Judul Diklat : Kimia Analisis Dasar

LEMBAR JAWABAN
KUISIONER PEMETAAN KOMPETENSI GURU
KOMPETENSI KEAHLIAN : TEKNIK KIMIA ANALISIS
DATA GURU/PENDIDIK
Nama
:.........................................................................................
Nuptk
:.........................................................................................
NIP
:.........................................................................................
Tempat dan Tanggal Lahir
:.........................................................................................
Jenis Kelamin
: Laki-laki
Pendidikan Terakhir
Masa Kerja
:
Perempuan
D3 D4 S1 S2 S3
Jurusan :........................................................................
: ................Tahun ..............Bulan
Kompetensi
:.........................................................................................
Keahlian/Spesialisasi
Status Pegawai
: Guru Bantu
Honorer PNS Guru Swasta
Sertifikasi Guru
: Sudah
Belum
Materi Yang Diajarkan
1 .....................................................................................
2 .....................................................................................
3 .....................................................................................
Diklat Yang Pernah Diikuti
1..............................................................tahun .............
2..............................................................tahun .............
3..............................................................tahun .............
4..............................................................tahun .............
Sertifikasi Kompetensi Yang
Dimiliki
1..............................................................tahun .............
2..............................................................tahun .............
3..............................................................tahun .............
DATA INSTANSI
Nama Sekolah
:.........................................................................................
Alamat Sekolah
:..........................................................................................
Nomor Telepon/Fax
:..........................................................................................
E-Mail
:..........................................................................................
TEKNIK KIMIA ANALISIS
1
Nomor Katalog Diklat
Level
Judul Diklat
NO.
1.
2.
3.
JAWABAN
A
B
C
A
B
C
A
B
C
Nomor Katalog Diklat
Level
Judul Diklat
NO.
1.
2.
3.
JAWABAN
A
B
C
A
B
C
A
B
C
Nomor Katalog Diklat
Level
Judul Diklat
NO.
1.
2.
JAWABAN
A
B
C
A
B
C
Nomor Katalog Diklat
Level
Judul Diklat
NO.
1.
2.
JAWABAN
A
B
C
A
B
C
TEKNIK KIMIA ANALISIS
: TR.TK.KA.052.D
: Dasar
: Kimia Analisis Dasar
NO.
4.
5.
6.
JAWABAN
A
B
C
A
B
C
A
B
C
NO.
7.
8.
JAWABAN
A
B
C
A
B
C
NO.
7.
8.
JAWABAN
A
B
C
A
B
C
NO.
5.
6.
JAWABAN
A
B
C
A
B
C
NO.
JAWABAN
: TR.TK.KA.052.L
: Lanjut
: Kimia Analisis Lanjut
NO.
4.
5.
6.
JAWABAN
A
B
C
A
B
C
A
B
C
: TR.TK.KA.052.L
: Menengah
: Kimia Analisis Menengah
NO.
3.
4.
JAWABAN
A
B
C
A
B
C
: TR.TK.KA.052.L
: Tinggi
: Kimia Analisis Tinggi
NO.
3.
4.
JAWABAN
A
B
C
A
B
C
2