Contoh Model Satkung: Satuan Pendukung 4 (Alih Tangan Kasus)

SATUAN PENDUKUNG (SATKUNG)

PELAYANAN KONSELING

A.  Jenis Satuan Pendukung                  :     Alih Tangan Kasus

B.  Topik Permasalahan/Bahasan           :     ....................................................................

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

D.  Fungsi Kegiatan                               :     .....................................................................

E.   Tujuan Kegiatan/Hasil yang

ingin dicapai                                     :     .....................................................................

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F.   Subyek yang Mengalami Masalah   :     .....................................................................

G.  Gambaran Ringkas Masalah            :    

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H. Kepada siapa dialih tangankan        :     .....................................................................

I.    Alasan pengalihtanganan                 :     ..................................................................

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J.    Kapan dialihtangankan                    :     ...........................................................................

K.  Bahan-bahan yang disertakan dalam alih tangan :

      1     .............................................................................................................................

      2.   .............................................................................................................................

      3.   ..............................................................................................................................

       

L.   Keterkaitan kegiatan ini dengan layanan/kegiatan pendukung terdahulu :

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M.  Rencana penilaian dan tindak lanjut :

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N.  Cacatan Khusus

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      Mengetahui                                                                      

      Kepala Sekolah                                                                 Guru Pembimbing

      ______________________                                              ___________________

      NIP.                                                                                  NIP.