PT: <Universitas/Institut/PT Seni/Sekolah Tinggi/Akademi/Politeknik>1
Kelompok: <I/II/III>2
Tema: Tema A, Tema B, Tema C, Tema D3
Jenis Proposal: Proposal Awal, Proposal Lengkap4
PROPOSALPROGRAM HIBAH KOMPETISI
BERBASIS INSTITUSIProses Seleksi Tahun 2010
(Nama Perguruan Tinggi)
Direktorat Jenderal Pendidikan TinggiDepartemen Pendidikan Nasional
2010
1 Pilih yang sesuai dengan pengelompokan institusi.2 Pilih yang sesuai dengan tiered scheme.3 Berilah tanda untuk tema-tema yang diajukan dalam proposal (boleh lebih dari satu).4 Berilah tanda untuk jenis proposal yang sesuai.
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Lembar Identifikasi
1. Nama Perguruan Tinggi : ____________________________________
2. Penanggung Jawab : ____________________________________
3. Ketua PelaksanaN a m a : ____________________________________Alamat : ____________________________________Telepon Kantor : ____________________________________Telepon Cellular : ____________________________________Fax : ____________________________________e-mail : ____________________________________
4. Tema yang dipilih : Tema A, Tema B, Tema C Tema D
5. 1. Kelompok : <I/II/III>
<Tempat, tanggal…………..>
Penanggung Jawab,< pemimpin perguruan tinggi >
(____________________________________)
Ringkasan Eksekutif halaman ii
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Data Akreditasi Prodi
Nama Perguruan Tinggi : ___________________________________________
Jumlah Seluruh Prodi : ___________________________________________
Jumlah Prodi Terakreditasi A : ?? program (??%)
Daftar Program Studi beserta AkreditasinyaData selengkapnya akreditasi ?? Prodi di <Nama Universitas> disajikan pada Lampiran A (lihat halaman 2)
Ringkasan Eksekutif halaman iii
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Daftar Isi
Lembar Identifikasi.......................................................................................................................ii
Data Akreditasi Prodi..................................................................................................................iii
Daftar Isi........................................................................................................................................iv
Daftar Tabel..................................................................................................................................vi
Daftar Gambar..............................................................................................................................vi
Daftar Lampiran...........................................................................................................................vi
Daftar Tabel Evaluasi Diri...........................................................................................................vi
Daftar Singkatan..........................................................................................................................vii
Ringkasan Eksekutif..................................................................................................................viii
Bab I. Ringkasan Renstra Pengembangan <Nama PT>....................................................I-1I.A Visi <Nama PT>.....................................................................................................I-1I.B Misi <Nama PT>.....................................................................................................I-1I.C Tujuan.....................................................................................................................I-1I.D Sasaran....................................................................................................................I-1I.E Capaian <Nama PT> sampai Tahun 2009..............................................................I-1I.F Pola pikir PHK-I <Nama PT> untuk mendukung tujuan institusi..........................I-1
Bab II. Laporan Evaluasi Diri <Nama PT>........................................................................II-1II.A Analisis Lingkungan Eksternal..............................................................................II-1
II.A.1 Daya Saing Daerah dan Nasional............................................................II-1II.A.1.1 Peluang....................................................................................II-1II.A.1.2 Tantangan................................................................................II-1
II.A.2 Mutu, Relevansi dan Akses.....................................................................II-1II.A.2.1 Peluang....................................................................................II-1II.A.2.2 Tantangan................................................................................II-1
II.A.3 Daya Saing Global...................................................................................II-1II.A.3.1 Peluang....................................................................................II-1II.A.3.2 Tantangan................................................................................II-1
