PEMERINTAH KABUPATEN JEMBER

DINAS PENDIDIKAN
Jalan dr. Subandi 29 Kotak Pos 181 Telp. (0331) 487028 Fax. 421152 Kode Pos 68118

JEMBER

SUPERVISI PELAKSANAAN PPDB DAN PELAKSANAAN

MASA ORIENTASI SISWA (MOS)
TAHUN PELAJARAN 2013/2014
NAMA INSTANSI
HARI/TANGGAL

No.
1.

2.

3.

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KOMPONEN
Daya Tampung Kelas X
a. Jumlah rombongan belajar kelas X
b. Rasio tiap kelas
c. Jumlah siswa
d. Jumlah kelas X yang tidak naik kelas

HASIL SUPERVISI
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Jumlah Calon Siswa

a. Yang mendaftar
b. Telah diterima
c. Tidak diterima
d. Kurang

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Kepanitiaan dan Jadwal MOS

a. Ada buku pedoman pelaksanaan
b. Ada SK kepanitiaan dan rincian tugasnya
c. Ada rencana kegiatan ( Action Plan )
d. Jumlah peserta hadir
e. Jumlah peserta tidak hadir

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Permasalahan yang timbul dan upaya mengatasinya :

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Saran :
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Mengetahui,
Kepala Sekolah

Jember, ..................................
Pengawas Dikmen

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NIP.

Dra. Hj. Siti Munawaroh, M.Si

NIP. 19591229 198303 2 014