FORMULIR DESK EVALUASI PROPOSAL PENELITIAN TIM...

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Lampiran 3c. FORMULIR DESK EVALUASI PROPOSAL PENELITIAN TIM PASCASARJANA Judul Penelitian Bidang Penelitian Perguruan Tinggi Fakultas / Jurusan Ketua Peneliti a. Nama Lengkap b.NIDN c. Jabatan Fungsional Anggota Peneliti Jumlah Mhs Pascasarjana : ............................................................................................................ : ...........................................................................................................: : ............................................................................................................ : ............................................................................................................ : .................................................................................... : ....................................... : .............................................................. : ........... orang : S2 = .......... orang; S3 = ........... orang Lama Penelitian Keseluruhan Biaya Penelitian Tahun ke 1 a. Diusulkan ke Dikti b. Direkomendasikan c. Dana dari Instansi lain : .............. tahun : Rp. ...................... : Rp. ...................... : Rp. ...................... / in kind : .................................................. No Kriteria Penilaian Bobot (%) Skor Nilai 1 Keutuhan dan keterpaduan program penelitian : a. Road map, b. Sistematika penelitian, c. Lintas disiplin 25 2 Integrasi penelitian dengan pendidikan pascasarjana : a. Jumlah bimbingan mhs pascasarjana yang dilibatkan, b. Keterlibatan tim peneliti dalam bimbingan mahasiswa 20 3 Mutu penelitian : a. Kemutakhiran, b. Inovasi, c. Metode penelitian 30 4. Kelayakan : a. Biaya, b. Peralatan, c. Track record tim peneliti, d. Potensi tercapainya luaran 25 Jumlah 100 Keterangan : Skor: 1, 2, 3, 5, 6, 7 (1 = Buruk; 2 = Sangat kurang; 3 = Kurang; 5 = Cukup; 6 = Baik; 7 = Sangat baik) Nilai = Bobot x Skor

Transcript of FORMULIR DESK EVALUASI PROPOSAL PENELITIAN TIM...

Lampiran 3c.

FORMULIR DESK EVALUASI PROPOSAL PENELITIAN

TIM PASCASARJANA

Judul Penelitian

Bidang Penelitian

Perguruan Tinggi

Fakultas / Jurusan

Ketua Peneliti

a. Nama Lengkap

b.NIDN

c. Jabatan Fungsional

Anggota Peneliti

Jumlah Mhs Pascasarjana

: ............................................................................................................

: ...........................................................................................................:

: ............................................................................................................

: ............................................................................................................

: ....................................................................................

: .......................................

: ..............................................................

: ........... orang

: S2 = .......... orang; S3 = ........... orang

Lama Penelitian Keseluruhan

Biaya Penelitian Tahun ke 1

a. Diusulkan ke Dikti

b. Direkomendasikan

c. Dana dari Instansi lain

: .............. tahun

: Rp. ......................

: Rp. ......................

: Rp. ...................... / in kind : ..................................................

No Kriteria Penilaian Bobot (%) Skor Nilai

1

Keutuhan dan keterpaduan program penelitian :

a. Road map,

b. Sistematika penelitian,

c. Lintas disiplin

25

2

Integrasi penelitian dengan pendidikan pascasarjana :

a. Jumlah bimbingan mhs pascasarjana yang

dilibatkan,

b. Keterlibatan tim peneliti dalam bimbingan

mahasiswa

20

3

Mutu penelitian :

a. Kemutakhiran,

b. Inovasi,

c. Metode penelitian

30

4.

Kelayakan :

a. Biaya,

b. Peralatan,

c. Track record tim peneliti,

d. Potensi tercapainya luaran

25

Jumlah 100 Keterangan : Skor: 1, 2, 3, 5, 6, 7 (1 = Buruk; 2 = Sangat kurang; 3 = Kurang; 5 = Cukup; 6 = Baik; 7 = Sangat baik)

Nilai = Bobot x Skor

Komentar Penilai :

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

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

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

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

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

Kota, tanggal, bulan, tahun

Penilai,

Tanda tangan

( Nama Jelas )

Lampiran 3d.

FORMULIR PEMAPARAN PROPOSAL PENELITIAN TIM

PASCASARJANA

Judul Penelitian

Bidang Penelitian

Perguruan Tinggi

Fakultas / Jurusan

Ketua Peneliti

a. Nama Lengkap

b.NIDN

c. Jabatan Fungsional

Anggota Peneliti

Jumlah Mhs Pascasarjana

: ............................................................................................................