II.B Evaluasi Berbagai Hibah di <Nama PT>..............................................................II-1II.B.1 <Nama PHK 1>.......................................................................................II-1II.B.2 <Nama PHK 2>.......................................................................................II-1II.B.3 <Nama PHK dst>....................................................................................II-1
II.C Evaluasi sistem tatakelola dan organisasi perguruan tinggi..................................II-1II.D Evaluasi kinerja dan manajemen program akademik............................................II-1
II.D.1 <Sub-bab 1>............................................................................................II-1II.D.2 <Sub-bab 2>............................................................................................II-1II.D.3 <Sub-bab dst>..........................................................................................II-1
II.E Evaluasi ketersediaan dan manajemen sumberdaya..............................................II-1II.E.1 Fasilitas fisik............................................................................................II-1II.E.2 Sumberdaya manusia...............................................................................II-2
II.E.2.1 Staf akademik..........................................................................II-2II.E.2.2 Staf non-akademik..................................................................II-2II.E.2.3 Mahasiswa...............................................................................II-2
Ringkasan Eksekutif halaman iv
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
II.E.2.3.1 Penerimaan Mahasiswa..........................................II-2II.E.2.3.2 Profil Rasio Kompetisi Mahasiswa Masuk
<Nama PT>............................................................II-2II.E.2.4 Profil Mahasiswa....................................................................II-2
II.E.3 Sumber dana............................................................................................II-2II.F Evaluasi sistem penjaminan mutu di tingkat institusi...........................................II-2
II.F.1 <Sub-bab 1>............................................................................................II-2II.F.2 <Sub-bab 2>............................................................................................II-2II.F.3 <Sub-bab dst>..........................................................................................II-2
II.G Ringkasan hasil analisis evaluasi diri....................................................................II-2II.G.1 <Sub-bab 1>............................................................................................II-2II.G.2 <Sub-bab 2>............................................................................................II-2II.G.3 <Sub-bab dst>..........................................................................................II-2
II.H Ringkasan strategi/solusi alternatif........................................................................II-2II.H.1 <Sub-bab 1>............................................................................................II-2II.H.2 <Sub-bab 2>............................................................................................II-2II.H.3 <Sub-bab dst>..........................................................................................II-2
II.I Nilai baseline indikator kinerja.............................................................................II-2II.I.1 <Sub-bab 1>............................................................................................II-2II.I.2 <Sub-bab 2>............................................................................................II-2II.I.3 <Sub-bab dst>..........................................................................................II-3
Bab III. Rancangan Global Program Pengembangan.......................................................III-1III.A Penetapan Tema...................................................................................................III-1III.B Program Pengembangan.......................................................................................III-1
III.B.1 Tema C...................................................................................................III-1III.B.1.1 Latar Belakang.......................................................................III-1III.B.1.2 Tujuan dan Program..............................................................III-1
III.B.2 Tema B...................................................................................................III-1III.B.2.1 Latar Belakang.......................................................................III-1III.B.2.2 Tujuan dan Program..............................................................III-1III.B.2.3 Rancangan Program...............................................................III-1
