Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Division of Cavite
GOVERNOR FERRER MEMORIAL NATIONAL HIGH SCHOOL
General Trias, Cavite

Instructional Supervision Form 1- Pre-Observation Information

Teacher School
District Division
Grade/Year & Section Subject
School Year Semester Conference Date
Instructional Supervisor
Direction:
1 This form shall be answered by the teacher prior to instructional support visit.
2 The information will serve as a guide for the pre-observation conference. Observer may ask additional job-relevant data t
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 3A, B, /c which
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 areas or domains would you like would you 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
Others, specify
4 What specific teaching- learning parameters would you like to be focused?
Motivation
Teacher-Learner Interaction
Question/Answering Skills
Pacing of the Lesson
Testing
Classroom Management
Time on Task
Addressing Multiple Intelligence/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 informationby checking of f
up the required data.
a. Type of class:
( ) Monograde ( ) Class combination( ) Multigrade
b. Size of class:
( ) small size Number of Learners
( ) big size Number of Learners
c. Class Diversity
( ) Homogeneous (Describe)
( ) Heterogeneous (Describe)
 7
What three priority areas in your TSNA do you need the most support and assistance? Please enumerate and spec

a.
b.
c.

8 What priority objective in your IPPD did you include for School Year 2010-2011 that you intend to accomplish?
Please write.
a.
b.
c.

Submitted by: Noted by:

ENRICO A. JAVIER AGNES D. CAMUTIN

Teacher's Name & Signature School Head's Name & Signature

Note: This space shall be used for needed information given during the pre-observation but are not included above.
c of the Philippines
ment of Education
V-A CALABARZON
sion of Cavite
MORIAL NATIONAL HIGH SCHOOL
ral Trias, Cavite

orm 1- Pre-Observation Information

ervation conference. Observer may ask additional job-relevant data to

to be placed in front of the Teacher Observation Form 3A, B, /c which will

ing during the visit? Please provide informationby checking of filling
d the most support and assistance? Please enumerate and specify.

for School Year 2010-2011 that you intend to accomplish?

ven during the pre-observation but are not included above.

Table Tennis Girls Training Program

Day Date Day

1 February 28,2011 28 2011
2 March 1 2011
3 March 2 2011
4 March 3 2011
5 March 4 2011
6 March 5 2011
7 March 6 2011
8 March 7 2011
9 March 8 2011
10 March 9 2011

Monday, February 28, 2011

Day 1

7:00 8:00