: ...........................................................................................................:

: ............................................................................................................

: ............................................................................................................

: ....................................................................................

: .......................................

: ..............................................................

: ........... orang

: S2 = .......... orang; S3 = ........... orang

Lama Penelitian Keseluruhan

Biaya Penelitian Tahun ke 1

a. Diusulkan ke Dikti

b. Direkomendasikan

c. Dana dari Instansi lain

: .............. tahun

: Rp. ......................

: Rp. ......................

: Rp. ...................... / in kind : ..................................................

No Kriteria Penilaian Bobot (%) Skor Nilai

1 Kemampuan presentasi dan penguasaan materi 10

2

Keutuhan dan keterpaduan program penelitian :

a. Road map,

b. Sistematika penelitian

15

3

Integrasi penelitian dengan pendidikan pascasarjana :

a. Keterlibatan tim peneliti dalam pembimbingan dan

jumlah mahasiswa pascasarjana yang dilibatkan

b. Keterkaitan dan integrasi antara rencana penelitian

dengan tugas akhir mahasiswa pascasarjana

20

4

Mutu penelitian :

a. Kemutakhiran,

b. Tinjauan pustaka,

c. Inovasi,

d. Kesesuaian / ketepatan metode penelitian

25

5

Kelayakan :

a. Biaya,

b. Sarana dan prasarana,

c. Track record tim peneliti,

d. Potensi tercapainya luaran (publikasi,

thesis/desertasi)

30

Jumlah 100

Keterangan : Skor: 1, 2, 3, 5, 6, 7 (1 = Buruk; 2 = Sangat kurang; 3 = Kurang; 5 = Cukup; 6 = Baik; 7 = Sangat baik)

Nilai = Bobot x Skor

Komentar Penilai :

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

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

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

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

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

Kota, tanggal, bulan, tahun

Penilai,

Tanda tangan

( Nama Jelas )

Lampiran 3e.

FORMULIR DESK EVALUASI PROPOSAL

PENELITIAN FUNDAMENTAL

Judul Penelitian

Bidang Penelitian

Perguruan Tinggi

Fakultas / Jurusan

Ketua Peneliti

a. Nama Lengkap

b. NIDN

c. Jabatan Fungsional

Anggota Peneliti

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ....................................................................................

: .......................................

: ..............................................................

: ........... orang

Lama Penelitian Keseluruhan

Biaya Penelitian Tahun ke 1

a. Diusulkan ke Dikti

b. Direkomendasikan

c. Dana dari instansi lain

: ............. tahun

: Rp. ......................

: Rp. ......................

: Rp. ...................... / in kind : ..................................................

No Kriteria Penilaian Bobot (%) Skor Nilai

1.

Masalah yang Diteliti :

a. Kontribusi pada Ipteks-Sosbud

b. Tinjauan pustaka

c. Perumusan masalah

15

2.

Orientasi Penelitian :

a. Makna Ilmiah

b. Orisinalitas

c. Kemutakhiran

30

3.

Metode Penelitian :

a. Pola pendekatan ilmiah

b. Kesesuaian metode

15

4.

Luaran Penelitian :

a. Publikasi ilmiah

b. Teori/hipotesis baru

c. Metode baru

d. Informasi/desain baru

30

5.

Kelayakan Sumber Daya :

a. Peneliti

b. Peralatan

c. Rencana jadwal

d. Rencana biaya

10

Jumlah 100

Keterangan : Skor: 1, 2, 3, 5, 6, 7 (1 = Buruk; 2 = Sangat kurang; 3 = Kurang; 5 = Cukup; 6 = Baik; 7 = Sangat baik)

Nilai = Bobot x Skor

Komentar Penilai :

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

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

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

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

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

Kota, tanggal, bulan, tahun

Penilai,

Tanda tangan

( Nama Jelas )

Lampiran 3f.

FORMULIR PEMAPARAN PROPOSAL

PENELITIAN FUNDAMENTAL

Judul Penelitian

Bidang Penelitian

Perguruan Tinggi

Fakultas / Jurusan

Ketua Peneliti

a. Nama Lengkap

b.NIDN

c. Jabatan Fungsional

Anggota Peneliti

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ....................................................................................

: .......................................

: ..............................................................

