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Instructional Supervision Form 1 PRE – OBSERVATION INFORMATION Teacher:_____________________ School:______________ Division:_________ District: _________ Grade & Section: _________ Subject: _________ School Year: ______________ Conference Date: ___________ Instructional Supervisor: _____________________ Directions: 1. This form shall be answered by the Teacher prior to Instructional Support Visit. 2. The information will serve as guide for the pre-observation conference. Observer may ask for additional job-relevant data to provide a background for actual observation. 3. The filled up form shall be given back to the Teacher to be placed in front of the Teacher Observation Form 3A, B, C which will be used by the observer. Pre – Observation Information 1. When would you like to have instructional supervision and support? Date and Time: _______________________________________________ 2. In which of your class would you like to be observed? Class and the period to be observed: _________________________________________ 3. What areas or domain would you like to be observed? Please check. _____ Diversity of Learners _____ Content and Pedagogy _____ Learning Environment _____ School, Home, Community Linkages _____ Social Regard for Learning _____ Personal Growth and Professional Development _____ Planning, Assessing and Reporting _____ Others, specify 4. What specific teaching-learning parameters would you like to be focused? Please check. _____ Motivation _____ Teacher-Learners Interaction _____ Questioning/ Answering Skills _____ Pacing the Lesson _____ Testing _____ Classroom Management _____ Time on Task _____ Addressing multiple intelligences/learning styles _____ Others. Specify 5. What teaching method/strategy will you use? ______________________________________________ 6. How would you describe the class you will be teaching during the visit? Please provide information by checking or filling up the required data. a. Type of Class ( ) Monograde ( ) 2 class combination ( ) Multigrade b. Size of class ( ) Small class size Number of Learners: _______ ( ) Big class size Number of Learners: _______ c. Class Diversity: ( ) Homogeneous (Describe) ______________________________________ ( ) Heterogenous (Describe) _____________________________________ 7. What three priority areas in your TSNA do you need the most support and assistance? Please enumerate and specify. a. _____________________________________________________________________________

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Page 1: 88696558 Instructional Supervision Form 1 CB PAST NEW

Instructional Supervision Form 1

PRE – OBSERVATION INFORMATION

Teacher:_____________________ School:______________ Division:_________ District: _________Grade & Section: _________ Subject: _________ School Year: ______________Conference Date: ___________ Instructional Supervisor: _____________________

Directions:1. This form shall be answered by the Teacher prior to Instructional Support Visit.2. The information will serve as guide for the pre-observation conference. Observer may ask for additional job-relevant data to provide a background for actual observation.3. The filled up form shall be given back to the Teacher to be placed in front of the Teacher

Observation Form 3A, B, C which will be used by the observer.

Pre – Observation Information

1. When would you like to have instructional supervision and support? Date and Time: _______________________________________________2. In which of your class would you like to be observed? Class and the period to be observed: _________________________________________3. What areas or domain would you like to be observed? Please check.

_____ Diversity of Learners _____ Content and Pedagogy_____ Learning Environment _____ School, Home, Community Linkages_____ Social Regard for Learning _____ Personal Growth and Professional Development_____ Planning, Assessing and Reporting _____ Others, specify

4. What specific teaching-learning parameters would you like to be focused? Please check._____ Motivation _____ Teacher-Learners Interaction_____ Questioning/ Answering Skills _____ Pacing the Lesson_____ Testing _____ Classroom Management_____ Time on Task _____ Addressing multiple intelligences/learning styles_____ Others. Specify

5. What teaching method/strategy will you use? ______________________________________________6. How would you describe the class you will be teaching during the visit? Please provide information by checking or filling up the required data.

a. Type of Class ( ) Monograde ( ) 2 class combination ( ) Multigradeb. Size of class ( ) Small class size Number of Learners: _______

( ) Big class size Number of Learners: _______ c. Class Diversity: ( ) Homogeneous (Describe) ______________________________________

( ) Heterogenous (Describe) _____________________________________7. What three priority areas in your TSNA do you need the most support and assistance? Please enumerate and specify.

a. _____________________________________________________________________________

b. _____________________________________________________________________________

c. _____________________________________________________________________________

8. What priority objective did you include for School Year _____________ that you intend to accomplish? Please write.

a. _____________________________________________________________________________

b. _____________________________________________________________________________

c. _____________________________________________________________________________

Submitted by: ______________________ Prepared by: ___________________________ Teacher’s Name and Signature School Head’s Name and Signature

Noted by:

Carlos Alexander S. Rigon Principal

Note: This space shall be used for needed information given during the pre-observation but are included above.

