Instructional Supervision Form 1

PRE 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 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. _____________________________________________________________________________
b. _____________________________________________________________________________
c. _____________________________________________________________________________
8. What priority objective in your IPPD did you include for School Year _____________ that you intend to
accomplish? Please write.
a. _____________________________________________________________________________
b. _____________________________________________________________________________
c. _____________________________________________________________________________
Submitted by: MAUREEN A. LONGHAS

Noted by: MANOLITO D. ESCARLAN

Teachers Name and Signature

School Heads Name and Signature

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

IS Form 3A / CB PAST Form 3A

TEACHER OBSERVATION GUIDE FOR INSTRUCTIONAL COMPETENCE

Legend:

0 Not Observed (NO)

3 Proficient (P)

1 Below Basic (BB)

4 Highly Proficient (HP)

2 Basic (B)

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

1.
2.
3.
4.
5.

Observation Rating
NO BB B
P HP

A. Diversity of Learners
Sets lesson objectives within the experiences and capabilities of the learners.
Utilizes varied techniques and strategies suited to different kinds of learners.
Shows fairness in dealing with learners.
Paces lesson appropriate to the needs and difficulties of learners.
Provides appropriate intervention activities for learners at risk.
Total Score: ________

Average: ________

0
0
0
0
0
0

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

Description: _________

Narrative Observation: ____________________________________________________________________________________

____________________________________________________________________________________
Comments of the Teacher: _________________________________________________________________________________
________________________________________________________________________________
Agreements of the Teacher and Observer: ___________________________________________________________________
___________________________________________________________________
MAUREEN A. LONGHAS
Teachers Name & Signature

AMANCIA M. LONGHAS
Observers Name & Signature

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

PERFORMANCE BEHAVIOR

1.
2.
3.
4.
5.
6.
7.
8.
9.

Observation Rating
NO BB B
P HP

B. Content and Pedagogy

B.1. Teacher Behavior in Actual Teaching
Teaches accurate and updated content using appropriate approaches and
strategies.
Aligns lesson objectives, teaching methods, learning activities, and instructional
materials.
Encourages learners to use higher order thinking skills in asking questions.
Engages and sustains learners interest in the subject matter by making content
meaningful and relevant.
Establishes routines and procedures to maximize use of time and instructional
materials.
Intergrates language, literacy, skills, and values in teaching.
Presents lesson logically in a developmental manner.
Utilizes technology resources in planning, designing and delivery of the lesson.
Creates situations that encourages learners to use higher order thinking skills.
Total Score: ________

Average: ________

0
0

1
1

2
2

3
3

4
4

0
0
0
0

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

Description: _________

Narrative Observation: ___________________________________________________________________________________

___________________________________________________________________________________
Comments of the Teacher: ________________________________________________________________________________
________________________________________________________________________________
Agreements of the Teacher and Observer: __________________________________________________________________
__________________________________________________________________
MAUREEN A. LONGHAS
Teachers Name & Signature

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

AMANCIA M. LONGHAS
Observers Name & Signature

PERFORMANCE BEHAVIOR

Observation Rating
NO BB B P HP
0
1
2 3
4

B. Content and Pedagogy

B.2. Learners Behavior in the Classroom
1. 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
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: ________

0
0

1
1

2
2

3
3

4
4

0
0
0
0

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

0
0

1
1

2
2

3
3

4
4

Description: _________

Narrative Observation: ___________________________________________________________________________________

___________________________________________________________________________________
Comments of the Teacher: ________________________________________________________________________________
________________________________________________________________________________
Agreements of the Teacher and Observer: __________________________________________________________________
__________________________________________________________________

MAUREEN A. LONGHAS
Teachers Name & Signature

AMANCIA M. LONGHAS
Observers Name & Signature

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

PERFORMANCE BEHAVIOR
C. Planning, Assessing, Reporting Learners Outcomes
1. 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: ________

Observation Rating
NO BB B P HP
0
1
2 3
4
0
1
2 3
4
0
0
0
0
0

1
1
1
1
1

2
2
2
2
2

3
3
3
3
3

4
4
4
4
4

Description: _________

Narrative Observation: ___________________________________________________________________________________

___________________________________________________________________________________
Comments of the Teacher: ________________________________________________________________________________
________________________________________________________________________________
Agreements of the Teacher and Observer: __________________________________________________________________
__________________________________________________________________

MAUREEN A. LONGHAS
Teachers Name & Signature

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

AMANCIA M. LONGHAS
Observers Name & Signature

IS Form 3A / CB PAST Form 3B

PERFORMANCE BEHAVIOR
D. Learning Environment
1. 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 childrens 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: ________

Observation Rating
NO BB B P HP
0
1
2 3
4
0
1
2 3
4
0
1
2 3
4
0
1
2 3
4
0
1
2 3
4
0

Description: _________

Narrative Observation: _________________________________________________________________________________________________

_____________________________________________________________________________________________________________________
Comments of the Teacher: ______________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Agreements of the Teacher and Observer: ________________________________________________________________________________
_____________________________________________________________________________________________________________________

