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Department of Education

REGION III
CITY SCHOOLS DIVISION OF MABALACAT
P. Burgos St., Poblacion, City of Mabalacat

INSTRUCTIONAL SUPERVISORY PLAN


(For Observing School Heads)
For the Month of _____________
H-F2-A
Objectives: To extend technical assistance and support to the school heads on: a) Orientation on RPMS; b) Update records of public and private schools; c) Use Instructional Supervisory Plan for Teachers
based on National Competency-Based Teachers Appraisal System (NCBTS) as basis for classroom observations and recommendations.
Date School Principal/School Head Supervisory Concerns/Focus Strategy

Prepared by: Conforme: Recommending Approval:

__________________________ __________________________ CANDELARIA F. PIMENTEL, Ed.D


Education Program Supervisor Principal/School Head Chief, Curriculum Implementation Division

Approved:

ESTELITA G. PINEDA, CESO V


Schools Division Supertindent
Department of Education
REGION III
CITY SCHOOLS DIVISION OF MABALACAT
P. Burgos St., Poblacion, City of Mabalacat

ACCOMPLISHMENT REPORT
(In Observing School Heads)
For the Month of _____________
H-F2-B
Date of Visit School Principal/School Head Supervisory Concerns/Focus Findings/Observations Assistance Provided

Prepared by:

___________________________
Education Program Supervisor
Recommending Approval:

CANDELARIA F. PIMENTEL, Ed.D


Chief, Curriculum Implementation Division

Approved:

ESTELITA G. PINEDA, CESO V


Schools Division Supertindent
Department of Education
REGION III
CITY SCHOOLS DIVISION OF MABALACAT
P. Burgos St., Poblacion, City of Mabalacat

INSTRUCTIONAL SUPERVISORY PLAN (FOR TEACHERS)


Month __________________
TF-I
Objective: To extend technical assistance/support to teacher on __________________________________
School/s Name of Grade/ Date Time Domain/s Agreed to be observed Strategy for Supervision Assistance Provided
Teacher Year Level Performance Indicator Observation Rating
A. Diversity of Learners NO BB B P HP
0 1 2 3 4
1. Sets lesson objective within the experiences
and capabilities of learners
2. Utilizes varied technique and strategies
suited to different types of learners
3. Shows fairness in dealing with the learners
4. Paces lessons appropriate to needs and
difficulties of learners
5. Provides appropriate intervention activities
for learner at risk

Total/Average/Description=___________
Legend: 4 - Highly Proficient (HP), 3 - Basic (B), 2 - Proficient (P), 1 - Below Basic (BB), 0 - Not Observed (NO)

Narrative Observation/Other Findings:


_____________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________

Teachers Name & Signature: ________________________________________________________ Observers Name & Signature: _______________________________________
Department of Education
REGION III
CITY SCHOOLS DIVISION OF MABALACAT
P. Burgos St., Poblacion, City of Mabalacat

INSTRUCTIONAL SUPERVISORY PLAN (FOR TEACHERS)


Month __________________
TF-I
Objective: To extend technical assistance/support to teacher on __________________________________
School/s Name of Grade/ Date Time Domain/s Agreed to be observed Strategy for Supervision Assistance Provided
Teacher Year Level Performance Indicator Observation Rating
B. Content & Pedagogy NO BB B P HP
B1 Teacher Behavior in Actual Teaching 0 1 2 3 4
1. Teaches accurate and updated content
using appropriate approaches and
strategies
2. Aligns lessons, directions, teaching
methods, learning activities, and
instructional materials
3. Encourages learners to use higher order
thinking skills in asking questions
4. Engages and sustain learners interest in
the subject matter by making content
meaningful and relevant
5. Establishes routines and procedures to
maximize use of time and instructional
materials

Total/Average/Description=___________
Legend: 4 - Highly Proficient (HP), 3 - Basic (B), 2 - Proficient (P), 1 - Below Basic (BB), 0 - Not Observed (NO)

Narrative Observation/Other Findings:


_____________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________

Teachers Name & Signature: ________________________________________________________ Observers Name & Signature: _______________________________________
Department of Education
REGION III
CITY SCHOOLS DIVISION OF MABALACAT
P. Burgos St., Poblacion, City of Mabalacat