III.B.3 Tema D...................................................................................................III-1III.B.3.1 Latar Belakang.......................................................................III-1III.B.3.2 Tujuan dan Program..............................................................III-1III.B.3.3 Rancangan Program...............................................................III-1
Ringkasan Eksekutif halaman v
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Daftar Tabel
Gambar I-1. Gambar apa saja yang penting..................................................................................I-1
Daftar Gambar
Tabel II-1. Tabel apa saja yang penting......................................................................................II-3
Daftar Lampiran
Lampiran A. Data Akreditasi Prodi S1 di <Nama PT>..................................................................IILampiran B. Kronologi Penyusunan Proposal Awal.....................................................................IIILampiran C. Evaluasi Diri <Nama PT>........................................................................................IVLampiran D. SK Tim Persiapan PHK-I 2010..............................................................................VIILampiran E. SK Tim Penyusun Proposal PHK-I 2010..............................................................VIIILampiran F. Renstra <Nama PT> 2008-2012...............................................................................IXLampiran G. Dokumentasi..............................................................................................................X
Daftar Tabel Evaluasi Diri
Tabel ED 1. Rekap Penerimaan Dana Hibah 3 Tahun Terakhir (2007-2009)..............................IVTabel ED 2. Luas Bangunan dalam m2 (2009)..............................................................................IVTabel ED 3. Jumlah Dosen Tetap Berdasarkan Jabatan Akademik/Fungsional (2005-2009)......IVTabel ED 4. Jumlah Dosen Tetap Berdasarkan Kualifikasi Akademik dan Jenis Kelamin (2009).......................................................................................................................................................IVTabel ED 5. Jumlah Dosen Tetap Berdasarkan Kualifikasi Akademik (2006-2009)...................IVTabel ED 6. Jumlah Tenaga Non-Dosen Berdasarkan (2009)......................................................IVTabel ED 7. Jumlah Tenaga Non-Dosen Berdasarkan Kualifikasi Akdemik (2006-2009)............VTabel ED 8. Jumlah Tenaga Non-Dosen Berdasarkan Golongan (2009).......................................VTabel ED 9. Jumlah Program Studi di <Nama PT> (2006–2009)..................................................VTabel ED 10. Selektivitas Mahasiswa Baru <Nama PT> (2006-2009)..........................................VTabel ED 11. Jumlah Mahasiswa Berdasarkan Asal Daerah..........................................................VTabel ED 12. Sumber Dana (2007-2009).......................................................................................VTabel ED 13. Sumber Dana Beasiswa di <Nama PT> (2009)......................................................VI
Ringkasan Eksekutif halaman vi
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Daftar Singkatan
Ringkasan Eksekutif halaman vii
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Ringkasan Eksekutif
Ringkasan Eksekutif halaman viii
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Bab I. Ringkasan Renstra Pengembangan <Nama PT>
I.A Visi <Nama PT>
I.B Misi <Nama PT>
I.C Tujuan
I.D Sasaran
I.E Capaian <Nama PT> sampai Tahun 2009
I.F Pola pikir PHK-I <Nama PT> untuk mendukung tujuan institusi
Gambar I-1. Gambar apa saja yang penting
Laporan Evaluasi Diri <Nama PT> halaman 1
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Bab II. Laporan Evaluasi Diri <Nama PT>
II.A Analisis Lingkungan EksternalII.A.1 Daya Saing Daerah dan Nasional
II.A.1.1 Peluang
II.A.1.2 Tantangan
II.A.2 Mutu, Relevansi dan Akses
II.A.2.1 Peluang
II.A.2.2 Tantangan
II.A.3 Daya Saing Global
II.A.3.1 Peluang
II.A.3.2 Tantangan
II.B Evaluasi Berbagai Hibah di <Nama PT>
II.B.1 <Nama PHK 1>
II.B.2 <Nama PHK 2>
II.B.3 <Nama PHK dst>
II.C Evaluasi sistem tatakelola dan organisasi perguruan tinggi
II.D Evaluasi kinerja dan manajemen program akademikII.D.1 <Sub-bab 1>
II.D.2 <Sub-bab 2>
II.D.3 <Sub-bab dst>
II.E Evaluasi ketersediaan dan manajemen sumberdayaII.E.1 Fasilitas fisik
Laporan Evaluasi Diri <Nama PT> halaman 1
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
II.E.2 Sumberdaya manusiaII.E.2.1 Staf akademik
II.E.2.2 Staf non-akademik
II.E.2.3 Mahasiswa
II.E.2.3.1 Penerimaan Mahasiswa
II.E.2.3.2 Profil Rasio Kompetisi Mahasiswa Masuk <Nama PT>
II.E.2.4 Profil Mahasiswa
II.E.3 Sumber dana
II.F Evaluasi sistem penjaminan mutu di tingkat institusi.
