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INSTRUCTIONAL SUPERVISION FORM 1 - PRE-OBSERVATION INFORMATION

Teacher: VERONICA A. FELIPE


School: POLIS BARRIO SCHOOL
District: KIBUNGAN
Division: BENGUET
Grade & Section:
Subject:
ST
School Year: 2012-2013
Semester: 1
Date of Conference:10/2/2013
Instructional Supervisor: __________________________
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 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 of 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 objectives in your IPPD did you include for School Year ______ that you intend to
accomplish? Please write.
a.
b.
c.
Submitted by:

Noted by:

_____________________
Teacher Name & Signature

VIRGINIA W. BALANG
School Head Name & Signature

INSTRUCTIONAL SUPERVISION FORM 2 - POST-OBSERVATION INFORMATION


Teacher: VERONICA A. FELIPE
School: POLIS BARRIO SCHOOL
District: KIBUNGAN
Division: BENGUET
Grade & Section:
Subject:
ST
School Year: 2012-2013
Semester: 1
Date of Conference:10/2/2013
Instructional Supervisor: __________________________
Post-Observation Information
1. What did your learners gain in your lesson in terms of Knowledge, Skills, and Attitudes
(KSAs)? Please enumerate.
a . K no wle d ge : Subtract 1 digit numbers with minuends up to 99 without regrouping .________
_ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ _
b . S ki l ls: Visualize situation when subtraction is used. _________________________________
_ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ _
c . A tti tu d e : Observe punctuality in coming to school .__________________________________
_ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __
2. How did you make the learners gain the KSAs which you listed above?
I prepared my IMs .___________________________________________________________
______________________________________________________________________________
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?
I am hard up in engaging visualize learners to ask questions regarding the lesson. ___________
_________________________________________________________________________________
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;
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
VERONICA A. FELIPE
Teacher's Name and Signature

VIRGINIA W. BALANG
Observer's Name and Signature

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