MAUREEN A. LONGHAS
Teachers Name & Signature

AMANCIA M. LONGHAS
Observers Name & Signature

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

PERFORMANCE BEHAVIOR
E. School, Home & Community Linkages
1. 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: ________

Observation Rating
NO BB B P HP
0
1
2 3
4
0
1
2 3
4
0
1
2 3
4
0
0
0
0

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

Description: _________

Narrative Observation: _________________________________________________________________________________________________

_____________________________________________________________________________________________________________________
Comments of the Teacher: ______________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Agreements of the Teacher and Observer: ________________________________________________________________________________
_____________________________________________________________________________________________________________________

MAUREEN A. LONGHAS
Teachers Name & Signature

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

AMANCIA M. LONGHAS
Observers Name & Signature

IS Form 3A / CB PAST Form 3C

TEACHER OBSERVATION GUIDE FOR PERSONAL, SOCIAL GROWTH

AND PROFESSIONAL DEVELOPMENT
Legend:

0 Not Observed (NO)

3 Proficient (P)

1 Below Basic (BB)

4 Highly Proficient (HP)

2 Basic (B)

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

1.
2.
3.
4.
5.

F. Social Regard for Learning

Abides by and implements school policies and procedures.
Observes punctuality in accomplishing tasks and requirements.
Observes punctuality in class attendance and in other occasions
Maintains appropriate appearance and decorum at all times.
Demonstrates appropriate behavior in dealing with students, superiors and
stakeholders.
Total Score: ________

Average: ________

Observation Rating
NO BB B P HP
0
1
2 3
4
0
1
2 3
4
0
1
2 3
4
0
1
2 3
4
0
1
2 3
4
0
1
2 3
4

Description: _________

Narrative Observation: _________________________________________________________________________________________________

_____________________________________________________________________________________________________________________
Comments of the Teacher: ______________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Agreements of the Teacher and Observer: ________________________________________________________________________________
_____________________________________________________________________________________________________________________

MAUREEN A. LONGHAS
Teachers Name & Signature

AMANCIA M. LONGHAS
Observers Name & Signature

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

PERFORMANCE BEHAVIOR
G. Personal Growth and Professional Development
1. Maintains stature and behavior that upholds the dignity of teaching.
2. Manifests personal qualities like enthusiasm, flexibility, caring attitude and
others.
3. Demonstrates a personal philosophy of teaching in the classroom.
4. Updates oneself with the recent developments in education.
5. Improves teaching performance based on feedback from mentor, students,
peers and superiors.
6. Accepts accountability for learning outcomes.
7. Reflects on ones quality of teaching vis--vis learning outcomes.
8. Uses self-assessment (TSNA) to enhance strengths and correct ones
weaknesses.
9. Participates actively in professional organizations.
10.Abides by the Code of Ethics for Professional Teachers.
Total Score: ________

Average: ________

Observation Rating
NO BB B P HP
0
1
2 3
4
0
1
2 3
4
0
1
2 3
4
0
0
0

1
1
1

2
2
2

3
3
3

4
4
4

0
0
0

1
1
1

2
2
2

3
3
3

4
4
4

0
0

1
1

2
2

3
3

4
4

Description: _________

Narrative Observation: _________________________________________________________________________________________________

_____________________________________________________________________________________________________________________
Comments of the Teacher: ______________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Agreements of the Teacher and Observer: ________________________________________________________________________________
_____________________________________________________________________________________________________________________

MAUREEN A. LONGHAS
Teachers Name & Signature
+ Signature indicate that observations have been clarified by both parties.

AMANCIA M. LONGHAS
Observers Name & Signature

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 Information

1. 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 _____
No ______

All ______
All ______

Some _____
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.

_________________________________________________________________________
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
Teachers Name and Signature
School Heads 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
Assigned
Weight in CB
PAST
(disregarded
in the
Formative
Appraisal)

CRITERIA

A. Diversity of Learners
B. Curriculum Content
and Pedagogy
1. Teacher Behavior
2.Learners Behavior
C. Planning, Assessing
and Reporting
TOTAL

10%

No. of
Items

Score

Mean
(score + no.
of items)

Description
of the TBI

Recommended
Supervisory
Approach

INSTRUCTIONAL COMPETENCE
4

30%

17
(9)
(8)

20%

60%
27
HOME, SCHOOL & COMMUNITY INVOLVEMENT
10%
5
D.Learning Environment
10%
6
E.Community Linkages
TOTAL
20%
11
PERSONAL GROWTH & PROFESSIONAL DEVELOPMENT
10%
5
F.Social Regard for
Learning
G. Personal, Social
10%
10
Growth & Professional
Development
TOTAL
20%
15
GRAND 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: _____________

Teachers 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.

Noted:

DATE: _____________

Instructional Supervisors Name and Signature: AMANCIA M. LONGHAS

DATE: _____________

School Heads Name and Signature: MANOLITO D. ESCARLAN