PANGANIBAN NATIONAL HIGHSCHOOL

Tayug, Pangasinan

SUPERVISORY PLAN & REPORT

S.Y 2022-2023

NAME OF TEACHER: _____________________________________ DATE: ___________

GRADE LEVEL/SECTION: __________________________________

CHECKLIST
INDICATORS RATING
5 4 3 2 1 Remarks
ACTION PLAN
TEACHER’S PERFORMANCE
a. Classroom Observation
b. Daily Lesson Log
c. Weekly Home Learning Plan
d. SF 2 – Learners Attendance & Movement
e. SF 8 – Health & Nutrition Status of Learners
f. SF 9 – Report Card
g. SF 10 – Permanent Record
h. Class Records, Grade Sheets
i. Quarterly Test Result/MPS
j. Students Record/Performance
Task/Portfolio
k. Home Visitation/Action Taken/Intervention
l. Classroom Management/Orderliness
m. Assigned Areas Improvement
n. Conference Notes
o. PTA Meetings/Card Day with Narrative
Reports
p. School Initiated Programs & Activities
q. Conduct INSET/LAC Sessions/Focal Group
Discussion
r. Trainings/Seminars Attended
s. Conduct IGP, Innovation, CBP, Action
Research, etc.
t. Reading Program
u. Inventory of Modules by Quarter

Rating 1 is the lowest score and 5 is the highest score

NO – Not Observed

RATEE: ___________________________________________ RATER: ________________

NOTED:

LITO S. FLORENDO, EdD

PRINCIPAL IV