Data Pendukung SMP-Mts 14.03.20

8/17/2019 Data Pendukung SMP-Mts 14.03.20

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INSTRUMEN PENGUMPULAN DATA DAN INFORMASI

PENDUKUNG AKREDITASI SMP/MTs

Nama Sekolah/Madrasah : _______________________________________

Nomor Statstk Sekolah/Madrasah!SSN/M" : _______________________________________

Nama Ke#ala Sekolah/Madrasah : _______________________________________

Alamat Sekolah/Madrasah : _______________________________________

_______________________________________

_______________________________________

I$ STANDAR ISI

%$ Pelaksa&aa& k'rk'l'm (erdasarka& m'ata& KTSP !Is me&'r't a#a )a&* ter+ad dsekolah/madrasah sa'dara"$

No$ Kom#o&e& m'ata& KTSP

% Mata #ela+ara&:

%"$ ________________________ ,"$ ________________________

-"$ ________________________ ."$ ________________________

"$ ________________________ 0"$ ________________________

1"$ ________________________ 2"$ ________________________

3"$ ________________________ %4"$ _______________________

- M'ata& lokal:

%"$ _________________________

-"$ _________________________

"$ _________________________

Ke*ata& #e&*em(a&*a& dr:

%"$ ________________________ 3"$ ________________________

-"$ ________________________ ,"$ ________________________

"$ ________________________ ."$ ________________________

1"$ ________________________ 0"$ ________________________

hal. 1/61

Instrumen Pengumpulan Data dan Informasi Pendukung Akreditasi SMP/MTs


2/62

1 Pe&*at'ra& (e(a& (ela+ar5

3 Ket'&tasa& (ela+ar !KKM"55:

%"$ _____________________________ KKM 6 _________________

-"$ _____________________________ KKM 6 _________________"$ _____________________________ KKM 6 _________________

1"$ _____________________________ KKM 6 _________________

3"$ _____________________________ KKM 6 _________________

,"$ _____________________________ KKM 6 _________________

."$ _____________________________ KKM 6 _________________

0"$ _____________________________ KKM 6 _________________

2"$ _____________________________ KKM 6 _________________

%4"$ ____________________________ KKM 6 _________________

, Krtera ke&aka& kelas:

%"$ ______________________________________________________

-"$ ______________________________________________________

"$ ______________________________________________________

1"$ ______________________________________________________

Krtera kel'l'sa&:

%"$ ______________________________________________________

-"$ ______________________________________________________"$ ______________________________________________________

1"$ ______________________________________________________

. Pe&ddka& ke7aka#a& hd'#:

%"$ ______________________________________________________

-"$ ______________________________________________________

"$ ______________________________________________________

0 Pe&ddka& (er(ass ke'&**'la& lokal da& *lo(al dalam (e&t'k:

%"$ ______________________________________________________

-"$ ______________________________________________________

"$ ______________________________________________________

Ketera&*a& 5 Lam#rka& kale&der akademk da& +ad8al #ela+ara& 55

Is de&*a& s&*kata& mata #ela+ara& da& KKM

hal. 2/61

PERANGKAT AKREDITASI SMP/MTs – !"#$ %AN&S/M


3/62

-$ Ketersedaa& dok'me& #e&*em(a&*a& k'rk'l'm !Is +e&s dok'me& )a&* rele9a&

de&*a& #e&*em(a&*a& k'rk'l'm"$

No$ Kom#o&e&Ketersedaa&5

Ada Tdak

% erta a7ara ra#at

- Ta&da ta&*a&

G'r' mata #ela+ara&

G'r' m(&*a& ko&sel&*/ko&selor

Ket'a komte sekolah/madrasah ata'

#e&)ele&**ara lem(a*a #e&ddka&

Ketera&*a& : 5Islah ta&da 7ekls !;" #ada kolom +a8a(a& KTSP

1 Dok'me& >&al KTSP

3 Dok'me& #ema&ta#a& da& #e&laa& KTSP

Ketera&*a& : 5 Islah ta&da 7ekls !;" #ada kolom +a8a(a&


4/62

3$ Pr&s# #elaksa&aa& k'rk'l'm )a&* dtera#ka&$

No Pr&s# #elaksa&aa& k'rk'l'm

%

-

1

3

,

.

,$ Mata #ela+ara& m'ata& lokal:

a$ _______________________________________________________

($ _______________________________________________________

7$ _______________________________________________________

d$ _______________________________________________________

e$ _______________________________________________________

Phak?#hak )a&* terl(at dalam #e&)'s'&a& k'rk'l'm m'ata& lokal da&k'rk'l'm (er(ass #e&ddka& karakter:

No Phak )a&* terl(at

%

-

1

3

,

.

Dok'me& #e&)'s'& k'rk'l'm m'ata& lokal da& k'rk'l'm (er(ass #e&ddka&karakter$

No$ Dok'me&Ketersedaa&5

Ada Tdak

% Da>tar hadr tm #e&*em(a&*

- Dok'me& k'rk'l'm/sla('s mata#ela+ara& m'ata& lokal

Dok'me& k'rk'l'm/sla('s mata

#ela+ara& (er(ass #e&ddka& karakter

Ketera&*a& : 5 Islah ta&da 7ekls !;" #ada kolom +a8a(a&


5/62

.$ @e&s?+e&s #ro*ram #e&*em(a&*a& dr dalam (e&t'k ke*ata& ekstrak'rk'ler

)a&* dmlk sekolah/madrasah$

No$ @e&s ke*ata& ekstrak'rk'ler No$ @e&s ke*ata& ekstrak'rk'ler

% .

- 0

2

1 %4

3 %%

, %-

0$ @e&s?+e&s #ro*ram #e&*em(a&*a& dr dalam (e&t'k ke*ata& ko&sel&* )a&*dmlk sekolah/madrasah$

No$ @e&s ke*ata& ko&sel&*Ketersedaa&5

Ada Tdak

% Ko&sel&* (ela+ar

- Ko&sel&* #r(ad

Ko&sel&* sosal

1 Ko&sel&* karr

3

Ketera&*a&: 5 Islah ta&da 7ekls !" #ada kolom +a8a(a&


6/62

Keses'aa& de&*a& SK KD

No$Mata Pela+ara& da& &dkator?&dkator&)a5

Ses'a Tdak

.