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IS Form 3A / CB – PAST Form 3A

TEACHER OBSERVATION GUIDE FOR INSTRUCTIONAL COMPETENCE

Legend: 0 – Not Observed (NO) 1 – Below Basic (BB) 2 – Basic (B)3 – Proficient (P) 4 – Highly Proficient (HP)

Circle the number that describes best your observation of the Teacher. Start here…

PERFORMANCE BEHAVIOR Observation RatingNO BB B P HP

A. Diversity of Learners1. Sets lesson objectives within the experiences and capabilities of the learners.2. Utilizes varied techniques and strategies suited to different kinds of learners.3. Shows fairness in dealing with learners.4. Paces lesson appropriate to the needs and difficulties of learners.5. Provides appropriate intervention activities for learners at risk.

Total Score: ________ Average: ________ Description: _________

Narrative Observation: ____________________________________________________________________________________ ____________________________________________________________________________________

Comments of the Teacher: _________________________________________________________________________________ ________________________________________________________________________________

Agreements of the Teacher and Observer: ___________________________________________________________________ ___________________________________________________________________

MAUREEN A. LONGHAS AMANCIA M. LONGHAS Teacher’s Name & Signature Observer’s Name & Signature

+ Signature indicate that observations have been clarified by both parties.

PERFORMANCE BEHAVIOR Observation RatingNO BB B P HP

B. Content and Pedagogy B.1. Teacher Behavior in Actual Teaching1. Teaches accurate and updated content using appropriate approaches and strategies.2. Aligns lesson objectives, teaching methods, learning activities, and instructional materials.3. Encourages learners to use higher order thinking skills in asking questions.4. Engages and sustains learner’s interest in the subject matter by making content meaningful and relevant.5. Establishes routines and procedures to maximize use of time and instructional materials.6. Intergrates language, literacy, skills, and values in teaching.7. Presents lesson logically in a developmental manner.8. Utilizes technology resources in planning, designing and delivery of the lesson.9. Creates situations that encourages learners to use higher order thinking skills.

Total Score: ________ Average: ________ Description: _________

Narrative Observation: ___________________________________________________________________________________ ___________________________________________________________________________________

Comments of the Teacher: ________________________________________________________________________________ ________________________________________________________________________________

Agreements of the Teacher and Observer: __________________________________________________________________ __________________________________________________________________

________________________ _________________________ Teacher’s Name & Signature Observer’s Name & Signature

+ Signature indicate that observations have been clarified by both parties.

PERFORMANCE BEHAVIOR Observation RatingNO

BB B P HP

B. Content and Pedagogy B.2. Learners’ Behavior in the Classroom1. Answers in own words at a desired cognitive level.2. Participates actively in the learning tasks with some level of independence.3. Asks questions relevant to the lesson.4. Sustains interest in the lesson/activity.5. Follows routines and procedures to maximize instructional time.6. Shows appropriate behavior of individualism, cooperation and

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competition in classroom interactions.7. Imbibes and values learning from the teacher and from classmates.8. Demonstrates in varied ways, learning achieved in the activities.

Total Score: ________ Average: ________ Description: _________

Narrative Observation: ___________________________________________________________________________________ ___________________________________________________________________________________

Comments of the Teacher: ________________________________________________________________________________ ________________________________________________________________________________

Agreements of the Teacher and Observer: __________________________________________________________________ __________________________________________________________________

______________________ ________________________ Teacher’s Name & Signature Observer’s Name & Signature

+ Signature indicate that observations have been clarified by both parties.

PERFORMANCE BEHAVIOR Observation RatingNO

BB B P HP

C. Planning, Assessing, Reporting Learners’ Outcomes1. Provides timely, appropriate reinforcement/feedback to learners’ behavior.2. Uses appropriate formative, summative tests congruent to the lesson.3. Uses non-traditional authentic assessment techniques when needed.4. Keeps accurate records of learners’ performance level.5. Gives assignment as reinforcement or enrichment of the lesson.6. Provides opportunity for learners’ to demonstrate their learning.

Total Score: ________ Average: ________ Description: _________

Narrative Observation: ___________________________________________________________________________________ ___________________________________________________________________________________

Comments of the Teacher: ________________________________________________________________________________ ________________________________________________________________________________

Agreements of the Teacher and Observer: __________________________________________________________________ __________________________________________________________________

______________________ _________________________ Teacher’s Name & Signature Observer’s Name & Signature

+ Signature indicate that observations have been clarified by both parties.

IS Form 3A / CB – PAST Form 3B

PERFORMANCE BEHAVIOR Observation RatingNO

BB B P HP

D. Learning Environment1. Maintains a safe and orderly classroom.2. Engages learners in differentiated activities for higher learning.3. Handles behavior problems quickly and with due respect to children’s rights.4. Creates situation that develops a positive attitude among learners towards their subject and teachers.5. Provides gender sensitive opportunities for learning.

