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LEMBAR CATATAN FAKTA HASIL PENGAMATAN DAN PEMANTAUAN TUGAS TAMBAHAN KEPALA SEKOLAH (Mohon diisi dengan tulisan tangan dengan jelas) Catatan fakta sebelum pengamatan : (Catatan semua hasil diskusi/wawancara sebelum dilakukan pengamatan) Dokumen dan bahan lain yang diperiksa ....................................... ....................................... ....... ....................................... ....................................... ...... ....................................... ....................................... ...... 1. ............................................................ ............................................................. ... 2. ............................................................ ............................................................. ... 3. .......................................................... ............................................................... ... 4. ............................................................ .............................................................

Lembar catatan fakta

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Page 1: Lembar catatan fakta

LEMBAR CATATAN FAKTA

HASIL PENGAMATAN DAN PEMANTAUAN TUGAS TAMBAHAN KEPALA SEKOLAH

(Mohon diisi dengan tulisan tangan dengan jelas)

Catatan fakta sebelum pengamatan :

(Catatan semua hasil diskusi/wawancara sebelum dilakukan pengamatan)

Dokumen dan bahan lain yang diperiksa

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

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

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

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5. ............................................................................................................................

6. ............................................................................................................................

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8. ............................................................................................................................

9. ............................................................................................................................

10. ............................................................................................................................

Tindak lanjut tang diperlukan :

Page 2: Lembar catatan fakta

Catatan fakta selama pengamatan :

(Catatan selama pengamatan)

Dokumen dan bahan lain yang diperiksa

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

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11. ............................................................................................................................

12. ............................................................................................................................

13. ............................................................................................................................

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19. ............................................................................................................................

20. ............................................................................................................................

Tindak lanjut tang diperlukan :

Page 3: Lembar catatan fakta

Catatan fakta sesudah pengamatan :

(Catatan sesudah melakukan pengamatan)

Dokumen dan bahan lain yang diperiksa

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21. ............................................................................................................................

22. ............................................................................................................................

23. ............................................................................................................................

24. ............................................................................................................................

25. ............................................................................................................................

26. ............................................................................................................................

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30. ............................................................................................................................

Tindak lanjut tang diperlukan :