0

2

%4

B



7/62

T'+'h la&*kah #e&*em(a&*a& sla('s


8/62

%-$ Sla('s mata #ela+ara& )a&* telah dsahka& oleh D&as Pe&ddka&/Ka&keme&a*Ka('#ate&/Kota$

NoMata Pela+ara&

Kelas5CII CIII I

%-

1

3

,

.

0

2%4

%%

%-

%

%1

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%,

%.

%0

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%$ La&*kah?la&*kah #e&*em(a&*a& sla('s )a&* dlaksa&aka&$

No$

%

-

1

3

,

.

hal. 7/61



9/62

%1$ Mata #ela+ara& )a&* memlk sla('s )a&* ds's'& oleh *'r' mata #ela+ara&$

No Mata Pela+ara&Kelas5

CII CIII I

%

-

1

3

,

.

0

2

%4

%%

%-

%

%1

%3

%,

%.

%0

%2

-4

-%

-%


%3$ Proses #e&*em(a&*a& sla('s$

Ketersedaa& Ketersedaa&dok'me&

No$ Mata #ela+ara& (erta a7ara5sla('s5

Ada Tdak Ada Tdak

%

-

1

3

hal. 8/61



10/62

Ketersedaa&Ketersedaa&

dok'me&No$ Mata #ela+ara& (erta a7ara5

sla('s5

Ada Tdak Ada Tdak

,

.

0

2

%4

%%

%-

%

%1

%3

%,

%.



11/62

%.$ U&s'r )a&* d#erhatka& dalam #e&e&t'a& KKM seta# mata #ela+ara&

No$ U&s'r #e&e&t' KKM D#erhatka& Tdak d#erhatka&

% Karakterstk ss8a

- Karakterstk mata #ela+ara&

Ko&ds sekolah/madrasah

Ketera&*a&: 5 Islah ta&da 7ekls !" #ada kolom +a8a(a& ekt> 1 ar l('r



12/62

II. STANDAR PROSES

19. Mata #ela+ara& )a&* memlk RPP de&*a& me&*&te*raska& #e&ddka&karakter$

No Mata Pela+ara& Kelas5CII CIII I

%

-

1

3

,

.

0

2

%4

%%

%-

%

%1

%3

%,

%.

%0

%2


-4$ RPP )a&* telah meme&'h #r&s#?#r&s# #e&)'s'&a&$

No Mata Pela+ara&@'mlah RPP

Kelas Kelas KelasCII CIII I

%

-

1

3

,

.

hal. 11/61



13/62



0

2%4

%%

%-

%

%1

%3

%,

%.

%0

%2

-%$ Mata #ela+ara& )a&* memlk RPP )a&* dsa#ka& oleh *'r' mata #ela+ara&$



%

-

1

3

,

.

0

2

%4

%%

%-

%

%1

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%,

%.

%0

hal. 12/61



14/62



%2

-4-%

--$ Pers)arata& #elaksa&aaa& #roses #em(ela+ara&$

No$ Pers)arata& #elaksa&aaa& #roses #em(ela+ara&

% @'mlah maksm'm ss8a ta# kelas 6 $$$$$$$$$$$$$ ss8a

- @'mlah +am (e(a& me&*a+ar *'r' 6 $$$$$$$$$$$$$ +am/m&**'

Per(a&d&*a& +'mlah ('k' teks : ss8a 6 $$$$$$$$$$ : $$$$$$$$$

1 Pe&*elolaa& kelas )a&* dlak'ka&:

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

-$ La&*kah?la&*kah #em(ela+ara&$

No$ La&*kah?la&*kah #em(ela+ara& )a&* dlak'ka&

%-

1

3

-1$ Perse&tase +'mlah *'r' )a&* melak'ka& #e&laa& hasl (ela+ar

@'mlah *'r' )a&*

NoMata

@'mlah *'r'melak'ka&

Pela+ara& #e&laa& hasl(ela+ar

%-13,.02

%4

hal. 13/61



15/62

%%%-%%1%3

%,%.%0%2-4-%

-3$ Pema&ta'a& #roses #em(ela+ara&$

No$ T*l$ #ema&ta'a& Nama *'r' )* d#a&ta' Taha# )a&* dlak'ka&%

-

1

3

,

.

0

2

-,$ S'#er9s #roses #em(ela+ara&$

No$ T*l$ s'#er9s Nama *'r' )* ds'#er9s Hara )a&* dlak'ka&

%

-

1

3

,

.

0

2

hal. 14/61



16/62

-.$ E9al'as #roses #em(ela+ara&$

No$ Ta&**al e9al'as Nama *'r' )* de9al'as As#ek )a&* de9al'as

%

-

1

3

,

.

0

2

-0$ La#ora& hasl #e&*a8asa& #roses #em(ela+ara&$

No$ Ta&**al Pe&*a8asa& Phak )a&* me&da#at la#ora& Ketera&*a&

%

-

1

-2$ T&dak la&+'t hasl #e&*a8asa& #roses #em(ela+ara&$

No$ asl #e&*a8asa& e&t'k t&dak la&+'t

%

-

1

hal. 15/61



17/62

III. STANDAR KOMPETENSI LULUSAN

4$ Ketersedaa& RPP )a&* mem'at t'*as terstr'kt'r se7ara kelom#ok ata'&d9d'al dalam (e&t'k #eme7aha& masalah da& dok'me& t'*as

terstr'kt'r se7ara kelom#ok ata' &d9d'al@'mlah Ketersedaa&

Ketersedaa& RPP Dok'me& t'*asNo Mata Pela+ara& ss8a5

Kelas Kelas Kelas Kelas Kelas KelasCII CIII I CII CIII I

%

-

1

3

,

.

0

2

%4

%%

%-

%

%1

%3

%,

%.

