STUDENT
INFORMATION FORM
PERSONAL
DATA
Name : Winda Trimelia Utami
Address
: RT
O2 Desa Pungut Mudik, Kerinci, Jambi
Citizen : Indonesia
Religion : Islam
Sex : Female
Telp/ Cell Phone Number :+6285368225190
Email Address :Windatrimeliautami@gmail.com
Instagram : windatrirasidin
Telephone Number of person to be contacted in an
emergency :
Name Address
Cell Phone Number
Father :Mat
Rasidin Jambi, Sumatra,
Indonesia +6285267582771
Mother :Wisma Jambi, Sumatra,
Indonesia
+628287489025
Complete
Address : RT O2 Desa Pungut Mudik, Kerinci, Jambi
ACADEMIC DATA
Name of Home University : Padang State University
Address
of Home University :Jalan Prof. Dr. Hamka Air Tawar Padang,
Sumatera Barat
Course
:Early
Childhood Education
Major
: Early
Childhood Education
Year in
college : 4th
Declared Major :
Declared Minor :
Number of credits hours completed at the start of
semester : 140 credits
Grade Point Average( Last Semester) : 4.0
MONTHLY
STATUS REPORT (Student)
Month : January, February
Name Of Intern : Winda Trimelia Utami
Name of Host Organisation : Pangasinan State University ( PSU)
Name of Mentor( Teacher) : Ms. Gjevenchi Maeh G. Dalit
Name of Student Mentor : Ms. April
TASKS
FOR THE MONTH
1. 1st Week
: Observation class, 3 class for day
Day
|
Teacher
|
Year & Section
|
Time
|
Room
|
Wednesday
|
Ms. Gjevenchi Maeh G. Dalit
|
Kindergarten 1
|
8.00-11.00
am
|
Kindergarten
|
Ms. Gjevenchi Maeh G. Dalit
|
Nursery
|
11.00 am-14.00 Pm
|
Kindergarten
|
|
Ms. Gjevenchi Maeh G. Dalit
|
Kindergarten 2
|
14.00
pm-17.00 pm
|
Kindergarten
|
|
Thursday
|
Ms. Gjevenchi Maeh G. Dalit
|
Kindergarten 1
|
8.00-11.00
am
|
Kindergarten
|
Ms. Gjevenchi Maeh G. Dalit
|
Nursery
|
11.00 am-14.00 Pm
|
Kindergarten
|
|
Ms. Gjevenchi Maeh G. Dalit
|
Kindergarten 2
|
14.00
pm-17.00 pm
|
Kindergarten
|
|
Friday
|
Ms. Gjevenchi Maeh G. Dalit
|
Kindergarten 1
|
8.00-11.00
am
|
Kindergarten
|
Ms. Gjevenchi Maeh G. Dalit
|
Nursery
|
11.00 am-14.00 Pm
|
Kindergarten
|
|
Ms. Gjevenchi Maeh G. Dalit
|
Kindergarten 2
|
14.00
pm-17.00 pm
|
Kindergarten
|
2. 2nd
Week ( January 29- February 02,2018) : Assistant Teaching , 3 class teaching
for day
Day
|
Monday ( 29
January 2018)
|
Tuesday (30
January 2018)
|
Wednesday (31
January 2018)
|
Thursday (01
February 2018)
|
Friday (02
February 2018)
|
Time
|
8.00 am-11.00 am
11.00 am-14.00 pm
14.00 pm-17.00 pm
|
8.00 am-11.00 am
11.00 am-14.00 pm
14.00 pm-17.00 pm
|
8.00 am-11.00 am
11.00 am-14.00 pm
14.00 pm-17.00 pm
|
8.00 am-11.00 am
11.00 am-14.00 pm
14.00 pm-17.00 pm
|
8.00 am-11.00 am
11.00 am-14.00 pm
14.00 pm-17.00 pm
|
Teacher (Supervising Instructor)
|
Ms. Gjevenchi Maeh G. Dalit
|
Ms. Gjevenchi Maeh G. Dalit
|
Ms. Gjevenchi Maeh G. Dalit
|
Ms. Gjevenchi Maeh G. Dalit
|
Ms. Gjevenchi Maeh G. Dalit
|
Class
|
Kindergarten1
Nursery
kindergarten2
|
Kindergarten1
Nursery
Kindergarten2
|
Kindergarten1
Nursery
Kindergarten2
|
Kindergarten1
Nursery
Kindergarten2
|
Kindergarten1
Nursery
Kindergarten2
|
Room
|
Kindergarten
|
Kindergarten
|
Kindergarten
|
Kindergarten
|
Kindergarten
|
3. 3rd
Week: Actual teaching and Assist teaching ( February 05- February 09,2018) , 2 class
teaching for day
Day
|
Monday ( February 05 2018)
