INSTRUMEN SUPERVISI GURU DAN KEPALA SEKOLAH.doc

INSTRUMEN SUPERVISI MANAJERIAL  ADMINISTRASI  ADMINISTRASI KURIKULUM KURIKULUM DAN DAN PEMBELAJARAN PEMBELAJARAN

( MJ – 01)

NAMA SEKOLAH : ....................................... .................................  ALAMAT  ALAMAT : .................. ............................. ...................... ...................... ....................... .................. ...... NAMA KEPALA SEKOLAH: ..................................................................... HARI/TANGGAL : ....................................... ................................. NO I

II

ASPEK/KOMPONEN

5

KLASIFIKASI 4  !

1

SKOR

ADMINIS INISTR TRAS ASII KU KURIKU IKULUM LUM ". M#$%&%'% '*$#+ KTSP ,. M#$%&%'% '*$#+ '*-%'*&*$ . M#$%&%'% %$ "-%+"+/2#+#$,"+ '*-%'*&*$ . M#+3**+ "+ $#$%&%'% KTSP #. M#$%&%'% '"&#+#- 2#+%%'"+ . M#$%&%'% 2--"$ 2#+#$,"+"+ %-% . ADMI ADMIN NISTR ISTRAS ASII PEMB PEMBEL ELAJ AJAR ARAN AN ". M#$%&%'% '*$#+ %&",* 3"+ %**+  *-* ,. M#$%&%'% '*$#+ RPP 3"+ %**+  *-* . M#$%&%'% "7"& 2#&""-"+ #"-" #-*&% . M#$%&%'% "7"& 2#+#$,"+"+ %-% #"-" #-*&% #. M#&"'"+"'"+ U&"+"+ H"-%"+8 T#+"6 T#+"6 S#$##- "+   #$##-  . M#$%&%'% '*$#+ "& U&"+"+ U&"+"+ H"-%"+8 T#+"6 T#+"6 S#$##S#$##"+ S#$##-  . M#$%&%'% '*$#+ "+"&%% *&"+"+ 6"%& ,#&""-  6. M#&"'"+"'"+ 2--"$ 2#-,"%'"+ "+ 2#+"3""+ %. M#$%&%'% ,*'* """+ """+ #+"+ 2#-'#$,"+"+ 2#-'#$,"+"+ '#2-%,"%"+ 2##-" %%'  . M#$%&%'% $#%"8 "&" "&" 2#-""/"&" ,"+* "&"$ 2#$,#&""-"+ '. M#$%&%'% """+ 6"%& 2-#"% 2##-" %%' ( "'"#$%'8 ++ "'"#$%' &. M#$%&%'% ,*'* *-+"& '#&" $ . A#+" *-* +. M#$,*" '##"2"+ KKM . 2.

K-%#-% P#+%&"%"+ : BS 9 1 – 100 B 9 ;< = 0 ? 9 <1 = ;5 K 9 51 = <0 KS 9 @ 50

R*$* : N 9 S'- 3"+ D%2#-/ S'-   M"'%$*$ > 100

?"""+ :.. .. ..

M#+#"6*%8 K#2"&" #'&"68

.................. NIP.

P#+"7" S"*"+ P#+%%'"+8

................................................. NIP

INSTRUMEN SUPERVISI MANAJERIAL  ADMINISTRASI KELAS

NAMA SEKOLAH NAMA GURU MENGAJAR DI KELAS  ALAMAT HARI/TANGGAL

N O I

( MJ – 0!)

:. :. . :. :.

 ASPEK/ KOMPONEN

5

KUALIFIKASI 4  !