%0

%2

-4

-%


%$ Sla('s mata #ela+ara& mem'at #e&*alama& (ela+ar ss8adalam me&*a&alss *e+ala alam da& sosal$

No Mata Pela+ara&@'mlah Sla('s


%

-

hal. 16/61



18/62

No Mata Pela+ara&@'mlah Sla('s


13

,

.

0

2

%4

%%

%-

%

%1

%3

%,

%.

%0

%2

-4

-%

-$ Ke*ata& me&7ar &>ormas/#e&*etah'a& dar (er(a*a s'm(er #ada d'a semesterterakhr$

No$ Ke*ata& ss8aDlak'ka&5 @'mlah ss8a )a&*

a Tdak me&*k't

%

-

1

3



19/62

$ Ke*ata& mema&>aatka& l&*k'&*a& se7ara #rod'kt> da& (erta&**'&* +a8a($

No$ @e&s Ke*ata&Eakt' @'mlah ss8a )a&*

#elaksa&aa& me&*k't

%

-

1$ Ke*ata& se& ('da)a$

No$ @e&s Ke*ata&@'mlah ss8a )a&*

me&*k't

%

-

1

3

,

.

0

3$ Ke*ata& kelom#ok mata #ela+ara& ke8ar*a&e*araa& da& ke#r(ada&$

No$ @e&s Ke*ata&Eakt' @'mlah ss8a )a&*

#elaksa&aa& me&*k't

%

-

1

,$ Ke*ata& me&'m('hka&kem(a&*ka& ska# #er7a)a dr da& (erta&**'&* +a8a($

No$ @e&s Ke*ata&Ketersedaa&5 @'mlah ss8a )a&*

Ada Tdak ada me&*k't

% La)a&a& ko&sel&*$

$$$$$$$$$$$$$$$$$$$$$$$$$$$

$$$$$$$$$$$$$$$$$$$$$$$$$$$

$$$$$$$$$$$$$$$$$$$$$$$$$$$

hal. 18/61



20/62

$$$$$$$$$$$$$$$$$$$$$$$$$$$

$$$$$$$$$$$$$$$$$$$$$$$$$$$

- Ekstrak'rk'ler$

$$$$$$$$$$$$$$$$$$$$$$$$$$$

$$$$$$$$$$$$$$$$$$$$$$$$$$$

$$$$$$$$$$$$$$$$$$$$$$$$$$$

$$$$$$$$$$$$$$$$$$$$$$$$$$$

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21/62

39. Pem(ela+ara& )a&* da#at mel(atka& #arts#as ss8a dalam kehd'#a&

(ermas)arakat (er(a&*sa da& (er&e*ara se7ara demokrats dalam 8adah NKRI$

No$ @e&s ke*ata& Ketersedaa& dok'me&5 @'mlah ss8a )a&*Ada Tdak ada me&*k't

%

-

1

3



22/62

1-$ Ke*ata& me&*har*a ke(era*ama& a*ama (a&*sa s'k' ras da& *olo&*a& sosal

eko&om dalam l&*k'# *lo(al$

No$ Nama ke*ata&Ketersedaa& dok'me&5 @'mlah ss8a )a&*

Ada Tdak ada me&*k't%

-

1



23/62

13$ Ke*ata& dalam me&*haslka& kar)a kreat> (ak &d9d' ma'#'& kelom#ok$


Ada Tdak ada me&*k't

%-

1

3



24/62

10$ Ke*ata& (erkata& de&*a& #e&*em(a&*a& #tek ser&* de&*a&

#erkem(a&*a&&)a$


Ada Tdak ada me&*k't%

-

1



25/62

IV. STANDAR PENDIDIK DAN TENAGA KEPENDIDIKAN

34$ @'mlah *'r' )a&* dmlk sekolah/madrasah da& k'al>kas&)a$@'mlah *'r': $$$$$$$$$$ ora&*$K'al>kas:

No T&*kat #e&ddka&@'mlah da& stat's *'r'

@'mlahGT5 /PNS GTT55 /G'r' (a&t'L P L P

% S/S-- S% D11 D/Sar+a&a m'da3 D-, D%. SMA sedera+at

@'mlah

Ketera&*a&: 5 GT 6 G'r' teta# !(a* sekolah/madrasah s8asta"* GTT 6 G'r' tdak teta# !(ak sekolah/madrasah &e*er ata'

s8asta"

3%$ @'mlah *'r' )a&* me&*a+ar memlk latar (elaka&* #e&ddka& ses'a de&*a&mata #ela+ara& )a&* dam#'$

@'mlah *'r' de&*a& latar @'mlah *'r' de&*a& latar(elaka&* #e&ddka& ses'a (elaka&* #e&ddka& )a&*

No$G'r' mata de&*a& mata #ela+ara& )a&* TIDAK ses'a de&*a& mata

@'mlahdam#' #ela+ara& )a&* dam#'#ela+ara&

D%/D- D/ S%/D1 S-/S D%/D- D/ S%/D1 S-/S

Sarm'd Sarm'd

%

-

1

3

,

.

0

2

%4

%%%-

%

%1

%3

%,

%.

%0

%2

-4

hal. 24/61



26/62

-%

@'mlah

3-$ Reka#t'las kehadra& *'r' - tah'& terakhr$

No Semester Tah'& Pela+ara& Kehadra&

% Gasal

- Ge&a#

Gasal

1 Ge&a#

3$ Perse&tase +'mlah *'r' )a&* me&)'s'& RPP ses'a #r&s# #em(ela+ara& tah'&

#ela+ara& B$$

@'mlah *'r' )a&*

NoMata

@'mlah *'r'me&)'s'& RPP

Pela+ara& ses'a #r&s##em(ela+ara&

%

-13,.02%4%%%-%

%1%3%,%.%0%2-4-%

31$ Dok'me& 'k' INAP ! Pem(&aa& A#arat'r" oleh Ke#ala Sekolah/Madrasah$@'mlah *'r' )a&* d(er t&daka& kare&a mela&**ar ds#l&

hal. 25/61



27/62

No @e&s t&daka&Tah'& #ela+ara&

Tah'& #ela+ara& BBBB$

% Pem(&aa&

- Per&*ata& lsa&

Per&*ata& tert'ls

1 D(e(as t'*aska&

5Dok'ma& : 'k' Pe&laa& Pe*a8a

33$ Pelaksa&aa& Ra#at

Ta&** @'mlah @'mlah Not'le&5@e&s Ra#at al )a&* Ada Tdak

No '&da&*a&Ra#at hadr% G'r' de&*a& *'r'

