Laporan Hasil Home Visit.docx

LAPORAN HASIL KUNJINGAN RUMAH (Home Visit )

I.

IDENTITAS SISWA 1. Nama

: …………………………………………………………………….

2. Kelas/ No Absen

: …………………………………………………………………….

3. Jurusan

: …………………………………………………………………….

II. IDENTITAS ORANG TUA 1. Nama Orang Tua

: …………………………………………………………………….

2. Alamat Rumah

: …………………………………………………………………….

3. Telp/HP

: …………………………………………………………………….

III. TUJUAN KUNJUNGAN RUMAH ……………………………………………………………………………………………….. ……………………………………………………………………………………………….. IV. HASIL WAWANCARA & OBSRVASI ……………………………………………………………………………………………….. ……………………………………………………………………………………………….. ……………………………………………………………………………………………….. ……………………………………………………………………………………………….. ……………………………………………………………………………………………….. V. KESIMPULAN TINDAK LANJUT ……………………………………………………………………………………………….. ……………………………………………………………………………………………….. ……………………………………………………………………………………………….. ………………………………………………………………………………………………..

Mengetahui,

Darma, ………………………………..

Kepala Sekolah

Guru Home Visit

SMK IT Pelita Subana Darma

ANDRI ANDRIYANA, S.Sos

……………………………………….

NIY. 022016016011

……………………………………….