Sabtu, 13 Juli 2013

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                                     :     .....................................................................
                                                               .....................................................................
                                                               ....................................................................

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

G.  Gambaran Ringkas Masalah            :    
      ....................................................................................................................................
      ....................................................................................................................................
      ....................................................................................................................................
      ....................................................................................................................................
      ....................................................................................................................................

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

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

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

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

K.  Bahan-bahan yang disertakan dalam alih tangan :
      1     .............................................................................................................................
      2.   .............................................................................................................................
      3.   ..............................................................................................................................
       
L.   Keterkaitan kegiatan ini dengan layanan/kegiatan pendukung terdahulu :
      ....................................................................................................................................
      ....................................................................................................................................

M.  Rencana penilaian dan tindak lanjut :
      ....................................................................................................................................
      ....................................................................................................................................
N.  Cacatan Khusus
      ....................................................................................................................................
      ....................................................................................................................................
      ....................................................................................................................................


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      Mengetahui                                                                      
      Kepala Sekolah                                                                 Guru Pembimbing




      ______________________                                              ___________________
      NIP.                                                                                  NIP.


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