FORM 1

6.1 Instructional Supervisor Form 1 Pre-Observation Information

M
Teacher: _______________________________
District: ________________________________
Grade /Year & Section ____________________
School Year________ Semester _____________
Instructional Supervisor

School: _____________________________
Division: ____________________________
Subject______________________________
Conference Date ______________________

Directions
1.
2.
3.

This form shall be answered by the Teacher prior Support Visit

The information will serve as guide for pre-observation Conference Observer may
ask additional job-relevant data to provide a background for detail observation
The filled up shall be given back to the teacher to be placed in form of the teacher
observation form 3 A 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 classes would you like to be observed?
Class and the period to be observed ________________________
3. What area or domain would 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
_____ Planning, Assessing and Reporting
_____ other, specify
4. What specific teaching-learning parameters would you like to be focused? Please check
_____Motivation
_____Teacher-1 earners instruction
_____Questioning answer skill
_____Pacing of the lesson
_____Testing
_____Classroom management
_____Time on task
_____Addressing multiple intelligences
_____ Other, Specify
5. What teaching method strategy will you used?
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 ( ) Multi grade

b. Size of class
( ) Small class size
( ) Big class size

Number of 1 earners _____________

Number of 1 earners _____________

c. Class Diversity
( ) Homogeneous (describer)
( ) Heterogeneous (describer)

_________________
_________________

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 objectives in your IPPD did you include for School Year that you intend to
accomplish? Please write.
a.
b.
c.

Submitted by:

___________________________
Teacher Name & signature

Noted By:

_________________________
School head name & signature

______________________________________________________________________________
Note: this space shall be used for needed information given during the pre-observation are included above

FORM2
6.2 Instructional Supervision Form 2Post-Observation Information
Teacher___________________________________ School____________________________
District____________________________________ Division___________________________
Grade/ year& Section_________________________Subject____________________________
School Year_________________ Semester________________ Conference Date ___________
Instructional Supervisor ________________________
Direction:
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 additional job-relevant data to provide a back ground 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 3 A, B, C which will be used by the observer.
Post-Observation Information;
1. What did your learners gain in your lesson in terms of knowledge, skill and attitudes
(KSAs)? Please enumerate.
a. Knowledge
b. Skill.
c. Attitude
2. How did you make the learners gain KSAs which you listed above?
3. What did your pupils/students do in order gain/learn the KSA?
4. Where 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:

_____________________________
Teacher Name & Signature

______________________________
Observers Name & Signature

______________________________________________________________________________
Note; this space shall be used for needed information given during the post-observation
conference but are included above

Instructional SupervisionTEDTWG

IS Form 3A / CB PAST Form 3A

Teacher Observation Guide for Instructional Competencies
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 Rating
NO B
B
P
HP
B
A. Diversity of Learner
0
1
2
3
4
1. Sets lesson objectives within the experiences and
0
1
2
3
4
Capabilities of the Learner
2. Utilizes varied techniques and strategies suited it
0
1
2
3
4
different kinds of learner
3. Show fairness in dealing with the learners.
0
1
2
3
4
4. Paces lesson appropriate to the needs and difficulties of
0
1
2
3
4
learner
5. Provides appropriate intervention activities for learner
0
1
2
3
4
at risk
Total Score_________Average____________________Description__________________
Narrative Observation

Performance Behavior
B. Content and Pedagogy
B.1 Teacher Behavior in Actual Teaching
1. Sets lesson objectives within the experiences and
capabilities of the learner
2. Utilizes varied techniques and strategies suited to
different kinds of teacher
3. Encourage learner to use higher order thinking skills in
asking questions.
4. Engages and sustain learner 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. intergrades 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 situation that encourages learner to use higher
order thinking skills.

Observation Rating
NO B
B
P
HP
B
0

0
0

1
1

2
2

3
3

4
4

Total Score___________Average____________Description__________________________
Narrative Observation

Comments of the Teacher

Agreement of the Teacher and Observer

_________________________________
Teachers Name & Signature

_____________________________
Observers Name & Signature

Performance Behavior
0
B. Content and Pedagogy
B.2 Learners Behavior in the Classroom
1. Answers in own words at a desired cognitive level
2. Participate actively in the learning tasks with some
levels of independence.
3. Ask questions relevant to the lesson.
4. Sustain interest in the lesson /activity
5. Follows routines and procedure to maximize
instructional time.
6. Shows appropriate behavior of individualism,
cooperation, competition in classroom interactions.
7. Imbibes and values learning form the teacher and from
classmates
8. Demonstrates in varied ways, learning achieved in the
activities.

Observation Rating
1
2
3
4

0
0

1
1

2
2

3
3

4
4

0
0
0

1
1
1

2
2
2

3
3
3

4
4
4

Total Score _______ Average _________Description _____________________

Narrative Observation

Performance Behavior
0
C. Planning, Assessing, Reporting, Learners Outcomes
1. Provides timely, appropriate reinforcement/feedback to
learners behavior
2. Uses appropriate formative, summative test congruent
to the lesson.
3. Uses non-traditional authentic assessment techniques
hen needed.
4. Keep accurate records of learners performance level.
5. Gives assignment as reinforcement or enrichment of
the lesson
6. Provides opportunity for learner to demonstrate their
learning.