- G'r' de&*a& Ke#alaSekolah/Madrasah

Sekolah/madrasah de&*a&komte sekolah/madrasah

1 Sekolah/madrasah de&*a&ora&* t'a/8al



28/62

3.$ s$d$ 32 Ke(eradaa& ke#ala sekolah/madrasah$

No$ Ke#ala sekolah/madrasah Keadaa&5

% K'al>kas akademk S- S% D1 S%- erstat's se(a*a *'r' a Tdak

Memlk sert>kat #e&ddk a Tdak

Memlk SK ke#ala a Tdak

sekolah/madrasah

/ Pe&*alama& me&*a+ar 3 th ?1 th -? th - th

Ketera&*a&: 5 Islah ta&da 7ekls !" #ada kotak +a8a(a& ses'a de&*a&

keadaa& ke#ala sekolah/madrasah

,4$ Kemam#'a& ma&a+eral ke#ala sekolah/madrasah$

No$ @e&s Kema+'a&Tah'&

% @'mlah ss8a#e&da>tar

- Rata?rata NlaU+a&

@'mlah *'r'tersert>kas

1 @e&s

ekstrak'rk'ler3 Sara&a da&

#rasara&a

, Ke'a&*a&

. D'k'&*a&mas)arakat

,%$ Kemam#'a& ke8ra'sahaa& ke#ala sekolah/madrasah$

No$ @e&s 'saha )a&* dmlk Ada Tdak ada% Ko#eras ss8a

- Peter&aka&/#erka&a&

Perke('&a&/#erta&a&

1 Ka&t& sekolah/madrasah



29/62

,-$ Perse&tase +'mlah *'r' )a&* telah ds'#er9s da& dmo&tor oleh ke#ala

sekolah/madrasah

Mata @'mlah@'mlah *'r' )a&* telah ds'#er9s

No da& dmo&tor oleh ke#ala

Pela+ara& *'r' sekolah/madrasah%-13,.02%4%%%-%%1%3%,%.%0%2-4-%

,$ s$d ,1$ Ke(eradaa& ke#ala te&a*a adm&stras$

No$ Ke#ala te&a*a adm&stras Keadaa&5

% K'al>kas akademk D D- D% D%

- Masa ker+a 1 th ?1th -? th - th

/ Latar (elaka&* #e&ddka& Adm&stras 'ka& adm&stras

Ketera&*a&: 5 Islah ta&da 7ekls !" #ada kotak +a8a(a& ses'a de&*a&keadaa& ke#ala te&a*a adm&stras

,3$ s$d ,,$ Ke(eradaa& te&a*a adm&stras$

No$ Te&a*a adm&stras Keadaa&5

% K'al>kas akademk SMA/MA/SMK/MAK $$$$$$$$$$ ora&*

SMA/MA/SMK/MAK $$$$$$$$$$ ora&*

- Latar (elaka&* #e&ddka& Adm&stras $$$$$$$$$$ ora&*

'ka& adm&stras $$$$$$$$$$ ora&*

Ketera&*a&: 5 Islah ta&da 7ekls !" #ada kotak +a8a(a& ses'a de&*a&keadaa& te&a*a adm&stras da& t'lska& +'mlah&)a

hal. 28/61



30/62

,.$ s$d ,0$ Ke(eradaa& ke#ala #er#'stakaa&$

No$ Ke#ala #er#'stakaa& Keadaa&5

% K'al>kas akademk D D- D% D%

- Masa ker+a 1 th ?1th -? th - th

/ Latar (elaka&* #e&ddka& Ilm' 'ka& dar Ilm'

Per#'stakaa& da& Per#'stakaa& da&

I&>ormas I&>ormas


keadaa& ke#ala te&a*a #er#'stakaa&

,2$ Ke(eradaa& te&a*a #er#'stakaa&$

No$ Te&a*a #er#'stakaa& Keadaa&5

% K'al>kas akademk SMA/MA/SMK/MAK $$$$$$$$$$ ora&*

SMA/MA/SMK/MAK $$$$$$$$$$ ora&*

- Latar (elaka&* #e&ddka& Terkat (da&*$$$$$$$$$$ ora&*

Per#'stakaa&

Tdak terkat (da&*$$$$$$$$$$ ora&*

Per#'stakaa&

Ketera&*a&: 5 Islah ta&da 7ekls !" #ada kotak +a8a(a& ses'a de&*a&keadaa& te&a*a #er#'stakaa& da& t'lska& +'mlah&)a

.4$ s$d .-$ Ke(eradaa& ke#ala la(orator'm$

No$ Ke#ala la(orator'm Keadaa&5

%

K'al>kas akademk @al'r *'r'

S%

D1

D

D memlk tdak memlk

Sert>kat sert>kat

@al'r la(ora&/ D D- D% SMA

tek&s memlk tdak memlk

Sert>kat sert>kat

- Masa ker+a @al'r *'r' th -?th %?- th % th

@al'r la(ora&/ 3 th ?1th -? th - th

tek&s


keadaa& ke#ala la(orator'm

.$ s$d .1$ Ke(eradaa& tek&s da& la(ora&$

No$ Tek&s da& La(ora& Keadaa&5

% K'al>kas akademk Tek&s D- D- D% D%

La(ora& D% D% SMA SMA

- Masa ker+a Tek&s th -?th %?- th % th

La(ora& 3 th ?1th -? th - th

Ketera&*a&: 5 Islah ta&da 7ekls !" #ada kotak +a8a(a& ses'a de&*a&keadaa& tek&s da& la(ora&

hal. 29/61



31/62

.3$ Pet'*as la)a&a& kh's's$

No$ Pet'*as la)a&a& kh's'sKetersedaa&5

Ada Tdak ada

% Pe&+a*a sekolah/madrasah

- T'ka&* ke('&

/ Te&a*a ke(ersha&

1 Pe&*em'd

3 Pes'r'h

Ketera&*a&: 5 Islah ta&da 7ekls !" #ada kolom


32/62

V. STANDAR SARANA DAN PRASARANA

.,$ L'as laha& sekolah/madrasah 6 $$$$$$$$$$$$$$$$$$ m-

..$ s$d$ .0$ ???

