SATUAN PENDUKUNG (SATKUNG)
PELAYANAN KONSELING
A. Jenis
Satuan Pendukung : Konferensi Kasus
B. Topik
Permasalahan/Bahasan : ....................................................................
C. Bidang
Bimbingan : ....................................................................
D. Fungsi
Kegiatan : ....................................................................
E. Tujuan
Kegiatan/Hasil yang
ingin Dicapai :
.....................................................................
....................................................................
....................................................................
F. Subyek
yang Mengalami Masalah : ....................................................................
G. Gambaran
Ringkas Masalah :
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
H. Tempat Penyelenggaraan :
....................................................................
I. Waktu/Semester : .....................................................................
J. Penyelenggara
Kegiatan : .....................................................................
K. Pihak-pihak
yang diikutsertakan dalam konferensi kasus :
1. ..............................................................................................................................
2.
..............................................................................................................................
3.
..............................................................................................................................
L. Bahan dan Keterangan yang Dibawa
dalam Pertemuan :
1. ..............................................................................................................................
2. ..............................................................................................................................
3. ..............................................................................................................................
M. Pengguna Hasil Pertemuan : ..................................................................
N. Rencana Penilaian dan Tindak
Lanjut Kegiatan
....................................................................................................................................
....................................................................................................................................
O. Keterkaiatan Kegiatan dengan
Layanan/Kegiatan Pendukung lainnya :
....................................................................................................................................
....................................................................................................................................
P. Cacatan Khusus :
....................................................................................................................................
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Mengetahui
Kepala
Sekolah Guru
Pembimbing
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NIP. NIP.
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