Contoh Model F. Satlan 3 (Program Pengayaan)

SATUAN LAYANAN

BIMBINGAN DAN KONSELING

A.  Topik Permasalahan             :     …………………………………………………...........

B.  Tugas Perkembangan           :     ………………………………………………………...

C.  Bidang Bimbingan               :     ………………………………………………………...

D.  Jenis Layanan                       :     Layanan Pembelajaran…………………...

E.   Fungsi Layanan                    :     ………………………………………………………...

F.   Tujuan Layanan/Hasil yang ingin Dicapai            :

      1.   ………………………………………………………………………………………

      2.   ………………………………………………………………………………………

      3.   ………………………………………………………………………………………

G.  Sasaran Layanan                  :     .......................................................................................

H.  Uraian Kegiatan dan Materi Pengayaan

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1.      Sumber Materi Pengayaan  : ...........................................................................................

J.    Metode/alat/media               :     .......................................................................................

K.  Tempat Penyelenggaraan     :     .......................................................................................

L.   Waktu, Tanggal, Semester   :     .......................................................................................

M.  Penyelenggara Layanan       :     .......................................................................................

N.   Konsultan                            :     ......................................................................................

O.  Pihak-pihak yang Disertakan dalam Penyelenggaraan Layanan dan Peranannya Masing-masing           :

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P.   Alat Perlengkapan yang Digunakan :

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Q.  Rencana Penilaian dan Tindak Lanjut layanan :

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R.  Keterkaitan Layanan dengan Kegiatan pendukung :

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S.   Catatan Khusus:

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      Mengetahui                                                                      

      Kepala Sekolah                                                                 Guru Pembimbing

      ______________________                                              ___________________

      NIP.                                                                                  NIP.

Penyelenggara layanan adalah guru mata pelajaran atau praktek atau ahli lain yang memberikan pengayaan dengan demikian prencanaan program satlan dibuat brsama oleh guru pembimbing guru mata pelajaran atau praktik dan ahli