|
Tuesday (
February 06 2018)
|
Wednesday (
February 07 2018 )
|
Thursday (
February 08 2018)
|
Friday ( February
09 2018)
|
Time
|
11.00 am-14.00 pm
14.00 pm-17.00 pm
|
11.00 am-14.00 pm
14.00 pm-17.00 pm
|
11.00 am-14.00 pm
14.00 pm-17.00 pm
|
11.00 am-14.00 pm
14.00 pm-17.00 pm
|
11.00 am-14.00 pm
14.00 pm-17.00 pm
|
Teacher (Supervising Instructor)
|
Ms. Gjevenchi Maeh G. Dalit
|
Ms. Gjevenchi Maeh G. Dalit
|
Ms. Gjevenchi Maeh G. Dalit
|
Ms. Gjevenchi Maeh G. Dalit
|
Ms. Gjevenchi Maeh G. Dalit
|
Class
|
Nursery
Kindergarten2
|
Nursery
Kindergarten2
|
Nursery
Kindergarten2
|
Nursery
Kindergarten2
|
Nursery
Kindergarten2
|
Room
|
Kindergarten
|
Kindergarten
|
Kindergarten
|
Kindergarten
|
Kindergarten
|
4. 4th
Week : Evaluation, make report.
SIGNIFICANT
ACCOMPLISHMENTS
Teacher practice teaching and teacher able
improve languange skill, and teacher get more experiences when teaching.
SIGNIFICANT
PROBLEMS
Some students can not speak English.
Notes
Number of Hours Worked : 120 Hours
Winda trimelia utami Date : 13 February 2018
Name :Winda trimelia utami
Month of January-Febuary in the
year 2018
Day
|
Works Hours
|
Details of
Work Completed
|
1
|
3
|
Opening Program Sea Teacher in
Lingayen
|
2
|
5
|
-
Welcome and orientation program ( 3 hours)
-
Courtesy
Call
|
3
|
9
|
Class observation, Kindergarten 1,
Nursery, and Kinergarten 2
|
4
|
9
|
Class observation, Kindergarten 1,
Nursery, and Kinergarten 2
|
5
|
9
|
Class observation, Kindergarten 1,
Nursery, and Kinergarten 2
|
6
|
5
|
-
Cleaning the rooms
-
Making self-report
-
Dinner together
|
7
|
-
|
Tour to Dagupan Beach
|
8
|
9
|
Teaching Assisten and discussion with
supervising instructor
|
9
|
9
|
Teaching Assisten and discussion with
supervising instructor
|
10
|
9
|
Teaching Assisten and discussion with
supervising instructor
|
11
|
9
|
Teaching Assisten and discussion with
supervising instructor
|
12
|
9
|
Teaching Assisten and discussion with
supervising instructor
|
13
|
-
|
Tour to Bulinao
|
14
|
5
|
-
Cleaning the dorm
-
Making self-report and lesson plan
-
Dinner together
|
15
|
6
|
Actual teaching 1 class, teaching Assisten 1 class, and discussion
with supervising instructor
|
16
|
6
|
Actual teaching 1 class, teaching Assisten 1 class, and discussion
with supervising instructor
|
17
|
6
|
Actual teaching 1 class, teaching Assisten 1 class, and discussion
with supervising instructor
|
18
|
6
|
Actual teaching 1 class, teaching Assisten 1 class, and discussion
with supervising instructor
|
19
|
6
|
Actual teaching 1 class, teaching Assisten 1 class, and discussion
with supervising instructor
|
20
|
5
|
-
Cleaning the dorm
-
Making self-report and lesson plan
-
Dinner together
|
21
|
-
|
Tour to Baguio
|
22
|
4
|
Making Self Report
|
23
|
3
|
Evaluation and self-report
|
24
|
3
|
Farewell and closing ceremony in PSU
Lingayen
|
Total days
worked
|
Total Hours
Worked
|
Titles of
Project(s) worked on :
|
21
|
135
|
Problems : -
OVERALL PERFORMANCE ( Please Check
)
Advance
Proficient Basic Needs Improvement
Name of Supervisor : Ms. Gjevenchi Maeh G. Dalit
Student’s Signature
:
Date : February 2018
Supervisor’s Signature : Date
: February 2018