Total Score: ________ Average: ________ Description: _________

Narrative Observation: ______________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments of the Teacher: ___________________________________________________________________________________________________________________________________________________________________________________________________________________

Agreements of the Teacher and Observer: _____________________________________________________________________________________________________________________________________________________________________________________________________

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Teacher’s Name & Signature Observer’s Name & Signature

+ Signature indicate that observations have been clarified by both parties.

PERFORMANCE BEHAVIOR Observation RatingNO

BB B P HP

E. School, Home & Community Linkages1. Involves the community in sharing accountability for learners’ achievement.2. Uses varied and available community resources (human, materials) to support learning.3. Uses community as laboratory for teaching and learning.4. Shares with the community information on school events and achievement.5. Encourages learners to apply classroom learning at home and in community.6. Informs learners, parents and other stakeholders regarding school policies and procedures.

Total Score: ________ Average: ________ Description: _________

Narrative Observation: ______________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments of the Teacher: ___________________________________________________________________________________________________________________________________________________________________________________________________________________

Agreements of the Teacher and Observer: _____________________________________________________________________________________________________________________________________________________________________________________________________

\

MAUREEN A. LONGHAS AMANCIA M. LONGHAS Teacher’s Name & Signature Observer’s Name & Signature

+ Signature indicate that observations have been clarified by both parties.

IS Form 3A / CB – PAST Form 3C

TEACHER OBSERVATION GUIDE FOR PERSONAL, SOCIAL GROWTH AND PROFESSIONAL DEVELOPMENT

Legend: 0 – Not Observed (NO) 1 – Below Basic (BB) 2 – Basic (B)3 – Proficient (P) 4 – Highly Proficient (HP)

Circle the number that describes best your observation of the Teacher. Start here…

PERFORMANCE BEHAVIOR Observation RatingNO

BB B P HP

F. Social Regard for Learning 0 1 2 3 41. Abides by and implements school policies and procedures. 0 1 2 3 42. Observes punctuality in accomplishing tasks and requirements. 0 1 2 3 43. Observes punctuality in class attendance and in other occasions 0 1 2 3 44. Maintains appropriate appearance and decorum at all times. 0 1 2 3 45. Demonstrates appropriate behavior in dealing with students, superiors and stakeholders.

0 1 2 3 4

Total Score: ________ Average: ________ Description: _________Narrative Observation: ______________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments of the Teacher: ___________________________________________________________________________________________________________________________________________________________________________________________________________________

Agreements of the Teacher and Observer: _____________________________________________________________________________________________________________________________________________________________________________________________________

MAUREEN A. LONGHAS AMANCIA M. LONGHAS Teacher’s Name & Signature Observer’s Name & Signature

+ Signature indicate that observations have been clarified by both parties.

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PERFORMANCE BEHAVIOR Observation RatingNO

BB B P HP

G. Personal Growth and Professional Development 0 1 2 3 41. Maintains stature and behavior that upholds the dignity of teaching. 0 1 2 3 42. Manifests personal qualities like enthusiasm, flexibility, caring attitude and others.

0 1 2 3 4

3. Demonstrates a personal philosophy of teaching in the classroom. 0 1 2 3 44. Updates oneself with the recent developments in education. 0 1 2 3 45. Improves teaching performance based on feedback from mentor, students, peers and superiors.

0 1 2 3 4

6. Accepts accountability for learning outcomes. 0 1 2 3 47. Reflects on one’s quality of teaching vis-à-vis learning outcomes. 0 1 2 3 48. Uses self-assessment (TSNA) to enhance strengths and correct one’s weaknesses.

0 1 2 3 4

9. Participates actively in professional organizations. 0 1 2 3 410.Abides by the Code of Ethics for Professional Teachers. 0 1 2 3 4

Total Score: ________ Average: ________ Description: _________

Narrative Observation: ______________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments of the Teacher: ___________________________________________________________________________________________________________________________________________________________________________________________________________________

Agreements of the Teacher and Observer: _____________________________________________________________________________________________________________________________________________________________________________________________________

MAUREEN A. LONGHAS AMANCIA M. LONGHAS Teacher’s Name & Signature Observer’s Name & Signature+ Signature indicate that observations have been clarified by both parties.Instructional Supervision Form 2

POST – OBSERVATION INFORMATION

Teacher: MAUREEN A. LONGHAS School:KAPUTIAN CES Division:IGACOS District: KAPUTIAN Grade & Section: 4-NARRA Subject: _________ School Year: 2011 - 2012 Semester: ___________ Conference Date: __________ Instructional Supervisor: AMANCIA M. LONGHAS

Directions:1. This form shall be answered by the Teacher after the actual class observation.2. The information will serve as guide for the post-observation conference. Observer may ask for additional job-relevant data to provide a background for actual observation.3. The filled up form shall be given back to the Teacher to be placed at the back of the Teacher

Observation Form 3A, B, C which was used by the observer.