1

SKOR

ADMINISTRASI PEMBELAJARAN ". M#$%&%'% '*$#+ '*-%'*&*$ , . M#$%&%'% '*$#+ $*""+ &'"& . M#$%&%'% 2--"$ #$##- "+ "6*+"+ . M#+3**+ S%&",* # . M#$,*" RPP . M#$%&%'% ,*'* 2##+"+ 2##-" %%' . M#$%&%'% ,*'* 2#"+"+ *-* 6. M#$%&%'% $#%"8 "&" 2#-""/"&" ,"+* 2#$,#&""-"+ %. M#$%&%'% ,*'* +%&"%  . M#$%&%'% ,*'* "+"&%% *&"+"+ 6"-%"+ '. M#$%&%'% ,*'* 2--"$ 2#-,"%'"+ "+ 2#+"3""+ &. M#$%&%'% ,*'* ,%$,%+"+ "+ '+#&%+ $. M#$%&%'% "7"& 2#&""-"+ +. M#$%&%'% '"&#+#- 2#+%%'"+ II ADMINISTRASI KELAS ". M#$%&%'% ""- '#&" ,. M#$%&%'% ""- 6"%- 2##-" %%'. . M#$%&%'% 2"2"+ ",#+ 6"-%"+ 2##-" %%' . M#$%&%'% -"%' ",#+ #. M#$%&%'% ,*'* $*"% 2##-" %%' . M#$%&%'% ,*'* 2#+#-%$""+ -"2-  . M#$%&%'% ""- %+C#+"-% '#&" 6. M#$%&%'% #+"6 '#&" %. M#$%&%'% """+ 2-#"% 2##-" %%' ("'"#$%'8++ "'"#$%'  . M#$%&%'% ,*'* "$* '. M#$%&%'% """+ 2#-'#$,"+"+ '#2-%,"%"+ 2##-" %%' &. M#$%&%'% ,*'* """+ 2#-'#$,"+"+ '##6""+ 2##-" %%' K-%#-%" P#+%&"%"+ : BS 9 1 – 100 K 9 51 = <0 B 9 ;< == 0 KS9 @ 50 ? 9 <1 = ;5

R*$* : N 9 S'- 3"+ D%2#-/S'-   M"'%$*$  100

?"""+ :...   .............................................................................................................................................................................. P#+"7" S"*"+ P#+%%'"+

G*-*8

........ NIP

............................................. NIP

M#+#"6*% : K#2"&" S#'&"6

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

NIP. INSTRUMEN SUPERVISI MANAJERIAL  ADMINISTRASI DAN MANAJEMEN SEKOLAH NAMA SEKOLAH  ALAMAT HARI/TANGGAL NO I

II

III

IV

(MJ – 0)

: : : .. ASPRK/KOMPONEN

5

KUALIFIKASI 4  !

1

SKOR

PROGRAM KERJA ". S#'&"6 $#$%&%'% 2--"$ '#-" "+'" 2"+"+ ,. S#'&"6 $#$%&%'% 2--"$ "+'" $#+#+"6 . S#'&"6 $#$%&%'% 2--"$ "+'" 2#+#'/"6*+"+ . S#'&"6 $#$%&%'% 2--"$ 2#+%+'""+ $** #. S#'&"6 $#$%&%'% 2--"$ 2#+#$,"+"+ #+"" *-* "+ ++ *-* . S#'&"6 $#$%&%'% 2--"$ *2#-C%% %+#-+"& "+ %+"' &"+* . S#'&"6 $#$%&%'% RAPBS 6. M#$%&%'% 2--"$ '#-" TU PERATURAN DAN KEPUTUSAN ". S#'&"6 $#$%&%'% 2#-"*-"+ *+*' $#$,#-%'"+ 2#+6"-""+ '#2"" %7" 3"+ ,#-2-#"% ,. S#'&"6 $#$%&%'% 2#-"*-"+ *+*' $#$,#-%'"+ 2#+6"-""+ '#2"" *-* 3"+ ,#-2-#"% . S#'&"6 $#$%&%'% "" #-%, ,"% *-* "+ 2#"7"% . S#'&"6 $#$%&%'% "" #-%, ,"% %7" #. M#$,*" SK 2#$,"%"+ *" *-* "&"$ PBM . M#$,*" SK 2#-"+'" #'&"6 "+ -%+%"+ *" . M#$,*" SK #+"+ ,#-,""% '#%""+ PEMBINAAN ". S#'&"6 $#+%'*#-"'"+ *-* "&"$ 2#&"%6"+8 2#+""-"+8 KKG8 "+ ##+%+3" ,. S#'&"6 $#$"%"% #+"" *-* *+*' $#&"+*'"+ *% . S#'&"6 $#&%,"'"+ *-* #+%- "&"$ *2#-C%% . S#'&"6 $#$%&%'% ,*'* """+ 2#$,%+""+ '#2"" *-* "+   2#"7"% #. S#'&"6 $#$%&%'% ,*'* """+ '"* ADMINISTRASI LAINNA ". M#$%&%'% ,*'* "#+" *-" $"*' "+ '#&*"-  ,. M#$%&%'% ,*'* #'2#%% . M#$%&%'% ,*'* +*&#+ -"2" . M#$%&%'% ,*'* "$* *$*$ #. M#$%&%'% ,*'* "$* 2#$,%+""+/'6** . M#$%&%'% "7"& 2#&""-"+ #&*-*6 '#&" . M#$%&%'% ,*'* 2"'# . M#$%&%'% "#+" '#2"&" #'&"6 K-%#-%" P#+%&"%"+ : BS 9 1 – 100 B 9 ;< = 0 ? 9 <1 = ;5

