Instructional Supervision Form3A / CB-PAST Form 3A

Name: _________________________________Position: _____________ Date: ______________

SCHOOL: _________________________________
District:
Teacher Observation Guide for Instructional Competence
Legend:
0-Not Observed 1-Below Basic 2-Basic (B) 3- Proficient 4-Highly Proficient (HP)
(NO) (BB) (P)
Circle the number that describes best your observation of the teacher. Start here…
Observation Rating
Performance Behavior N BB B P HP
O
A. Diversity of Learners
1 Sets lesson objectives within the experiences and capabilities of the 0 1 2 3 4
learners
2 Utilizes varied techniques and strategies suited to different kinds of 0 1 2 3 4
learners
3 Shows fairness in dealing with learners 0 1 2 3 4
4 Places lessons appropriate to the needs and difficulties of learners 0 1 2 3 4
5 Provides appropriate intervention activities for learners at risk 0 1 2 3 4

Total Score: ________ Average: ________ Description: _______________

Narrative Description:
_______________________________________________________________________________________________________
______________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________________________________________________________

Observation Rating
Performance Behavior N BB B P HP
O
B. Curriculum Content and Pedagogy
B.1 Teacher behavior in Actual teaching
1 Teaches accurate and updated content using appropriate approaches 0 1 2 3 4
and strategies.
2 Aligns lesson objectives, teaching methods, learning objectives and 0 1 2 3 4
instructional materials
3 Encourages learners to use higher order thinking skills in asking 0 1 2 3 4
questions
4 Encourages and sustains learners’ interest in the subject matter by 0 1 2 3 4
making content meaningful and relevant
5 Establishes routines and procedures to maximize use of time and 0 1 2 3 4
instructional materials.
6 Integrates language, literacy, skills and values in teaching. 0 1 2 3 4
7 Presents lesson logically in a developmental manner 0 1 2 3 4
8 Utilizes technology resources in planning, designing and delivery of 0 1 2 3 4
the lesson
9 Creates situations that encourages learners to use higher order 0 1 2 3 4
thinking skills

Total Score: ________ Average: ________ Description: _______________

Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Observation Rating
Performance Behavior N BB B P HP
O
B. Content and Pedagogy
B.2 Learners’ Behavior in the Classroom
1 Answers in own words at a desired cognitive level 0 1 2 3 4
1 | CB-PAST Form 3ABC
2 Participates actively in the learning tasks with some levels of 0 1 2 3 4
independence
3 Asks questions relevant to the lesson 0 1 2 3 4
4 Sustains interest in the lesson/ activity 0 1 2 3 4
5 Follows routines and procedure to maximize instructional time 0 1 2 3 4
6 Shows appropriate behavior of individualism, cooperation, 0 1 2 3 4
competition in classroom interactions
7 Imbibes and values learning from the teacher and from the classroom 0 1 2 3 4
8 Demonstrates in varies=d ways, learning achieved in the activities 0 1 2 3 4

Total Score: ________ Average: ________ Description: _______________

Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Observation Rating
Performance Behavior N BB B P HP
O
C. Planning, Assessing , Reporting Learners’ Outcomes
1 Provides timely, appropriate reinforcement/feedback to learners’ 0 1 2 3 4
behavior
2 Use appropriate formative, summative tests congruent to the lesson 0 1 2 3 4
3 Uses non-traditional authentic assessment techniques when needed 0 1 2 3 4
4 Keeps accurate records of learners’ performance level 0 1 2 3 4
5 Gives assignment as reinforcement or enrichment of the lesson 0 1 2 3 4
6 Provide opportunity for learners to demonstrate their learning 0 1 2 3 4

Total Score: ________ Average: ________ Description: _______________

Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Comments to the Teacher:

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

Agreements of the Teacher and Observer:

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
______________________________________________________________________________________________________
____________________________________________________________________________________________________
_____________________________________________________________________________________________________

_________________________________ ____________________________________
(Teacher’s Name and Signature) (Observer’s Name and Signature)
Head Teacher/Principal/Supervisor

*Signatures indicate that observations have been clarified by both parties.

2 | CB-PAST Form 3ABC

 Gms/2010

Instructional Supervision Form3B / CB-PAST Form 3B

Teacher Observation Guide for Home, School and Community Involvement

Legend:
0-Not Observed 1-Below Basic 2-Basic (B) 3- Proficient 4-Highly Proficient (HP)
(NO) (BB) (P)
Circle the number that describes best your observation of the teacher. Start here…
Observation Rating
Performance Behavior N BB B P HP
O
D. Learning Environment 0 1 2 3 4
1 Maintains a safe and orderly classroom
2 Engages learners in different learning activities for higher learning
3 Handles behavior problems quickly and with due respect to children’s
rights
4 Creates situation that develops a positive attitude among learners
towards their subjects and teachers
5 Provides gender sensitive opportunities for learning

Total Score: ________ Average: ________ Description: _______________

Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Observation Rating
Performance Behavior N BB B P HP
O
E. School, Home & Community Linkages
1 Involves the community in sharing accountability for learners’ 0 1 2 3 4
achievement
2 Uses varied and available community resources (human, materials) to 0 1 2 3 4
support learning
3 Uses community as laboratory for teaching and learning 0 1 2 3 4
4 Shares with the community information on school events and 0 1 2 3 4
achievements
5 Encourage learners to apply classroom learning at home and in 0 1 2 3 4
community
6 Informs learners, parents and stakeholders regarding school policies 0 1 2 3 4
and procedures

Total Score: ________ Average: ________ Description: _______________

Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Comments to the Teacher:

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Agreements of the Teacher and Observer:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
3 | CB-PAST Form 3ABC
 _________________________________ ____________________________________
(Teacher’s Name and Signature) (Observer’s Name and Signature)
Head Teacher/Principal/Supervisor
*Signatures indicate that observations have been clarified by both parties.