Post – Observation Information1. What did your learners gain in your lesson in terms of Knowledge, Skills and Attitudes (KSAs)? Please enumerate.

a. Knowledge _________________________________________________________________________________________________________________________________

b. Skills _________________________________________________________________________________________________________________________________

c. Attitude _________________________________________________________________________________________________________________________________

2. How did you make the learners gain the KSAs which you listed above?_________________________________________________________________________

_______________________________________________________________________________

3. What did your pupils/students do in order to gain/learn the KSAs?_________________________________________________________________________

_______________________________________________________________________________

4. Were you able to accomplish your lesson objective?Yes _____ All ______ Some _____ No ______ All ______ Some _____

5. If yes, how did you do it?_________________________________________________________________________

_______________________________________________________________________________

6. If no, what difficulties did you encounter?_________________________________________________________________________

_______________________________________________________________________________

7. Did you and your class enjoy the lesson? Yes ___ No ___ Why? _______________________________

8. If you are going to teach the same lesson again, can you think of ways to improve it? Please write it down._________________________________________________________________________

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9. What teaching assistance would you need to overcome difficulties that you have encountered?_________________________________________________________________________

_______________________________________________________________________________

10.Can you suggest from whom you can ask this assistance and support? And how?_________________________________________________________________________

_______________________________________________________________________________

11.Would you welcome another visit or observation? Yes ___ No ___ Why? __________________________

Commendation for the Teacher: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Suggested support for the Teacher: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Submitted by: MAUREEN A. LONGHAS Noted by: MANOLITO D. ESCARLAN Teacher’s Name and Signature School Head’s Name and Signature

Note: This space shall be used for needed information given during the post-observation conference but are included above.Instructional Supervision Form 3

TEACHER OBSERVATION SUMMARY RATING TEMPLATE

Teacher: MAUREEN A. LONGHAS School: KAPUTIAN CES Division: IGACOS District: KAPUTIAN Grade & Section: 4 - NARRA Subject: _________ School Year: 2011 - 2012

CRITERIA

Assigned Weight in CB –

PAST (disregarded

in the Formative Appraisal)

No. of Items Score

Mean (score + no.

of items)Description of the TBI

Recommended Supervisory

Approach

INSTRUCTIONAL COMPETENCEA. Diversity of Learners 10% 4B. Curriculum Content and Pedagogy 30% 17 1. Teacher Behavior (9) 2.Learners Behavior (8)C. Planning, Assessing and Reporting

20% 6

TOTAL 60% 27HOME, SCHOOL & COMMUNITY INVOLVEMENT

D.Learning Environment 10% 5E.Community Linkages 10% 6

TOTAL 20% 11PERSONAL GROWTH & PROFESSIONAL DEVELOPMENT

F.Social Regard for Learning

10% 5

G. Personal, Social Growth & Professional Development

10% 10

TOTAL 20% 15GRAND TOTAL 100%

Teacher Formative Appraisal Rating (Grand Total Mean)

Description for Overall Teacher Observation Rating for Formative Appraisal

Teacher Behavior Index (TBI) for Formative Appraisal

3.51 – 4.00 = Highly Proficient. Teacher behaviors consistently exceeds expectations. Displays at all times, a consistently high level of performance related skills, abilities, attributes, initiative and productivity. Self-direction of the teacher is evident. Non-directive and collaborative approaches to supervision are recommended.

2.51 – 3.50 = Proficient. Teacher behaviors often exceeds expectations. Displays a high level of competency related skills, abilities, initiatives and productivity, exceeding requirements in many of the indicators. Non-directive and collaborative approaches to supervision are recommended.

1.51 – 2.50 = Basic. Teacher behaviors meet basic expectations based on standards. Displays basic level of work and performance outputs as required outcomes or expectations of the job. Collaborative and directive approaches to supervision are recommended.

Below 1.50 – Below Basic. Teacher behaviors on the job and performance outputs frequently fall below standard. Work outputs consistently fail to meet required outcomes which need repetition. The teacher urgently need immediate instructional support. Intensive directive supervision approach is recommended.

I hereby acknowledge the observations done by my Instructional Supervisor and I will appreciate all the support that will be extended to improve my instructional competence.

DATE: _____________ Teacher’s Name and Signature: MAUREEN A. LONGHAS

As an Instructional Supervisor, I am willing to extend instructional support to this Teacher based on the results of Observation and his/her expressed need.

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DATE: _____________ Instructional Supervisor’s Name and Signature: AMANCIA M. LONGHAS

Noted: DATE: _____________ School Head’s Name and Signature: MANOLITO D. ESCARLAN