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CID – M&E Form 1-A

Republic of the Philippines


Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA DEL SUR
Pagadian City

Instructional Supervision Form1A-Pre -Observation


,
Teacher__________________________School___________________________________
District___________________________Division__________________________________
Grade/ Year & Section ______________Subject ______________School Year__________
Semester (SHS)_________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 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 1 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 you would like to be observed? Please check.

__Content Knowledge and Pedagogy


__Learning environment
__Diversity of Learners
__Curriculum and Planning
__Assessment and reporting

4. What specific teaching-learning parameters would you like to be focused? Please


check.
___ Motivation
___Teacher-Learners Interaction, Learner to Learner Interaction, Learner and
Material Interaction
___ Questioning/Answering skills
___ Pacing of the Lesson
___ Performance Task/ Test materials highlighting integration of content knowledge within
and across subject areas
___ Classroom management
___ Time on Task
___ Addressing multiple intelligences/learning styles
___ Instructional Materials highlighting content and its integration in other subjects
___ Others, specify.

5. What are your objectives and expectations for the lesson?


_________________________________________________________________________
_________________________________________________________________________

6. What teaching method/strategy will you use?


_________________________________________________________________________
_________________________________________________________________________

7. 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. Which among the supervisory tools do you prefer to be used in the observation?
_________________________________________________________________________
_________________________________________________________________________

8. What three priority areas in your Core Competencies do you need the most support
and assistance? Please enumerate and specify.

a. ___________________________________________________________________

b.____________________________________________________________________

c.____________________________________________________________________

9. What priority objectives in your Development Plan did you include for School Year ______
that you intend to accomplish? Please write.

a._______________________________________________________________________

b._______________________________________________________________________

d._____________________________________________________________________

Submitted by: Noted by:

_____________________ ________________________
Teacher Name & Signature School Head Name & Signature
Note: This space shall be used for needed information given during the pre-observation but
are included above.
CID – M&E Form 1-B
Republic of the Philippines
Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA DEL SUR
Pagadian City

Instructional Supervision Form1B-Post -Observation


,
Teacher____________________________________School_________________________
District____________________________________Division_________________________
Grade/ Year & Section ______________Subject ______________ School Year__________
Semester_________ Conference Date________________
Instructional Supervisor ___________________________

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 information to clarify or support observations.
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__ 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.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

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’s Name & Signature Observer’s Name & Signature

___________________________________________________________________
Note: This space shall be used for needed information given during the post –observation
conference but are included above. As Observer, Review the appropriate COT-RPMS rubric
for the teacher to be observed.

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