Republic of the Philippines

DEPARTMENT OF EDUCATION
REGION III
Mariveles National High School-Cabcaben Annex Alion

Name of Teacher___________________________________ Year and Section_____________

Subject Area_______________________________________ Observer___________________

Time of observation_________________________________ Date_______________________

STAR SUPERVISION
Situation___________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Task______________________________________________________________
__________________________________________________________________

Action_____________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Result_____________________________________________________________
__________________________________________________________________
__________________________________________________________________
CONTINUE:__________________________________________________________________________________
_____________________________________________________________________________________________

AGREEMENT:________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

Teacher’s Signature____________________ Observer’s Signature____________________________

Reminder: The observer observes the confidentiality of teacher’s work