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Form 178

(revised)

Time of Arrival . . .10:00 . . . . . . . . . . . . . . . . . . . . . . Time of Departure . . . .11:20


. . . . .AM . . . . .AM
................
Cagayan de Oro City
Municipality . . . . . . . . . . . . . . . . . . . . . . . . School . . .Lourdes
. . . . . . College
. . . . . . . . . . . . . .Year/Grade . .Grade
. . . . . 12
...
Teacher . Hazel
. . . . . S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . .Jan.
. . Manuat . . . 29,
. . . 2021
..........

OS VS S US NE
1. Knowledge of subject matter ______________________________ ✓
2. Daily preparation
a) Board work ________________________________________ ✓
b) Used of devices _____________________________________ ✓
c) Lesson Plan
1. Objective stated in in behavioral terms ✓
2. Subject matter suited to objectives ✓
3. Strategy will carry out the objectives ✓
d) Penmanship
3. Implementation of the Continues ✓
Progression Scheme
a. Familiarity with the objectives _________________________
1. Cognitive ✓
2. Affective ✓
3. Psychomotor ✓
b. Employment of grouping concepts and practices

_________________________________________________
c. Effective use of instructional materials ___________________ ✓
d. Used of individualized instruction techniques
______________________________________________ ✓

e. Ability to teach

1. Lesson motivated effectively _______________________
2. Methods adapted to aims of lesson and needs. Abilities

interest of students _______________________________
3. Questions clearly stated. Thought provoking, evenly

distributed ______________________________________
4. Seatwork and supplementary material ✓
f. Effective used evaluative devices_______________________ ✓
g. Skills in classroom management ✓
1. Discipline __________________________________ ✓
a. Student to teacher report _____________________________ ✓
b. Student – student interaction ✓
7. Emotional Stability ✓
8. Vitality and enthusiasm ✓
9. Preparational and effective used of record ___________________ ✓
10. Acceptance and willingness to implement suggestion given for
change _______________________________________________ ✓
REMARKS

OS- Outstanding VS – Very Satisfactory S - Satisfactory


US – Unsatisfactory NE – Not Evident

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