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KEMENTERIAN

PENDIDIKAN
MALAYSIA
Pejabat Pendidikan Daerah Jempol dan Jelebu

HIP SCHOOL VISIT FORM FOR DISTRICT OFFICERS

STATE:
DISTRICT:
NAME OF OFFICER:
NAME OF SCHOOL
DATE OF VISIT:
3-Very Good, 2- Satisfactory, 1- Poor
NO. A. IMMERSIVE ENVIRONMENT FOR 3 2 1 COMMENTS
LANGUAGE LEARNING
1. There is a physically immersive environment
that is rich in language materials in the
school.

2. Students are provided with a variety of


language learning experiences/ACTIVITIES all
around the school.

3. Classrooms display English language print-


rich environment for students.

NO. B. WHOLE SCHOOL APPROACH 3 2 1 COMMENTS

1. Involvement and participation of other


subject teachers in the HIP activities.

2. Involvement and participation of students in


planning, organising and supporting the HIP
activities.

3. Participation of parents and community in


HIP activities.

NO. C. SCHOOL HEAD 3 2 1 COMMENTS

1. The School Head supports the HIP activities


in school and encourages the use of the
language among teachers and students.
2. The School Head monitors the
implementation of HIP in the school.

3. The School Head ensures the school


community is involved in the HIP activities.

4. The School Head encourages parents and the


community to contribute to HIP activities.

5. The School Head initiates and supports the


collaboration from potential outreach
partners.

NO. D. STUDENTS’ INVOLVEMENT 3 2 1 COMMENTS

1. All students have the opportunity to Provide evidence (i.e.


participate in the English language activities pictures/videos)
in and out of class.

2. Teachers monitor students’ participation in


language activities.

3. Students are given opportunity to plan,


organise and carry out the English activities
in school.

4. The HIP activities allow for the development


of students’ confidence in language use (all
skills).

NO. E. OUTREACH ACTIVITIES 3 2 1 COMMENTS

1. School has carried out outreach activities Name some of the


with parents, community and other outreach outreach partners.
partners.

2. The activities are sustained by the school

(Note: These activities should not be on-off.)

NO. F. OVERALL 3 2 1 COMMENTS


1. Is HIP being sustained within the school?

2. Is the school collaborating and sharing HIP


activities with other schools?

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