R*$* : K 9 51 =<0 KS9 @ 50

N 9 S'- 3"+ D%2#-/S'M"'%$*$  100

?"""+ :....... . . ........................................................................................................................................................................... M#+#"6*% K#2"&" #'&"68

.. NIP

P#+"7" S"*"+ P#+%%'"+8

............................................. NIP

INSTRUMEN SUPERVISI MANAJERIAL ORGANISASI DAN KELEMBAGAAN

( MJ – 04)

NAMA SEKOLAH :.. NAMA KEPALA SEKOLAH:..  ALAMAT :. HARI/TANGGAL :.

NO I

II

ASPEK/ KOMPONEN

5

KUALIFIKASI 4  !

1

SKOR

ORGANISASI ". S#'&"6 $#$%&%'% ,""+ "+ -*'*- -"+%"%   2#+3#&#+"-"/2#+#&&" ,. S#'&"6 $#$%&%'% -*'*- "+ ,""+ '$%# #'&"6 . S#'&"6 $#$%&%'% -*'*- OSIS . S#'&"6 $#$%&%'% -*'*- &",-"-%*$ #. S#'&"6 $#$%&%'% -*'*- 2#-2*"'""+ . S#'&"6 $#$%&%'% -*'*- T"" U"6" . S#'&"6 $#$%&%'% -*'*- K$%# S#'&"6 6. KELEMBAGAAN ". M#$%&%'% "'# 2#+%-%"+ #'&"6 ,. M#$%&%'% #-%%'" "+"6 . M#$%&%'% $"#- 2&"+ #'&"6 . M#+""'"+ '#-""$" #+"+ &#$,"" 2#+%%'"+ &"%+ "&"$ $#+#$,"+'"+ #'&"6 #. M#+"&%+ '#-""$" #+"+ &#$,"" ++ 2#+%%'"+ "&"$ -"+'" 2#+#$,"+"+ #'&"6 . M#$%&%'% MOU #+"+ %+%*% 2""+"+ *% . M#$%&%'% S#-%%'" "'-#%"% 6. %.

K-%#-%" P#+%&"%"+ : BS 9 1 – 100 B 9 ;< – 0 ? 9 <1 – ;5 K 9 51 – <0 KS9 @ 50

R*$* : N 9 S'- 3"+ D%2#-/S'-   M"'%$*$  100

?"""+ :..   ............................................................................................................................................................................... M#+#"6*% K#2"&" #'&"68

8

.. NIP

P#+"7" S"*"+ P#+%%'"+8

............................................... NIP

INSTRUMEN SUPERVISI MANAJERIAL SARANA DAN PRASARANA

( MJ – 05)

NAMA SEKOLAH : NAMA KEPALA SEKOLAH: ..  ALAMAT : HARI/TANGGAL : .. NO 18

!. . 4. 5. <. ;. . . 10. 11. 1!. 1. 14. 15. 1<. 1;. 1. 1. !0. !1. !!. !. !4.