.2$ 'kt stat's da& +& #ema&>aata&

No Uraa&Ketersedaa&5

Ada Tdak% Stat's hak atas ta&ah- I+& Pema&>aata& atas ta&ah

Ketera&*a&: 5 Islah de&*a& ta&da 7ekls !" #ada kolom +a8a(a&


33/62

03$ 'kt ke#emlka&

No Uraa&Ketersedaa&5

Ada Tdak% IM

- I+& Pema&>aata& (a&*'&a&Ketera&*a&: 5 Islah de&*a& ta&da 7ekls !" #ada kolom +a8a(a&


34/62

1 Me+a *'r'

3 Lemar

, Pa#a& #a+a&*

. Pa#a& t'ls

0 Tem#at sam#ah2 Tem#at 7'7 ta&*a&

%4 @am d&d&*

%% Soket lstrk



35/62

24$ Koleks ('k' teks #ela+ara& )a&* telah dteta#ka& de&*a& Perme&dk&as$

@'mlah me&'r't

No$ @'d'l ('k' @'mlah ko&ds !5"

ak R'sak%

-

1

3

,

@'mlah

Ketera&*a&: 5 Islah de&*a& +'mlah ('k' )a&* terseda d #er#'stakaa& me&'r't

ko&ds&)a

2%$ Pemakaa& ('k' teks )a&* telah dteta#ka& Perme&dk&as dalam #roses#em(ela+ara&$

No$ Mata #ela+ara& Kelas

%

-

1

3,

.

0

2

%4

2-$ R'a&* la(orator'm IPA memlk kete&t'a&:

a$ l'as la(orator'm IPA $$$$$$$$$$$ m-J

($ raso la(orator'm IPA $$$$$$$$$$$$ m- /ss8aJ

7$ +e&s #eralata& la(orator'm (olo* se(a*a (erk't$

No$ @e&s Raso@'mlah me&'r't ko&ds

!5"

Pera(ot ak R'sak

% K'rs % ('ah/ss8a da& %('ah/*'r'

- Me+a #eserta ddk % ('ah/. ss8a

Me+a demo&stras % ('ah/la(

1 Me+a #ersa#a& % ('ah/la(

hal. 34/61



36/62


!5"

3 Lemar alat % ('ah/la(

, Lemar (aha& % ('ah/la(

. ak 7'7 % ('ah/- kelom#okda& % ('ah d r'a&*

#ersa#a&

Peralata& Pe&ddka&

Alat #era*a :

0 Mstar , ('ah/la(

2 @a&*ka soro&* , ('ah/la(

%4 Tm(a&*a& ('ah/la(

%% Sto#8at7h , ('ah/la(

%- Rol meter % ('ah /la(

% Termometer %44 H , ('ah /la(

%1 Gelas 'k'r , ('ah /la(

%3 Massa lo*am ('ah /la(

%, M'ltmeter AH/DH %4 klo, ('ah /la(

ohm/9olt

%. ata&* ma*&et , ('ah/la(

%0 Glo(e % ('ah /la(

%2 Model tata s'r)a % ('ah /la(

-4 Gar#' tala , ('ah/la(

-% da&* mr&* % ('ah/la(

-- D&amometer , ('ah/la(

- Katrol teta# - ('ah/la(

-1 Katrol (er*erak - ('ah/la(

-3 alok ka)' ma7am/la(

-, Per7o(aa& m'a #a&+a&* % set/la(

-. Per7o(aa& o#tk % set/la(

-0 Per7o(aa& ra&*kaa& lstrk % set/la(

-2 Gelas kma 4 ('ah/la(

4 Model molek'l sederha&a , set/la(

% Pem(akar s#rt's , set/la(- Ha8a& #e&*'a#a& , ('ah/la(

Kak t*a , ('ah/la(

1 Plat tetes , ('ah/la(

3 P#et tetes da& karet %44 ('ah/la(

, Mkrosko# mo&ok'ler , ('ah/la(

. Ka7a #em(esar , ('ah/la(

0 Poster *e&etka % ('ah/la(

2 Model kera&*ka ma&'sa % ('ah/la(

hal. 35/61



37/62


!5"

14 Model t'('h ma&'sa % ('ah/la(1% Gam(ar/model #e&7er&aa&

% ('ah/la(

ma&'sa1- Gam(ar/model sstem% ('ah/la(#eredara& darah ma&'sa

1 Gam(ar/model sstem% ('ah/la(#er&a>asa& ma&'sa

11 Gam(ar/model +a&t'&*% ('ah/la(ma&'sa

13 Gam(ar/model mata% ('ah /la(ma&'sa

1, Gam(ar/model tel&*a% ('ah /la(ma&'sa

1. Gam(ar/model te&**oroka&% ('ah /la(

ma&'sa10 Pet'&+'k #er7o(aa& , ('ah/#er7o(aa&

Meda Pe&ddka&

12 Pa#a& t'ls % ('ah/la(

Perle&*ka#a& la&

34 Soket lstrk 2 ('ah/la(

3% Alat #emadam ke(akara& % set/la(

3- Peralata& PK % ('ah/la(

3 Tem#at sam#ah % ('ah/la(

31 @am d&d&* % ('ah/la(

Ketera&*a&: 5 Islah de&*a& +'mlah me&'r't ko&ds #era(ot/#eralata& )a&*terseda d la(orator'm

2$ L'as r'a&* #m#&a& adalah: $$$$$$$$$$$ m-

Sara&a r'a&* #m#&a&$

No$ @e&s RasoKo&ds5

ak R'sak

% K'rs #m#&a&- Me+a #m#&a&

K'rs da& me+a tam'

