APPENDIX B

District TA Provision Tracking Form

This form will be filled up by the Public Districts Supervisor to track down the skills of school
heads in their provision of Technical Assistance. Data on this form will be discussed with the school
heads during Monthly District Conference.

Directions: In a scale of 1-5, where 1 is the lowest and 5 is the highest the PSDS shall rate the school
heads’ Skills in providing Technical Assistance to their teachers.

RATING
NAME OF SCHOOL HEAD: SKILLS REMARKS
1 2 3 4 5

1. Facilitation

2. Giving Feedback

3. Coaching

4. Monitoring and
Analysis

5. Summative
Evaluation

Prepared by: Conforme:

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PSDS SCHOOL HEAD