ASPEK KOMPONEN

5

KLASIFIKASI 4  !

1

SKOR

K#2#$%&%'"+ #*+ ". M%&%' #+%-% ,. S#7" . N*$2"+ M#$%&%'% 6"&"$"+ #'&"6 M#$%&%'% -*"+ '#&" 3"+ *'*2 M#$%&%'% -*"+ &",-"-%*$ M#$%&%'% -*"+ 2#-2*"'""+ M#$%&%'% ?/ '"$"- $"+% M#$%&%'% %+"&"% &%-%' M#$%&%'% %+"&"% "%-/ *$*-  M#$%&%'% "-%+"+ #+/ %+#-+#/ "'%$%& M#$%&%'% &"2"+"+ &"6-"" M#$%&%'% "-"+" '##+%"+ M#$%&%'% "-"+" ,#-$"%+ M#$%&%'% -*"+ '#2"&" #'&"6 M#$%&%'% -*"+ $"#&% *-* M#$%&%'% -*"+ "" *"6" M#$%&%'% -*"+ UKS M#$%&%'% "'# 2#$,*"+"+ "$2"% M#$%&%'% -*"+ BK M#$%&%'% -*"+ OSIS M#$%&%'% -*$"6 %,""6 M#$%&%'% '"+%+ #'&"6 M#$%&%'% #$2" 2"-'%-  M#$%&%'% -*"+ #-,"*+"

K-%#-%" P#+%&"%"+ BS 9 1 – 100 B 9 ;< == 0 ? 9 <1 = ;5 K 9 51 = <0 KS 9 @ 50

R*$* : N 9 S'- 3"+ D%2#-/S'-   M"'%$*$  100

?"""+ :.. ..  ............................................................................................................................................................................. M#+#"6*%8 K#2"&" #'&"68

.. NIP

P#+"7" S"*"+ P#+%%'"+8

............................................... NIP

INSTRUMEN SUPERVISI MANAJERIAL KETENAGAAN

(MJ –0<)

NAMA SEKOLAH :.. NAMA KEPALA SEKOLAH:   ALAMAT : . HARI/TANGGAL :  NO 1. !. . 4. 5. <. ;. . . 10. 11. 1!. 1. 14. 15. 1<. 1;. 1.

ASPEK/ KOMPONEN

5

KLASIFIIFIKASI 4  !

1

SKOR

R"% *-* "+ %7" (1 : !) J*$&"6 *-* 3"+ $#$%&%'% '*"&%%'"% S1 ""* ##-"" <0  ""* &#,%6 M#$%&%'% *-* 2#+%%'"+ A"$" M#$%&%'% *-* 2#+%%'"+ "$"+% M#$%&%'% *-* '##-"$2%&"+ M#$%&%'% *-* '6** BK M#$%&%'% #+"" '6** "$%+%-"% #'&"6 M#$%&%'% "+"6 '6** '#,#-%6"+ #'&"6 M#$%&%'% #+"" '6** 2#+"$"+"+ #'&"6 M#$%&%'% #+"" 2#&"%6 2-"$*'" M#$%&%'% %&# *+*' #&*-*6 2#"7"% M#$%&%'% ""- *-* '#2"+'""+ (DUK) M#$%&%'% ,*'* %+*' '#2#"7"%"+ M#$%&%'% ,*'* $*"% 2#"7"% M#$%&%'% ,*'* *% 2##7"% M#$%&%'% ""- 6"%- *-* "+ 2#"7"%