1 Lemar

3 Pa#a& statstk

, Sm(ol ke&e*araa&

. Tem#at sam#ah

0 @am d&d&*



38/62

21$ L'as r'a&* *'r' adalah: $$$$$$$$$$$ m-

Sara&a r'a&* *'r'$

No$ @e&s Raso

Ko&ds5

ak R'sak

% K'rs ker+a

- Me+a ker+a

Lemar

1 K'rs tam'

3 Pa#a& statstk

, Pa#a& #e&*'m'ma&

. Tem#at sam#ah

0 Tem#at 7'7 ta&*a&

2 @am d&d&*



39/62

Sara&a tem#at (er(adah$

No$ @e&s sara&a @'mlahKo&ds5

ak R'sak% Lemar/rak

- Perle&*ka#a& (adah

@am d&d&*



40/62

0 Selm't

2 Te&smeter

%4 Termometer (ada&

%% Tm(a&*a& (ada&

%- Pe&*'k'r t&** (ada&

% Tem#at sam#ah

%1 Tem#at 7'7 ta&*a&

%3 @am d&d&*



41/62

Sara&a *'da&*$

No$ @e&s RasoKo&ds5

ak R'sak% Lemar

- Rak



42/62

VI. STANDAR PENGELOLAAN

%41$ Cs sekolah/madrasah:

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

%43$ Ms sekolah/madrasah:

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

%4,$ T'+'a& sekolah/madrasah$

____________________________________________________________

____________________________________________________________ ____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

hal. 41/61



43/62

%4.$ a" Re&7a&a ker+a +a&*ka me&e&*ah !em#at tah'&a&" d('at dar tah'& $$$$$$$$

sam#a tah'& $$$$$$$$

(" Re&7a&a ker+a tah'&a& )a&* dmlk$

Tah'& $$$$$$$$$$$ / $$$$$$$$$$$

Tah'& $$$$$$$$$$$ / $$$$$$$$$$$

Tah'& $$$$$$$$$$$ / $$$$$$$$$$$

Tah'& $$$$$$$$$$$ / $$$$$$$$$$$

7"$ Dok'me& sosalsas

Tah'& Uraa& Ada TdakU&da&*a& sosalsas

Da>tar hadr

U&da&*a& sosalsas

Da>tar hadr

U&da&*a& sosalsas

Da>tar hadr

U&da&*a& sosalsas

Da>tar hadr

%40$ Ke#emlka& dok'me& as#ek #e&*elolaa& #e&ddka&$

No$ @e&s dok'me& #e&*elolaa& #e&ddka& Ada Tdak

% KTSP

- Kale&der #e&ddka&/akademk

Str'kt'r or*a&sas sekolah/madrasah

1 Pe&da)a*'&aa& #e&ddk te&a*a ke#e&ddka&

3 Perat'ra& akademk

, Tata tert( sekolah/madrasah

. Kode etk sekolah/madrasah0 a)a o#eraso&al sekolah/madrasah

Ketera&*a&: Islah ta&da 7ekls !" #ada kolom +a8a(a&


44/62

%42$ Ke#emlka& str'kt'r or*a&sas sekolah/madrasah$

Uraka& s str'kt'r or*a&sas sekolah/madrasah serta t'*as #okok da&

>'&*s !t'#oks" )a&* ada dalam str'kt'r mas&*?mas&*

%%4$ Pelaksa&aa& ke*ata& sekolah/madrasah ses'a re&7a&a ker+a tah'&a&$

No$ Dok'me& #elaksa&aa& ke*ata& sekolah/madrasah )a&* dmlk

%

-

1

%%%$ @e&s ke*ata& kess8aa& )a&* dlak'ka& sekolah/madrasah$

a" ____________________________________________________________

(" ____________________________________________________________

7" ____________________________________________________________

d" ____________________________________________________________

e" ____________________________________________________________

%%-$ @e&s ke*ata& #e&*em(a&*a& k'rk'l'm da& #em(ela+ara&:

a" _____________________________________________________________

(" _____________________________________________________________

7" _____________________________________________________________

d" _____________________________________________________________

e" _____________________________________________________________

hal. 43/61



45/62

Ke#emlka& dok'me& ke*ata& k'rk'l'm da& #em(ela+ara&$

No$ @e&s dok'me& k'rk'l'm da& #em(ela+ara& Ada Tdak

% KTSP

- Kale&der #e&ddka& Pro*ram #em(ela+ara&

1 Pe&laa& hasl (ela+ar ss8a

3 Perat'ra& akademk



46/62

%%3$ Pe&*elolaa& #ro*ram ke'a&*a& da& #em(a)aa& #e&ddka&$

No$ Pro*ram #e&*elolaa& Dlak'ka&Tdak

dlak'ka&

% S'm(er #emas'ka& #e&*el'ara& da& +'mlahda&a )a&* dkelola

- Ke8e&a&*a& da& ta&**'&* +a8a( ke#alasekolah/madrasah dalam mem(ela&+aka&a&**ara& #e&ddka&

Pem('k'a& sem'a #e&ermaa& da&

#e&*el'ara&

1 Pe&**'&aa& a&**ara& '&t'k dla#orka& komtesekolah/madrasah da& &stt's d atas&)a



47/62

Ke#emlka& dok'me& #ro*ram #e&*a8asa&$

No$ @e&s dok'me& #ro*ram #e&*a8asa& Ada Tdak

% Pema&ta'a&

- S'#er9s E9al'as

1 Pela#ora&

3 T&dak la&+'t



48/62

%--$ Ke(eradaa& 8akl ke#ala sekolah/madrasah$

No$ Nama da&*

% Akademk$

- Sara&a da& #rasara&a$ Kess8aa&$

$$$$$$$$$$$$$$$$$$$$$$$$$

%-$ Sstem &>ormas ma&a+eme& '&t'k me&d'k'&* adm&stras #e&ddka& de&*a&>asltas da& #et'*as kh's's$

