Republic of the Philippines

Department of Education
REGION IX, ZAMBOANGA PENINSULA
SCHOOLS DIVISION OF ZAMBOANGA CITY
MA. CLARA L. LOBREGAT NATIONAL HIGH SCHOOL
Divisoria, Zamboanga City

TECHNICAL ASSISTANCE FORM

(For School Heads and Teachers)

Date: ___________________

Margerie I. Ufana
Name of Teacher/School Head: ______________________________Designation: Teacher III
______________Years 16
in Service: _____
Biology
Major: __________________Grade 10
Level/s Taught: __________________School: MCLLNHS PUTIK
_______________District: ___________

A. CONCERNS/OBSERVATIONS:
The teacher provided thoughtful and appropriate instructional adaptation for
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individual leaner needs.
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The adaptation of instruction is realistic and effective.
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The Teacher integrates extensive and multidisciplinary learning resources, including
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ICT which are appropriate and aligned with the learning goals
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B. AGREEMENT
Maintain and improve the excellent work.
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Teacher’s/School Head’s Signature Over Printed Name