Satuan pelayanan Bimbingan konseling
A. Topik
Permasalahan : …………………………………………………...........
B.
Tugas Perkembangan : ………………………………………………………...
………………………………………………………...
………………………………………………………...
C. Bidang Bimbingan : ………………………………………………………...
D. Jenis Layanan : ………………………………………………………...
E. Fungsi Layanan : ………………………………………………………...
F. Tujuan Layanan/Hasil yang ingin Dicapai :
1. ………………………………………………………………………………………
2. ………………………………………………………………………………………
3. ………………………………………………………………………………………
G. Sasaran
Layanan : .......................................................................................
H. Uraian
Kegiatan dan Materi Layanan
1. Uraian Kegiatan
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
2. Materi Layanan
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
....................................................................................................................................
I. Strategi
Pelayanan : .......................................................................................
J. Tempat
Penyelenggaraan : .......................................................................................
K. Waktu,
Tanggal, Semester : .......................................................................................
L. Penyelenggara Layanan : .......................................................................................
M. Pihak-pihak yang Disertakan dalam
Penyelenggaraan Layanan dan Peranannya Masing-masing :
..........................................................................................................................................
..........................................................................................................................................
N. Alat Perlengkapan yang Digunakan :
..........................................................................................................................................
..........................................................................................................................................
O. Rencana Penilaian dan Tindak
Lanjut layanan :
..........................................................................................................................................
..........................................................................................................................................
P. Keterkaitan Layanan dengan
Kegiatan pendukung :
..........................................................................................................................................
..........................................................................................................................................
Q. Catatan Khusus:
..........................................................................................................................................
..........................................................................................................................................
...............,
...................... 2009
Mengetahui
Kepala
Sekolah Guru
Pembimbing
______________________ ___________________
NIP. NIP.
SATUAN PENDUKUNG (SATKUNG)
PELAYANAN KONSELING
A. Jenis
Satuan Pendukung : Aplikasi Instrumentasi
B. Topik
Permasalahan/Bahasan : ..............................................................................
C. Bidang
Bimbingan : ..............................................................................
D. Jenis
Kegiatan : ..............................................................................
E. Fungsi
Kegiatan : ..............................................................................
F. Tujuan Kegiatan/Hasil : ..............................................................................
..............................................................................
..............................................................................
G. Sasaran
Kegiatan : ..............................................................................
H. Uraian tentang instrumen
1. Nama Instrumen : ..............................................................................
2. Jenis Instrumen : ..............................................................................
3. Penyusunan Instrumen : ..............................................................................
4. Pokok-pokok Isi
Instrumen :
a. ........................................................................
b.
........................................................................
c.
........................................................................
5.
Pola
Pengerjaaan Soal : …………………………………………………..
6.
Pola Pengadministrasian :
…………………………………………………..
I. Tempat Penyelenggaraan : …………………………………………………..
J. Waktu/Semester : …………………………………………………..
K. Penyelenggara Kegiatan : …………………………………………………..
L. Konsultan : …………………………………………………..
M. Pengolah
dan Interpretasi Hasil
1. Pengolah : ..............................................................................
2. Pengintepretasi Hasil : ..............................................................................
N. Penggunaan
Hasil
- Digunakan untuk : ..............................................................................
- Digunakan pada Layanan Apa : ..............................................................................
- Siapa yang Menggunakan : ..............................................................................
...............,
...................... 2009
Mengetahui
Kepala
Sekolah Guru
Pembimbing
______________________ ___________________
NIP. NIP.
SATUAN PENDUKUNG (SATKUNG)
PELAYANAN KONSELING
A. Jenis
Satuan Pendukung : Himpunan Data
B. Nama
Data :
..............................................................................
C. Bidang
Bimbingan : ..............................................................................
D. Jenis
Kegiatan : ..............................................................................
E. Fungsi
Kegiatan : ..............................................................................
F. Tujuan Kegiatan : ..............................................................................
..............................................................................
