INSTRUCTIONAL SUPERVISION FORM 1

PRE-OBSERVATION INFORMATION
Teachers : ________________________ School : ________________________
District : ________________________ Division : ________________________
Grade/Year & Section : ________________________ Subject : ________________________
School Year : ________________________ Semester : ________________________
Instructional Leader : ________________________ Conference : ________________________
Date

1. When would you like to have instructional supervision and support?

Date and Time: _________________________________________

2. In which of your class and period to be observed?

Class and the Period to be observed; ___________________________

3. What are the domain would you like to be observed?

 Apply knowledge of content within and across curriculum teaching
areas
 Display proficient use of Mother Tongue, Filipino and English to
facilitate teaching and learning
 Use effective verbal and non-verbal classroom communication
strategies to support learner understanding, participation, engagement
and achievement
 Establish safe and secure learning environments to enhance learning
through the consistent implementation of policies, guidelines and
procedures
 Maintain learning environments that promote fairness, respect and care
to encourage learning
 Maintain learning environments that nurture and inspire learners to
participate, cooperate and collaborate in continued learning
 Apply a range of successful strategies that maintain learning
environments that motivate learners to work productively by assuming
responsibility for their own learning
 Design, adapt and implement teaching strategies that are responsive to
learners with disabilities, giftedness and talents
 Adapt and use culturally appropriate teaching strategies to address the
needs of learners from indigenous groups
 4. What specific teaching-learning parameters would like to be focused?
 Motivation
 Teachers-learners interaction
 Questioning/answering skills
 Pacing of the classroom
 Testing
 Classroom management
 Time on task
 Addressing multiple intelligences/learning styles
 Others, specify
5. What teaching method/strategy will you use?
_______________________________________________

6. What are the three areas in COT-RPMS do you need the most support and
assistance?
 _______________________________________________________
 _______________________________________________________
 _______________________________________________________

7. What us the time allotment for this subject?

______________________________________________________
Submitted by:
___________________________
Teacher Name & Signature

Noted by:
_____________________________
Master Teacher I