K-%#-%" P#+%&"%"+ : BS 9 1 – 100 B 9 ;< – 0 ? 9 <1 – ;5 K 9 51 – <0

R*$* : N 9 S'- 3"+ D%2#-/S'-   M"'%$*$  100

?"""+ :..   .............................................................................................................................................................................. M#+#"6*% K#2"&" #'&"68

 

P#+"7" S"*"+ P#+%%'"+8

.. NIP

.............................................. NIP

INSTRUMEN SUPERVISI MANAJERIAL PEMBIAAAN

NAMA SEKOLAH :  AMA KEPALA SEKOLAH:...  ALAMAT :

(MJ – 0;)

HARI/TANGGAL NO 1. !. .

4. 5. <. ;. . . 10. 11. 1!. 1.

: ASPEK/KOMPONEN

5

KUALIFIKASI 4  !

1

SKOR

S#'&"6 $#$%&%'% RAPBS R#"&%"% ,%"3" #*"% #+"+ RAPBS S#'&"6 $#+"2" ,"+*"+ "-% : ". P#$#-%+"6 P*" ,. P#$#-%+"6 P-2%+% . P#$#-%+"6 K",*2"#+/K" . K$%# S#'&"6 #. M"3"-"'" M#+3#%"'"+ "+" *+*' '#%""+ '-#"%C%" *-* M#+3#%"'"+ "+" *+*' '#%""+ '-#"%C%" %7" M#+"-%'"+ "+" *+*' %7" 3"+ %"' $"$2* M#+*"6"'"+ ,#"%7" M#+"&'"%'"+ "+" '#&#,%6"+ "$ $#+""-  M#&2-'"+ 2#+#&&""+ '#*"+"+ #'&"6 M#&"'*'"+ *,%% %&"+ ,"% %7" 3"+ %"' $"$2* M#$%&%'% ,*'* -#'#+%+ ,"+'

K-%#-%" P#+%&"%"+  BS 9 1 = 100 B 9 ;< = 0 ? 9 <1 = ;5 K 9 51 = <0 KS 9 @ 50

R*$* : N 9 S'- 3"+ D%2#-/S'-   M"'%$*$  100

?"""+ :. .. ................................................................................................................................................................................ ................................................................................................................................................................................ M#+#"6*% K#2"&" #'&"68

.. NIP

P#+"7" S"*"+ P#+%%'"+8

................................................. NIP

INSTRUMEN SUPERVISI MANAJERIAL (MJ – 0) PESERTA DIDIK NAMA SEKOLAH : .. NAMA KEPALA SEKOLAH:  ALAMAT :  HARI/TANGGAL :. NO

ASPEK/ KOMPONEN 5

1. !.

P-# 2#+#-%$""+ %7" ,"-* #"-" #&#'%8 #-,*'" "+ "%& M#$%&%'% SK P"+%%" PSB

. 4.

M#$%&%'% "" "&+ %7" ,"-* M#$%&%'% "" %7" 3"+ %#-%$"

KUALIFIKASI 4  !

SKOR 1

5. <. ;. . . 10. 11. 1!. 1. 14. 15. 1<.

M#$%&%'% ,*'* %+*' %7" M#$%&%'% ,*'* '#-  M#$%&%'% ,*'* $*"% M#$%&%'% "" +%&"% -"=-"" +%&"% US/UN M#$%&%'% "" %+'" '#&*&*"+ %7" M#$%&%'% 2"2"+ "%%' %7" M#$%&%'% -#'"2%*&"% '#6#%-"+ %7" M#$%&%'% 2--"$ 2#+#$,"+"+ ,"'"8 $%+" "+ '-#"%C%" %7" M#$%&%'% "" #-%, %7"

K-%#-%" P#+%&"%"+ : BS 9 1 = 100 B 9 ;< = 0 ? 9 <1 = ;5 K 9 51 = <0 KS 9 @ 50

R*$* : N 9 S'- 3"+ %2#-/ S'-   M"'%$*$  100

?"""+ :... .. ..