..............................................................................
G. Uraian
tentang Data
- Jenis Data : ..............................................................................
- Pengolah Data : ..............................................................................
- Pokok-pokok Isi Data : a. ........................................................................
b.
........................................................................
c. ........................................................................
- Pola Pengadministrasian Data : …………………………………………………..
I. Tempat Penyimpanan : …………………………………………………..
J. Waktu/Semester : …………………………………………………..
K. Penyelenggara Kegiatan : …………………………………………………..
L. Konsultan
: …………………………………………………..
M. Penggunaan Hasil
- Digunakan untuk : ..............................................................................
- Digunakan pada Layanan Apa : ..............................................................................
- Siapa yang Menggunakan : ..............................................................................
...............,
...................... 2009
Mengetahui
Kepala
Sekolah Guru
Pembimbing
______________________ ___________________
NIP. NIP.
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 :
..........................................................................................................................................
..........................................................................................................................................
..........................................................................................................................................
...............,
...................... 2009
Mengetahui
Kepala
Sekolah Guru
Pembimbing
______________________ ___________________
NIP. NIP.
SATUAN PENDUKUNG (SATKUNG)
PELAYANAN KONSELING
A. Jenis
Satuan Pendukung : Kunjungan Rumah
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. Anggota
keluarga yang akan dikunjungi dan apa yang diharapkan dari mereka masing-masing
:
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
L. Bahan dan Keterangan yang Dibawa
dalam Kunjungan :
1. ...................................................................................................................................
2. ...................................................................................................................................
3. ...................................................................................................................................
M. Penggunaan Hasil Kunjungan : ..........................................................................
N. Rencana Penilaian dan Tindak
Lanjut Kegiatan :
.........................................................................................................................................
.........................................................................................................................................
O. Keterkaitan Kegiatan dengan Layanan/Kegiatan
Pendukung lainnya :
..........................................................................................................................................
..........................................................................................................................................
P. Cacatan Khusus :
.........................................................................................................................................
.........................................................................................................................................
...............,
...................... 2009
Mengetahui
Kepala
Sekolah Guru
Pembimbing
______________________ ___________________
NIP. NIP.
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
..........................................................................................................................................
..........................................................................................................................................
..........................................................................................................................................
...............,
...................... 2009
Mengetahui
Kepala
Sekolah Guru
Pembimbing
______________________ ___________________
NIP. NIP.
SATUAN PENDUKUNG (SATKUNG)
PELAYANAN KONSELING
A. Jenis
Satuan Pendukung : Tampilan Kepustakaan
B. Topik
Permasalahan : ...........................................................................
C. Bidang
Bimbingan : ...........................................................................
D. Fungsi
Kegiatan : ...........................................................................
E. Tujuan
Kegiatan/Hasil yang
ingin dicapai :
...........................................................................
...........................................................................
...........................................................................
F. Subyek
yang Mengalami Masalah : ...........................................................................
G. Gambaran
Ringkas Masalah :
..........................................................................................................................................
..........................................................................................................................................
..........................................................................................................................................
..........................................................................................................................................
..........................................................................................................................................
H. Bahan
yang Dirujuk : ...........................................................................
...........................................................................
...........................................................................
I.
Tempat Ketersediaan Rujukan : ...........................................................................
...........................................................................
...........................................................................
J. Waktu
Pelaksanaan : ...........................................................................
K. Keterkaitan kegiatan ini dengan
layanan/kegiatan pendukung terdahulu :
..........................................................................................................................................
..........................................................................................................................................
M. Rencana penilaian dan tindak lanjut :
..........................................................................................................................................
..........................................................................................................................................
N. Cacatan Khusus
..........................................................................................................................................
..........................................................................................................................................
..........................................................................................................................................
...............,
...................... 2009
Mengetahui
Kepala
Sekolah Guru
Pembimbing
______________________ ___________________
NIP. NIP.
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