No$ Kom#o&e&/As#ek Ada Tdak ada

% Sstem

- Fasltas

Pet'*as kh's's

1

hal. 47/61



49/62

VII. STANDAR PEMBIAYAAN

%-1$ Ke#emlka& dok'me& #e&)'s'&a& RKA?S/M

No$ @e&s dok'me& Ada Tdak

% Da>tar hadr

- Not'le&



50/62

- Tdak la&*s'&* #adasekolah/madrasahI&9estas '&t'k #ro*ram

sekolah/madrasah La&&)a

Pe&*el'ara& la&TOTAL PENGELUARAN

%-,$ a)a #e&*em(a&*a& #e&ddk da& te&a*a ke#e&ddka&$

No$ @e&s ke*ata& #e&*em(a&*a& @'mlah )a&* @'mlah )a&*da&**arka& !R#" d(ela&+aka& !R#"

%-

%-.$ A&**ara& '&t'k ke('t'ha& #e&ddka& selama sat' tah'& terakhr$

No$ Alokas a&**ara& @'mlah )a&* @'mlah )a&*da&**arka& !R#" d(ela&+aka&

!R#"

% Ga+ da& t'&+a&*a& *'r'- Ga+ da& t'&+a&*a& te&a*a

ke#e&ddka& a)a #e&*em(a&*a& *'r' da&

te&a*a ke#e&ddka&

1 Ke*ata& #em(ela+ara&

3 Ke*ata& kess8aa&, Alat t'ls sekolah/madrasah

. aha& ha(s #aka

0 Alat ha(s #aka

2 Ke*ata& ra#at

%4 Tra&s#ort da& #er+ala&a& d&as%% Pe&**a&daa& soal?soal

'la&*a&/'+a&

%- Da)a da& +asa% Ke*ata& o#eraso&al tdak

la&*s'&*

%1 a)a ke('t'ha& #e&ddka&la&&)a

%-0$ a)a o#eraso&al '&t'k *'r' #ada tah'& (er+ala& !dalam r'#ah"$

No$ Nama @a(ata&5 Gol$55 Ga+ #okok I&se&t> Tra&s#ort T'&+a&*a&

%

-

1

3

,.

hal. 49/61



51/62

0

2

%4

@'mlahKetera&*a&: 5 @a(ata& ds de&*a&:

%$ Ke#ala sekolah/madrasah !Kasek/mad$"

-$ akl ke#ala sekolah/madrasah !akasek/mad$"

$ G'r' teta# !GT" da&

1$ G'r' tdak teta# !GTT"$

* a&)a '&t'k #e*a8a &e*er s#l !PNS"

%-2$ a)a o#eraso&al '&t'k te&a*a ke#e&ddka& #ada tah'& (er+ala& !dalam r'#ah"

No$ Nama @a(ata&5 Gol$55 Ga+ #okok I&se&t> Tra&s#ort T'&+a&*a&

%

-

1

3

,

.

0

2

%4

@'mlah total

Ketera&*a&: 5 @a(ata& ds de&*a&:

%$ Ke#ala tata 'saha !Ka TU"

-$ Tata 'saha !TU"

$ Te&a*a #er#'stakaa& !TP"

1$ Te&a*a la(orator'm !TL"

3$ Pe&+a*a sekolah/madrasah !PS/M"

,$ T'ka&* ke('& !TK"

.$ Te&a*a ke(ersha& !T"

0$ Pe&*em'd !Pm"

2$ Pes'r'h !Psh" da& se(a*a&)a$

* a&)a '&t'k PNS

%4$ s$d %14

Alokas (a)a o#eraso&al sekolah/madrasah d l'ar #e&ddk da& te&a*a

ke#e&ddka&$

No$ @e&s (a)a #e&*el'ara& @'mlah )a&* @'mlah )a&*da&**arka& !R#" d(ela&+aka&

!R#"

% Ke*ata& #em(ela+ara&

- Ke*ata& kess8aa&

Alat t'ls sekolah/madrasah

hal. 50/61



52/62

1 aha& ha(s #aka

3 Alat ha(s #aka

, Ke*ata& ra#at

. Tra&s#ort da& #er+ala&a& d&as

0 Pe&**a&daa& soal?soal'la&*a&/'+a&

2 Da)a da& +asa

%4 Ke*ata& o#eraso&al tdakla&*s'&*

%1%$ a)a #erso&al )a&* (erasal dar 'a&* sekolah/madrasah !taa ker&*a&a&

(a)a #e&ddka&"$

@'mlah ss8a )a&* tdak

No$ Tah'& @'mlah ss8a )a&* mam#' mam#' mem(a)armem(a)ar Kelas Kelas Kelas

CII CIII I

%

-

1

@'mlah

%1-$ a&t'a& '&t'k ss8a )a&* k'ra&* mam#' se7ara eko&om mel#'t: #e&*'ra&*a&da& #em(e(asa& (a)a #e&ddka& #em(era& (ea ss8a ma'#'& (e&t'k(a&t'a& la&&)a$

No$ Tah'&@'mlah ss8a la)ak @'mlah ss8a #e&erma

Kelas Kelas Kelasme&ermaCII CIII I

%

-

1

@'mlah

hal. 51/61



53/62

%1$ a)a #erso&al la& d sam#&* 'a&* sekolah/madrasah$

No$ @e&s Sat'a& (a)a @'mlah

% a)a '+a&

- a)a #raktk'm a)a #er#saha&

1 a)a study tour

%11$ Pe&*am(la& ke#'t'sa& '&t'k me&eta#ka& (a)a #erso&al mel(atka& (er(a*a

#hak$

No$ Phak )a&* dl(atka& dalam #em(ahasa&

%

-

%13$ a)a #erso&al )a&* (erasal dar da&a mas)arakat ter7a&t'm dalam RKA?S/M

No$ a)a #erso&al )a&* dkel'arka& ss8aTer7a&t'm dalam RKA?S/M

a Tdak

%

-



54/62

%10$ Pem('ata& la#ora& #erta&**'&*+a8a(a& #e&*elolaa& ke'a&*a& selama em#at

tah'& terakhr$

No$ Dlaksa&aka&Tah'& #em('ata&

-4$$$$ -4$$$$ -4$$$$ -4$$$$% La#ora& #erta&**'&*+a8a(a&

#e&*elolaa& ke'a&*a&



55/62

VIII. STANDAR PENILAIAN

%12$ Sosalsas ra&7a&*a& da& krtera #e&laa&$

No$ Nama G'r'

Mata #ela+ara& )a&*

Kelas

Hara sosalsas )a&*

da+arka& dlak'ka&

%

-

1

3

,

.

