdasarkan Standar Proses)
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Nama
Sekolah
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Alamat
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Hari/
Tanggal
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Nama Guru
BK
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Sertifikasi
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No
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Sub Komponen dan Butir Komponen (Tatap Muka )
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Kondisi
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Skor Nilai
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Keterangan
Kesesuaian
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Ya
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Tidak
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4
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3
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2
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1
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A.
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PROGRAM
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1.
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Program
Tahunan, Semester, Bulan, Agenda Kerja Konselor.
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B.
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KEGIATAN
PELAYANAN
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1.
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Daftar
Konseling
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2.
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Data
Kebutuhan dan Permasalahan Konseling.
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C.
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AKTIVITAS
PELAYANAN BIMBINGAN & KONSELING
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1.
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PEMAHAMAN
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a.
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Sosiometri
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b.
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Kunjungan
Rumah
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c.
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Catatan
Anekdot
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d.
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Konfrensi
Kasus
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2.
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PELAYANAN
LANGSUNG
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a.
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Konseling
Individual
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b.
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Konseling
Kelompok
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c.
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Konsultasi
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d.
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Bimbingan
Kelompok
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e.
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Bimbingan
Klasikal
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f.
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Referal
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3.
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PELAYANAN
TIDAK LANGSUNG
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a.
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Papan Bimbingan
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b.
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Kotak Masalah
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c.
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Bibliokonseling
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d.
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Audiovisual.
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e.
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Audio.
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f.
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Media Cetak (liflet, buku saku)
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D.
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PELAPORAN
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1.
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Laporan Bulanan
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2.
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Laporan Semesteran / Tahunan
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E.
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EVALUASI
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1.
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Laporan Hasil Evaluasi Program, Proses
dan Produk BK serta tindak lanjutnya.
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Jumlah Skor
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Keterangan :
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Nilai
Akhir =
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Skor
Perolehan X 100%
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Skor
Maksimal
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Ketercapaian :
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86% -
100% = Baik Sekali
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NILAI AKHIR
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79% -
85 % =
Baik
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55% -
69% = Cukup
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0%
< 55% =
Kurang
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KESIMPULAN
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KESIMPULAN
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Ngawi,
..........................................
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Mengetahui :
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Kepala Sekolah
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Pengawas,
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NIP.
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NIP.
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Selasa, 23 Februari 2016
SUPERVISI BIMBINGAN DAN KONSELING
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