INSTRUCTIONAL SUPERVISORY PLAN (FOR TEACHERS)


Month __________________
TF-I
Objective: To extend technical assistance/support to teacher on __________________________________
School/s Name of Grade/ Date Time Domain/s Agreed to be observed Strategy for Supervision Assistance Provided
Teacher Year Level Performance Indicator Observation Rating
B. Content & Pedagogy NO BB B P HP
B2 Learners Behavior in the Classroom 0 1 2 3 4
1. Answer in own words at a desired cognitive
level
2. Participate actively in the learning tasks
with some level of independence
3. Ask questions relevant to the lesson
4. Sustain interest in the lesson/activity
5. Follow routines and procedure to maximize
instructional time
6. Show appropriate behavior of
individualism, cooperation, competition in
classroom interactions.
7. Imbibe and value learning from the teacher
and from classmates.
8. Demonstrate in varied ways, learning
achieved in the activities
Total/Average/Description=___________
Legend: 4 - Highly Proficient (HP), 3 - Basic (B), 2 - Proficient (P), 1 - Below Basic (BB), 0 - Not Observed (NO)

Narrative Observation/Other Findings:


_____________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________

Teachers Name & Signature: ________________________________________________________ Observers Name & Signature: _______________________________________
Department of Education
REGION III
CITY SCHOOLS DIVISION OF MABALACAT
P. Burgos St., Poblacion, City of Mabalacat

INSTRUCTIONAL SUPERVISORY PLAN (FOR TEACHERS)


Month __________________
TF-I
Objective: To extend technical assistance/support to teacher on __________________________________
School/s Name of Grade/ Date Time Domain/s Agreed to be observed Strategy for Supervision Assistance Provided
Teacher Year Level Performance Indicator Observation Rating
C. Planning, Assessing, Reporting Learners NO BB B P HP
Outcomes 0 1 2 3 4
1. Provides timely, appropriate 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,
enrichment of the lesson
6. Provides opportunity for learners to
demonstrate their learning
Total/Average/Description=___________
Legend: 4 - Highly Proficient (HP), 3 - Basic (B), 2 - Proficient (P), 1 - Below Basic (BB), 0 - Not Observed (NO)

Narrative Observation/Other Findings:


_____________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________

Teachers Name & Signature: ________________________________________________________ Observers Name & Signature: _______________________________________
Department of Education
REGION III
CITY SCHOOLS DIVISION OF MABALACAT
P. Burgos St., Poblacion, City of Mabalacat

INSTRUCTIONAL SUPERVISORY PLAN (FOR TEACHERS)


Month __________________
TF-I
Objective: To extend technical assistance/support to teacher on __________________________________
School/s Name of Grade/ Date Time Domain/s Agreed to be observed Strategy for Supervision Assistance Provided
Teacher Year Level Performance Indicator Observation Rating
D. Learning Environment NO BB B P HP
0 1 2 3 4
1. Maintains a safe and orderly classroom
2. Engages learners in differentiated activities
for higher learning
3. Handles behavior problem quickly and with
due respect to childrens right
4. Creates situation that develops a positive
attitude among learners towards their
subjects and teachers
5. Provides gender sensitive opportunities for
learning
Total/Average/Description=___________
Legend: 4 - Highly Proficient (HP), 3 - Basic (B), 2 - Proficient (P), 1 - Below Basic (BB), 0 - Not Observed (NO)

Narrative Observation/Other Findings:


_____________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________

Teachers Name & Signature: ________________________________________________________ Observers Name & Signature: _______________________________________
Department of Education
REGION III
CITY SCHOOLS DIVISION OF MABALACAT
P. Burgos St., Poblacion, City of Mabalacat

PROGRESS MONITORING CHART

TF-I
School Teacher Grade/ Date/Time Subject/Topic Visit 1 Signature Visit 2 Signature
Year/ of Teacher of Teacher
Observations Findings Observations Findings
Section

Prepared by: Noted: Recommending Approval:

_______________________________ _______________________________ CANDELARIA F. PIMENTEL, Ed.D


Principal/School Head Education Program Supervisor Chief, Curriculum Implementation Division

Approved:

ESTELITA G. PINEDA, CESO V


Schools Division Superintendent

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