: ........... orang

Lama Penelitian Keseluruhan

Biaya Penelitian Tahun ke 1

a. Diusulkan ke Dikti

b. Direkomendasikan

c. Dana dari instansi lain

: ............. tahun

: Rp. ......................

: Rp. ......................

: Rp. ...................... / in kind : ..................................................

No Kriteria Penilaian Bobot (%) Skor Nilai

1. Kemampuan presentasi dan penguasaan materi 10

2.

Masalah yang Diteliti :

a. Kontribusi pada Ipteks-Sosbud

b. Tinjauan pustaka

c. Perumusan masalah

20

3.

Mutu Penelitian

a. Makna Ilmiah

b. Orisinalitas

c. Kemutakhiran

d. Pola pendekatan dan kesesuaian metode

30

4.

Potensi Tercapainya Luaran Penelitian :

a. Publikasi ilmiah

b. Teori/hipotesis baru

c. Metode baru

d. Informasi/desain baru

30

5.

Kelayakan Sumber Daya:

a. Track record tim peneliti

b. Sarana dan prasarana

c. Rencana jadwal penelitian

d. Rencana usulan biaya

10

Jumlah 100

Keterangan : Skor: 1, 2, 3, 5, 6, 7 (1 = Buruk; 2 = Sangat kurang; 3 = Kurang; 5 = Cukup; 6 = Baik; 7 = Sangat baik)

Nilai = Bobot x Skor

Komentar Penilai :

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

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

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

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

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

Kota, tanggal, bulan, tahun

Penilai,

Tanda tangan

( Nama Jelas )

Lampiran 3g.

FORMULIR DESK EVALUASI PROPOSAL

PENELITIAN HIBAH BERSAING

Judul Penelitian/

Bidang Penelitian

Perguruan Tinggi

Fakultas / Jurusan

Ketua Peneliti

a. Nama Lengkap

b.NIDN

c. Jabatan Fungsional

Anggota Peneliti

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ....................................................................................

: .......................................

: ..............................................................

: ........... orang

Lama Penelitian Keseluruhan

Biaya Penelitian Tahun ke 1

a. Diusulkan ke Dikti

b. Direkomendasikan

c. Dana dari instansi lain

: ................. tahun

: Rp. ......................

: Rp. ......................

: Rp. ...................... / in kind : ..................................................

No Kriteria Penilaian Bobot (%) Skor Nilai

1

Perumusan masalah :

a. Ketajaman perumusan masalah

b. Tujuan Penelitian

15

2

Luaran Penelitian (Proses & Produk):

a. Pengembangan Ipteks-Sosbud

b. Menunjang pembangunan

c. Pengembangan institusi

35

3

Tinjauan pustaka :

a. Relevansi dan kemutakhiran

b. Kemajuan dan studi pendahuluan

15

4 Metode Penelitian :

Desain dan ketepatan metode penelitian 20

5

Kelayakan :

a. Jadwal penelitian

b. Tim peneliti

c. Rencana Biaya

d. Sarana dan prasarana

15

Jumlah 100

Keterangan : Skor: 1, 2, 3, 5, 6, 7 (1 = Buruk; 2 = Sangat kurang; 3 = Kurang; 5 = Cukup; 6 = Baik; 7 = Sangat baik)

Nilai = Bobot x Skor

Komentar Penilai :

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

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

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

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

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

Kota, tanggal, bulan, tahun

Penilai,

Tanda tangan

( Nama Jelas )

Lampiran 3h.

FORMULIR PEMAPARAN PROPOSAL

PENELITIAN HIBAH BERSAING

Judul Penelitian/

Bidang Penelitian

Perguruan Tinggi

Fakultas / Jurusan

Ketua Peneliti

a. Nama Lengkap

b.NIDN

c. Jabatan Fungsional

Anggota Peneliti

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ....................................................................................

: .......................................

: ..............................................................

: ........... orang

Lama Penelitian Keseluruhan

Biaya Penelitian Tahun ke 1

a. Diusulkan ke Dikti

b. Direkomendasikan

c. Dana dari instansi lain

: ................. tahun

: Rp. ......................

: Rp. ......................

: Rp. ...................... / in kind : ..................................................

No Kriteria Penilaian Bobot (%) Skor Nilai

1. Kemampuan presentasi dan penguasaan materi 10

2.

Perumusan masalah :

a. Ketajaman perumusan masalah

b. Tujuan Penelitian

c. Kontribusi pada pembangunan dan

pengembangan Ipteks-Sosbud

20

3.

