Contoh Blanko Instrumen Supervisi

PROGRAM BULANAN SUPERVISI 

TAHUN PELAJARAN ........………

Nama                           : …………………………….

Kepala SD                   : …………………………….

Bulan                           : …………………………….

NO	Hari/ Tanggal	Sasaran			Keter.
		Kelas	Mapel	Aspek yg. Disupervisi
1	2	3	4	5	6
1			-

                                                                             ................, …………………

                                                                                                Kepala Sekolah 

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

                                                                                                NIP.