Observation Rating
1
2
3
4

0
0

1
1

2
2

3
3

4
4

Total Score _________ Average ___________ Description ______________________________

Narrative Observation

Comments of the teacher

Agreement of the Teacher and Observer

_____________________________
Teachers Name & Signature

________________________________
Observers Name & signature

Form 3 B.
IS Form 3B/CB-PAST 3 B
Teacher Observation Guide for Home, School and Community Involvement.
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 Rating
NO
BB
B
P
HP
D. Learning Environment
1. Maintains a safe and orderly classroom
0
1
2
3
4
2. Engages learner in differentiated activities for higher
0
1
2
3
4
learner
3. Handles behavior problems quickly and with due
0
1
2
3
4
respect to childrens rights.
4. Creates situation that develops a positive attitude
0
1
2
3
4
among learner towards their subject and Teacher
5. Provides gender sensitive opportunities for learning
0
1
2
3
4
Total Score ________ Average _______ Description __________________________
Narrative Observation:

Diversity of Learner
E. School, Home, & Community Linkages
1. Involves the community in sharing accountability
for learners achievement .
2. Uses varied and available community resources
(human material) to support learning.
3. Uses community as laboratory for teaching and
learning.
4. Share with the community information on school
events and achievements.
5. Encourages learner to apply classroom learning at
home and community
6. Informs learner, parents and other stake holders
regarding school policies and procedures.

Observation Rating
NO
BB
B
P
HP
0

Total Score__________Average_________Description_________________________
Narrative Observation

Comments of the Teacher

Agreement of the Teacher and Observer

_________________________________
Teachers name & signature

_____________________________
Observers Name &Signature

*Signatures indicate that observations have been clarified by both parties

Instructional SupervisionTEDTWG
Form 3C
6.4 Instructional Supervision Form 3Teacher Observation Template

Criteria

Assigned weight in
CP_PAST (Disregarded
in the Formative
Approach

No. of
item

Score

Mean
(Score
&No. of
items)

Description
of the TBI

Recommended
Supervisory
approach

INSTRUCTIONAL COMPETENCE
A. Diversity of Learner
10%
B. Curriculum Content and Pedagogy
30%
1. Teacher Behavior
2. Learner Behavior
C. Planning, assessing and Reporting
20%
Total
60%
HOME, SCHOOL & COMMUNITY INVOLMENT
D. Learning Environment
10%
E .Community Linkages
10%
Total
20%
PERSONAL GROWTH & PROF. 10% ESSIONAL DEVELOPMENT

F .Social
10%
Regard for
Learning
G. Personal, Social Growth
&Professional Development

10%

Total
20%
GRANT TOTAL
100%
Teacher Formative Appraisal Rating (Grant 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 Behavior consistently exceeds expectation. Display at all time a
consistently high level of performance related skills, abilities, attributes, initiatives and productivity. Selfdirection of the Teacher is evident. Non-directive and collaborative approaches supervision are
recommended.
2.51-3.50 - Proficient. Teacher behaviors of exceeds expectation. Display a high level of competency
related skills, abilities, initiatives and productivity, exceeding requirements in many of the indicator. Nondirective and collaborative approaches to supervision are recommended.
1.51-2.50 Basic. Teacher behaviors meet basic expectations base on standards. Display basic level of
work and performance outputs as required outcomes or expectation of the job. Collaborative and
directive approaches to supervision are recommended.
Below 1.50- Below Basic. Teachers behaviors on the and performance, outputs, frequently
Fall below standard work outputs consistently fall to meet required outcomes which need repetition. The
teacher urgently need immediate instructional support intensive supervision approach is recommended.
I hereby acknowledge the observation done by my instructional supervisor and I will appreciate
all the support that will be extended to improve my instructional competence.
__________________________________
Date______________________________

Teacher name & Signature

As an instructional supervisor, I am willing to extend instructional support to this teacher. Base on the
results of observational his/her expressed need.
___________________________________
Date_______________________________
Instructional Supervisor name & signature)
Noted By
___________________________________
Date_______________________________
School Head (Name and Signature)

Instructional Supervision _TED_ TWG

Form 4.
6.5 Instructional Supervision Form 4- STAR Observation Technique
NameTeacher__________________________________________________________________
School__________________________District__________________Division_______________
Class ___________________________Subject________________________________________
Note: This is supervisory tool which is useful to collect information from the actual teaching
learning activity in the classroom.
What to Observe

Observation (Record detail if possible)

SITUATION
(focus and observe closely the context and
teaching episode, i.e. learning environment,
motivation, presentation of the lesson,
evaluation, other in the lesson)
TASK
(focus and observe closely the teachers action
in the particular Situation described above
ACTION
(focus and observe closely the learners action
relative to the teachers task described above)
RESULT
(focus and observe the end results or outcomes
of the teachers Task and the Learner action
described above in both quantitative (I,e.85%
of the learner were able to identify nouns )and
qualitatively (most of the learner activity
participated in the class)
General comments for Teacher support.

______________________________
Name and signature of the Observer

________________________________
Name and Signature of Teacher

Instructional Supervision _TED_ TWG