0

2

%4%%

%-

%

%1

%3

%,

%.

%0

%2

-4-%

%34$ Sla('s mata #ela+ara&$

Kele&*ka#a& sla('s 5

No$ Sla('s mata #ela+ara& Kom#ete&s Tek&kdasar !KD" #e&laa&

%

-

1

3

,

.

0

2

%4

hal. 54/61



56/62

%%

%-

%

%1

%3

%,

%.

%0

Ketera&*a&: 5 Islah ta&da 7ekls !" ses'a de&*a&


57/62

%3-$ Tek&k #e&laa&$

No$ Nama G'r'Mata Tek&k #e&laa& )a&* d*'&aka&5

#ela+ara& Tes Pe&*amata& #e&'*asa& la&&)a

%

-

1

3

,

.

0

2

%4

%%

%-%

%1

%3

%,

%.

%0

Ketera&*a&: 5 Islah ta&da 7ekls !" ses'a de&*a&


58/62

No$ Nama *'r'Mata e&t'k ('kt #e&*olaha& hasl

#ela+ara& #e&laa&

%,

%.

%0

%31$ Da>tar *'r' )a&* me&*em(alka& hasl #eker+aa& ss8a$

@'mlah hasl #eker+aa& ss8a

No$ Nama *'r' Mata #ela+ara&)a&* dkem(alka&


%-

1

3

,

.

0

2

%4

%%%-

%

%1

%3

%,

%.

%0

%33$ Da>tar *'r' )a&* melaksa&aka& #ro*ram #er(aka& da& #e&*a)aa&$

No$ Nama *'r'Mata Ketera&*a& #ro*ram #er(aka& da&

#ela+ara& #e&*a)aa& )a&* dlak'ka&

%

-

1

hal. 57/61



59/62

3

,

.

0

2

%4

%%

%-

%

%1

%3

%,

%.

%0

%3,$ Pela#ora& hasl #e&laa& mata #ela+ara& #ada akhr semester !)a&* (ar'selesa"$

No$ Kate*or @'mlah

% G'r' )a&* s'dah mela#orka&

- G'r' )a&* (el'm mela#orka&

@'mlah

%3.$ Pela#ora& hasl #e&laa& akhlak ss8a da& ke#r(ada& #ada akhr semester!)a&* (ar' selesa" dar *'r' d l'ar *'r' a*ama$

No$ Kate*or @'mlah

% G'r' )a&* s'dah me&*kom'&kaska&

- G'r' )a&* (el'm me&*kom'&kaska&@'mlah

%30$ Pela#ora& hasl #e&laa& ke#r(ada& ss8a #ada akhr semester !)a&* (ar'selesa" dar *'r' d l'ar *'r' PK&$

No$ Kate*or @'mlah

% G'r' )a&* s'dah me&*kom'&kaska&

- G'r' )a&* (el'm me&*kom'&kaska&

@'mlah

hal. 58/61



60/62

%32$ Koord&as 'la&*a& te&*ah semester 'la&*a& akhr semester da& 'la&*a&

ke&aka& kelas$

No$ e&t'k/+e&s koord&as Ta&**al #elaksa&aa&

%-

%,4$ Ra#at #e&e&t'a& krtera ke&aka& kelas$

No$ Phak )a&* hadr@'mlah )a&* @'mlah )a&*

hadr tdak hadr

% Ke#ala

sekolah/madrasah- al kelas

De8a& G'r'

%,%$ Ra#at #e&e&t'a& &la akhr kelom#ok mata #ela+ara&$


hadr tdak hadr

% Ke#alasekolah/madrasah

- al kelas

De8a& G'r'

%,-$ La#ora& hasl #e&laa& seta# akhr semester$

No$ Ke*ata& #okok )a&* dlak'ka&

%

-

1

3

hal. 59/61



61/62

%,$ La#ora& #e&7a#aa& hasl (ela+ar t&*kat sat'a& #e&ddka& ke#ada

D&as Pe&ddka& Ka('#ate&/Kota ata' Ka&keme&a* Ka(/Kota$

Ta&**alTa&**al

Tah'& Semester

#elaksa&aa&

Selsh harU+a& Akhr #ela#ora&Semester

Gasal

Ge&a#

Gasal

Ge&a#

Gasal

Ge&a#

%,1$ Ra#at #e&e&t'a& kel'l'sa& ss8a$


hadr tdak hadr

% Ke#alasekolah/madrasah

- al kelas

De8a& G'r'

1 G'r' K

%,3$ Pe&)eraha& s'rat ketera&*a& hasl '+a& &aso&al !SKUN"$

No$Ta&**al #e&*'m'ma& hasl Ta&**al #e&)eraha&

Selsh harUN SKUN

%

%,,$ Pe&)eraha& +aah$

No$Ta&**al (la&ko Ta&**al #e&)eraha&

Selsh hardterma I+aah

%

hal. 60/61



62/62

%,.$ Pe&ermaa& ss8a (ar'$

No$ Meka&sme seleks #e&ermaa& ss8a (ar'

%

-

1

3

%,0$ Perse&tase kel'l'sa& hasl UN tah'& terakhr$

No$@'mlah ss8a @'mlah ss8a l'l's @'mlah ss8a tdak l'l's

#eserta UN Ora&* #erse& ora&* #erse&

%

-

%,2$ Rata?rata &la Pe&eta#a& sstem UN tah'& terakhr$

No Mata Pela+ara& Rata?rata NASRata?rata

sekolah/madrasah

% ahasa I&do&esa

- Matematka ahasa I&**rs

1 IPA

3 IPS

Data Pendukung SMP-Mts 14.03.20

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