Mutu Penelitian :

a. Relevansi dan kemutakhiran pustaka

b. Roadmap penelitian

c. Desain dan ketepatan metode

d. Inovasi baru

25

4.

Potensi Tercapainya Luaran Penelitian :

a. Produk Ipteks-Sosbud (metode, TTG, blue

print, prototipe, kebijakan, model,

rekayasa sosial)

b. Publikasi ilmiah, HKI, dll.

35

5

Kelayakan :

a. Jadwal penelitian

b. Tim peneliti

c. Rencana Biaya

d. Sarana dan prasarana

10

Jumlah 100

Keterangan : Skor: 1, 2, 3, 5, 6, 7 (1 = Buruk; 2 = Sangat kurang; 3 = Kurang; 5 = Cukup; 6 = Baik; 7 = Sangat baik)

Nilai = Bobot x Skor

Komentar Penilai :

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

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

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

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

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

Kota, tanggal, bulan, tahun

Penilai,

Tanda tangan

( Nama Jelas )

Lampiran 3i.

FORMULIR DESK EVALUASI PROPOSAL

PENELITIAN KERJASAMA ANTAR PERGURUAN TINGGI

Judul Penelitian

Bidang Penelitian

Perguruan Tinggi TPP

Fakultas / Jurusan

Ketua TPP

a. Nama Lengkap

b.NIDN

c. Jabatan Fungsional

Ketua TPM

a. Nama Lengkap

b. Perg. Tinggi TPM

b.NIDN

c. Jabatan Fungsional

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ....................................................................................

: .......................................

: ...................................................................................

: ....................................................................................

: ..............................................................................................................

: .......................................

: ....................................................................................

Lama Penelitian Keseluruhan

Biaya Penelitian Tahun ke 1

a. Diusulkan ke Dikti

b. Direkomendasikan

c. Dana dari instansi lain

: ........... tahun

: Rp. ......................

: Rp. ......................

: Rp. ...................... / in kind : ..................................................

No Kriteria Penilaian Bobot (%) Skor Nilai

1 Kesesuaian program penelitian dengan kompetensi dan

bidang keahlian pengusul 15

2 Pentingnya kerjasama penelitian 20

3

Track record TPM

a. Kesesuaian keahlian

b. Prestasi penelitian dan Publikasi, HKI, Kerjasama

25

4 Mutu penelitian (tujuan, metode, dan luaran) 20

5

Kelayakan penelitian

a. Keberlanjutan penelitian di TPP

b. Rencana biaya

c. Perencanaan/alokasi waktu kerja sama

20

Jumlah 100

Keterangan : Skor: 1, 2, 3, 5, 6, 7 (1 = Buruk; 2 = Sangat kurang; 3 = Kurang; 5 = Cukup; 6 = Baik; 7 = Sangat baik)

Nilai = Bobot x Skor

Komentar Penilai :

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

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

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

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

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

Kota, tanggal, bulan, tahun

Penilai,

Tanda tangan

( Nama Jelas )

Lampiran 3j.

FORMULIR PEMAPARAN PROPOSAL

PENELITIAN KERJASAMA ANTAR PERGURUAN TINGGI

Judul Penelitian

Bidang Penelitian

Perguruan Tinggi TPP

Fakultas / Jurusan

Ketua TPP

a. Nama Lengkap

b.NIDN

c. Jabatan Fungsional

Ketua TPM

a. Nama Lengkap

b. Perg. Tinggi TPM

b.NIDN

c. Jabatan Fungsional

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ............................................................................................................

: ....................................................................................

: .......................................

: ...................................................................................

: ....................................................................................

: ..............................................................................................................

: .......................................

: ....................................................................................

Lama Penelitian Keseluruhan

Biaya Penelitian Tahun ke 1

a. Diusulkan ke Dikti

b. Direkomendasikan

c. Dana dari instansi lain

: ........... tahun

: Rp. ......................

: Rp. ......................

: Rp. ...................... / in kind : ..................................................