II.F.1 <Sub-bab 1>
II.F.2 <Sub-bab 2>
II.F.3 <Sub-bab dst>
II.G Ringkasan hasil analisis evaluasi diriII.G.1 <Sub-bab 1>
II.G.2 <Sub-bab 2>
II.G.3 <Sub-bab dst>
II.H Ringkasan strategi/solusi alternatifII.H.1 <Sub-bab 1>
II.H.2 <Sub-bab 2>
II.H.3 <Sub-bab dst>
II.I Nilai baseline indikator kinerjaII.I.1 <Sub-bab 1>
II.I.2 <Sub-bab 2>
Evaluasi sistem penjaminan mutu di tingkat institusi. halaman 2
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
II.I.3 <Sub-bab dst>
Tabel II-1. Tabel apa saja yang penting
Evaluasi sistem penjaminan mutu di tingkat institusi. halaman 3
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Bab III. Rancangan Global Program Pengembangan
III.A Penetapan Tema
III.B Program Pengembangan
III.B.1 Tema C
III.B.1.1 Latar Belakang
III.B.1.2 Tujuan dan Program
III.B.2 Tema B
III.B.2.1 Latar Belakang
III.B.2.2 Tujuan dan Program
III.B.2.3 Rancangan Program
III.B.3 Tema D
III.B.3.1 Latar Belakang
III.B.3.2 Tujuan dan Program
III.B.3.3 Rancangan Program
Laporan Evaluasi Diri <Nama PT> halaman 1
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
LAMPIRAN
Lampiran halaman I
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b)PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Lampiran A. Data Akreditasi Prodi S1 di <Nama PT>
Lampiran A. Data Akreditasi Prodi S1 di <Nama PT> halaman II
PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Lampiran B. Kronologi Penyusunan Proposal Awal
Lampiran B. Kronologi Penyusunan Proposal Awal halaman III
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b)
PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Lampiran C. Evaluasi Diri <Nama PT>
Tabel ED 1. Rekap Penerimaan Dana Hibah 3 Tahun Terakhir (2007-2009)No. Hibah Jurusan/Fakultas Thn Jumlah Dana
Tabel ED 2. Luas Bangunan dalam m2 (2009)Type of Room Total Classrooms Laboratories Supporting
facilitiesOffices & Other
facilities
Tabel ED 3. Jumlah Dosen Tetap Berdasarkan Jabatan Akademik/Fungsional (2005-2009)
No Jabatan Akademik Tahun2005 2006 2007 2008 2009
Tabel ED 4. Jumlah Dosen Tetap Berdasarkan Kualifikasi Akademik dan Jenis Kelamin (2009)
No Ijazah L PJumla
h %
Tabel ED 5. Jumlah Dosen Tetap Berdasarkan Kualifikasi Akademik (2006-2009)
No Tahun Kualifikasi Akdemik JumlahS1 Profesi S2 S3
Lampiran G. Dokumentasi halaman IV
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PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
No Tahun Kualifikasi Akdemik JumlahS1 Profesi S2 S3
Tabel ED 6. Jumlah Tenaga Non-Dosen Berdasarkan (2009)Usia 18 - 25 26 - 35 36 - 45 46 - 56 57 - 60 >= 61
Jumlah%
Tabel ED 7. Jumlah Tenaga Non-Dosen Berdasarkan Kualifikasi Akdemik (2006-2009)
No Year
Kualifikasi Akdemik JumlahSD SLT
PSLT
ASMK
Diploma S1 Profes
i S2 S3
1234
Tabel ED 8. Jumlah Tenaga Non-Dosen Berdasarkan Golongan (2009)Level I II III IV Total
Number %
Tabel ED 9. Jumlah Program Studi di <Nama PT> (2006–2009)Tahun 2006 2007 2008 2009Level
D3S1S2S3
ProfessionSpecialist
Total
Tabel ED 10. Selektivitas Mahasiswa Baru <Nama PT> (2006-2009)
Jalur Masuk
2006 2007 2008 2009
Peminat Diterima Selektivitas Peminat Diterima Selekti
vitas Peminat Diterima Selektivitas Peminat Diterima Selekti
vitas
Total
Tabel ED 11. Jumlah Mahasiswa Berdasarkan Asal Daerah
Asal Tahun2005 2006 2007 2008 2009
JawaLuar JawaLuar Negeri
Lampiran G. Dokumentasi halaman V
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PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Tabel ED 12. Sumber Dana (2007-2009)No Jenis Dana 2007 2008 20091 Dana Pemerintah2 Dana Masyarakat
3 Dana Hasil Usaha dan Tabungan
4 Dana Luar Negeri5 Dana Lain
Tabel ED 13. Sumber Dana Beasiswa di <Nama PT> (2009)No Sumber Dana 2009123
Lampiran G. Dokumentasi halaman VI
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PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Lampiran D. SK Tim Persiapan PHK-I 2010
Lampiran G. Dokumentasi halaman VII
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PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Lampiran E. SK Tim Penyusun Proposal PHK-I 2010
Lampiran G. Dokumentasi halaman VIII
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PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Lampiran F. Renstra <Nama PT> 2008-2012
Renstra <Nama PT> 2008-2012 disajikan pada kantong di sampul belakang proposal.
Lampiran G. Dokumentasi halaman IX
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PHK-I Proses Seleksi 2010 <Nama PT> Proposal Awal
Lampiran G. Dokumentasi
Lampiran G. Dokumentasi halaman X
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