Gms/2010

Instructional Supervision Form3C / CB-PAST Form 3C

Teacher Observation Guide for Personal, Social Growth and Professional

Development
Legend:
0-Not Observed 1-Below Basic 2-Basic (B) 3- Proficient 4-Highly Proficient (HP)
(NO) (BB) (P)
Circle the number that describes best your observation of the teacher. Start here…
Observation Rating
Performance Behavior N BB B P HP
O
F. Social Regard for Learning
1 Abides by and implements school policies and procedures 0 1 2 3 4
2 Observes punctuality in accomplishing tasks and requirements 0 1 2 3 4
3 Observes punctuality in class attendance and other occasions 0 1 2 3 4
4 Maintains appropriate appearance and decorum at all times 0 1 2 3 4
5 Demonstrate appropriate behavior in dealing with students, superiors 0 1 2 3 4
and stakeholder

Total Score: ________ Average: ________ Description: _______________

Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
______________________________________________________________________________________________________
____________________________________________________________________________________________________
Observation Rating
Performance Behavior N BB B P HP
O
G. Personal, Social growth and Professional Development
1 Maintains stature and behavior that upholds the dignity of teaching 0 1 2 3 4
2 Manifests personal qualities like enthusiasm, flexibility, caring 0 1 2 3 4
attitude and others
3 Demonstrates a personal philosophy of teaching in the classroom 0 1 2 3 4
4 Updates oneself with the recent developments in education 0 1 2 3 4
5 Improves teaching performance based on feedback from mentor, 0 1 2 3 4
students, peers, superiors
6 Accepts accountability for learning outcomes 0 1 2 3 4
7 Reflects on ones quality of teaching vis-à-vis learning outcomes 0 1 2 3 4
8 Uses self-assessment (TSNA) to enhance strengths and correct ones 0 1 2 3 4
weaknesses
9 Participates actively in professional organizations 0 1 2 3 4
10 Abides by the Code of Ethics for Professional Teachers

Total Score: ________ Average: ________ Description: _______________

Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Comments to the Teacher:

4 | CB-PAST Form 3ABC

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

Agreements of the Teacher and Observer:

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
______________________________________________________________________________________________________
____________________________________________________________________________________________________

_________________________________ ____________________________________
(Teacher’s Name and Signature) (Observer’s Name and Signature)
Head Teacher/Principal/Supervisor
*Signatures indicate that observations have been clarified by both parties.

Gms/2010

CB-PAST Form 3 Summary of Ratings and Template

(For Formative Appraisal and Instructional Supervision)
Name: _________________________________ Position: _____________ Date: ______________
SCHOOL: _________________________________ District:
AMULUNG EAST DISTRICT
Assigned
Weight in No. Mean Descripti Recommended
Criteria CB-PAST of Score (Score ÷ on of the Supervisory
no. of
(disregarded in Items TBI Approach
items)
the Formative
Appraisal)
I. Instructional Competence
A. Diversity of Learners 10% 4
B. Curriculum Content and 17
Pedagogy
B.1 Teacher Behavior 30% 9
B.2 Learner Behavior 8
C. Planning, Assessing and 6
20%
Reporting
TOTAL 60% 27
II. Home, School & Community Involvement
D. Learning Environment 10% 5
E. Community Linkages 10% 6
TOTAL 20% 11
III. Personal Growth & Professional Development
F. Social Regard for 10% 5
Learning
G. Personal, Social and 10
10%
Professional Development
TOTAL 20% 15
Grand Total 100%

Teacher Formative Appraisal Rating: :

_____________________________________

Description for Overall Teacher Observation Rating for Formative Appraisal:

_____________________________________
Teacher Behavior Index (TBI) for Formative analysis
3.51 - 4.00- Highly Proficient.
 Teacher behaviors consistently
exceed expectations. Displays AT ALL TIME, a consistency high level of performance
related skills, abilities, attributes initiatives and productivity. Self-direction of the teacher is
evident. Non-Directive and collaborative approaches to supervision are
recommended.
2.51 – 3.50- Proficient.
 Teacher behaviors often exceed
expectations. Displays a high level of competency related skills, abilities, initiatives and

5 | CB-PAST Form 3ABC

 productivity, exceeding requirements in many indicators. Non-Directive and
collaborative approaches to supervision are recommended.
1.51 – 2.50 Basic
 Teacher behaviors meet basic
expectations based on standards. Display basic level of work and performance outputs as
required outcomes or expectations of the job. Collaborative and directive approaches
to supervision are recommended
Below – 1.50- Below Basic
 Teacher behaviors on the job and
performance outputs frequently fall below standard. Work outputs consistently fail to meet
required outcomes which need repetition. The teacher urgently needs immediate
instructional support. Intensive directive supervision approach is recommended

I hereby acknowledge the observations done by my instructional supervisor

and I will appreciate all the support that will be extended to improve my instructional
competence.

_____________________________
Teacher(name and signature) Date: ___________________
As an instructional supervisor, I am willing to extend instructional support to
this teacher based on the results of the Observation and his/her expressed need.

______________________________ Date: ___________________

Instructional Supervisor(name and signature)
NOTED:
_______________________________
TIC/ School Head/ Principal Date: ___________________

6 | CB-PAST Form 3ABC