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SACRED HEART SCHOOL - ATENEO DE CEBU Form 1:

H. Abellana Street, Canduman, Mandaue City
Pre-Observation
Information
INSTRUCTIONAL SUPERVISION REPORT
Pre-Observation Information
Name of Teacher: Grade & Section:
Quarter: Date & Time:
Subject: Subject Matter:
Instructional Supervisor: Conference Date:
Directions:
1. This form must be answered by the Teacher prior to Instructional Supervision.
2. The Information will serve as guide for the pre-observation conference. Observer may ask additional information to
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 which will
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 area or domain would like to be observed? Please check:
 (1) Preparation and Curricular Focus
 (2) Instruction and Assessment
 (3) Student Motivation and Management
 (4) Time and Resource Management
 (5) Evidence of Student Learning
4. What specific teaching-learning parameters would you like to be focused? Please check.
a. Quality of instructional materials
1 b. Grasp of the subject matter
c. Alignment among the learning plans, learning materials, and target evidences of learning
a. Teaching styles and strategies
b. Implementation and presentation of the lesson
2 c. Use of formative and summative assessments
d. Implementation of differentiated instruction
e. Feedback mechanism
a. Student engagement
b. Student behavior
3 c. Class momentum and classroom climate
d. Positive relationship and rapport with students
e. Conduct of classroom routines and procedures
a. Allocation of instruction time to attain learning objectives
4
b. Utilization of instructional equipment and materials
a. Mastery of basic knowledge and skills
5 b. Student participation and cooperation in class activities
c. Manifestation of good communication skills alongside creative and critical thinking skills
5. What teaching method/strategy will you use?
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Submitted by: Noted by:

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Signature of Teacher over Printed Name Signature of Cluster Coordinator over Printed Name