No Kriteria Penilaian Bobot (%) Skor Nilai

1 Kemampuan presentasi dan penguasaan materi 10

2

Pentingnya kerjasama penelitian :

a. Penguaasaan ipteks dan metode penelitian

b. Sarana dan prasarana penelitian

25

3

Mutu penelitian :

a. Relevansi dan kemutakhiran program

b. Ketepatan desain dan metode penelitian

25

4

Potensi tercapainya luaran penelitian :

a. Publikasi

b. Peningkatan kerjasama penelitian

c. Peningkatan kemampuan peneliti TPP

25

5

Kelayakan penelitian

a. Keberlanjutan penelitian di TPP

b. Rencana biaya

c. Perencanaan/alokasi waktu kerja sama

15

Jumlah 100

Keterangan : Skor: 1, 2, 3, 5, 6, 7 (1 = Buruk; 2 = Sangat kurang; 3 = Kurang; 5 = Cukup; 6 = Baik; 7 = Sangat baik)

Nilai = Bobot x Skor

Komentar Penilai :

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

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

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

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

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

Kota, tanggal, bulan, tahun

Penilai,

Tanda tangan

( Nama Jelas )

Lampiran 3k.

FORMULIR DESK EVALUASI PROPOSAL

PENELITIAN DISERTASI DOKTOR

Judul Penelitian

Judul Disertasi

Perguruan Tinggi Asal

Fakultas / Jurusan

Perg. Tinggi Penyelenggara

Program Doktor

Ketua Peneliti

a. Nama Lengkap

b.NIDN

c. Jabatan Fungsional

Nama Promotor

: ......................................................................................................

: ......................................................................................................

: ......................................................................................................

: ......................................................................................................

: ......................................................................................................

: .............................................................................

: ..................................................

: .............................................................................

: ......................................................................................................

Biaya yang Diusulkan

Biaya yang Direkomendasikan

: Rp. ......................

: Rp. ......................

No Kriteria Penilaian Bobot (%) Skor Nilai

1 Relevansi topik penelitian dengan judul disertasi 20

2

Kualitas penelitian :

a. Orisinalitas

b. Novelty

c. Kontribusi pada Ipteks-Sosbud

d. Metode penelitian

25

3

Luaran penelitian :

a. Publikasi internasional

b. Disertasi / draft disertasi yang telah disetuji

pembimbing

25

4

Kelayakan penelitian

a. Jadwal penelitian

b. Kesesuaian rencana biaya

c. Sarana dan prasarana penelitian

15

5 Potensi percepatan penyelesaian studi doktor 15

Jumlah 100

Keterangan : Skor: 1, 2, 3, 5, 6, 7 (1 = Buruk; 2 = Sangat kurang; 3 = Kurang; 5 = Cukup; 6 = Baik; 7 = Sangat baik)

Nilai = Bobot x Skor

Komentar Penilai :

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

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

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

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

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

Kota, tanggal, bulan, tahun

Penilai,

Tanda tangan

( Nama Jelas )

Lampiran 3l.

FORMULIR PEMAPARAN PROPOSAL

PENELITIAN DISERTASI DOKTOR

Judul Penelitian

Judul Disertasi

Perguruan Tinggi Asal

Fakultas / Jurusan

Perg. Tinggi Penyelenggara

Program Doktor

Ketua Peneliti

a. Nama Lengkap

b.NIDN

c. Jabatan Fungsional

Nama Promotor

: ......................................................................................................

: ......................................................................................................

: ......................................................................................................

: ......................................................................................................

: ......................................................................................................

: .............................................................................

: ..................................................

: .............................................................................

: ......................................................................................................

Biaya yang Diusulkan

Biaya yang Direkomendasikan

: Rp. ......................

: Rp. ......................

No Kriteria Penilaian Bobot (%) Skor Nilai

1 Kemampuan presentasi dan penguasaan materi 20

2

Kualitas penelitian :

a. Kedalaman substansi

b. Orisinalitas

c. Novelty

d. Kontribusi pada Ipteks-Sosbud

e. Metode penelitian

35

3

Potensi tercapainya luaran penelitian :

a. Publikasi internasional

b. Disertasi / draft disertasi yang telah disetuji

pembimbing

30

4

Kelayakan penelitian

a. Jadwal penelitian

b. Kesesuaian rencana biaya

c. Sarana dan prasarana penelitian

15

Jumlah 100

Keterangan : Skor: 1, 2, 3, 5, 6, 7 (1 = Buruk; 2 = Sangat kurang; 3 = Kurang; 5 = Cukup; 6 = Baik; 7 = Sangat baik)

Nilai = Bobot x Skor

Komentar Penilai :

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

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

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

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

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

Kota, tanggal, bulan, tahun

Penilai,

Tanda tangan

( Nama Jelas )