M#+#"6*% K#2"&" #'&"68

P#+"7" S"*"+ P#+%%'"+8

.. NIP

................................................. NIP

INSTRUMEN SUPERVISI MANAJERIAL PERANSERTA MASARAKAT

(MJ – 0)

NAMA SEKOLAH : .. NAMA KEPALA SEKOLAH:   ALAMAT :  HARI/TANGGAL :  NO

ASPEK/ KOMPONEN

1. !.

M#$%&%'% 2#+*-* '$%# #'&"6 M#&%,"'"+ '$%# #'&"6/-"+ *" %7" "&"$ 2#+3* *+"+ 2--"$ #'&"6 M#&%,"'"+ '$%# #'&"6/-"+ *" %7" "&"$ 2- -"$ 2#+%+'""+ $** M#&%,"'"+ '$%# #'&"6 "&"$ 2#+3**+"+ RAPBS M#+%'*#-"'"+ '$%# #'&"6 "&"$ -"2"=-"2" K6** M#&"2-'"+ '#$"*"+ ,#&""- %7" '#2"" -"+ *" S%7" M#&"2-'"+ '#$"*"+ 2-#"% ++ "'"#$%' %7" '# 2"" -"+ *" %7" M#+%'*#-"'"+ '$%# #'&"6 "&"$ 2#+3**+"+

. 4. 5. <. ;. .

5

KUALIFIKASI 4  !

1

SKOR

.

"" #-%, #'&"6 K$%# #'&"6 $#$"%&%"% 6*,*+"+ '#-""$" " &"$ 2#+#$,"+"+ #'&"6

10. 11. 1!. 1. 14. 15. K-%#-%" P#+%&"%"+ : R*$* : BS 9 1 = 100 N 9 S'- 3"+ D%2#-/S'-   B 9 ;< = 0 M"'%$*$  100 ? 9 <1 = ;5 K 9 51 = <0 KS 9 @ 50 ?""" :.   M#+#"6*% K#2"&" #'&"68

P#+"7" S"*"+ P#+%%'"+8

.. NIP

..................................................... NIP

INSTRUMEN SUPERVISI MANAJERIAL LINGKUNGAN BUDAA SEKOLAH

MJ = 10

NAMA SEKOLAH : NAMA KEPALA SEKOLAH:  ALAMAT : HARI/TANGGAL : NO I

II

ASPEK/ KOMPONEN LINGKUNGAN ". M#$%&%'% "7"& 2#&"'"+""+ '#,#-%6"+ '#&" "+ &%+'*+"+ #'&"6 ,. M#&"'"+"'"+ 2--"$ '#%+"6"+ &%+'*+"+ . M#&"'"+"'"+ 2--"$ '#"$"+"+ . M#$%&%'% "$"+ #'&"6 #. M#$%&%'% + "$2"6 #*'*2+3" . M#$%&%'% "&" '#,#-%6"+ &"%++3" . M#$%&%'% 2""- #'&"6 6. BUDAA ". M#$%&%'% 2--"$ &"6-"" ,#-"$" ,. M#$,%""'"+ ,#-"&"$"+ . M#+*+"'"+ ,"* '6** "#-"6 2"" 6"-% #-#+* . M#$%&%'% '" *+*' *$,"+"+ %"& #. $#+"&%+ 6*,*+"+ #+"+ "&*$+%

5

KUALIFIKASI 4  !

1

SKOR

. M#$2#-%+"% 6"-% ,#"- A"$" . K-%#-%" P#+%&"%"+ : BS 9 1 – 100 B 9 ;< = 0 ? 9 <1 = ;5 K 9 51 = <0 KS 9 @ 50

R*$* : N 9 S'- 3"+ D%2#-/'-   M"'%$*$  100

?"""+ :... .. 

M#+#"6*% K#2"&" #'&"68

.. NIP

P#+"7" S"*"+ P#+%%'"+8

................................................. NIP