Suggested Instructional Supervisory Plan Forms

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Republic of the Philippines

Department of Education
CARAGA REGION XIII
SCHOOLS DIVISION OF SURIGAO DEL NORTE
INSTRUCTIONAL SUPERVISORY PLAN
FOR THE MONTH OF _____________________,2020

School Year:____________________________
School:_________________________________
District:_________________________________
Name of Teacher Developmental Objectives Type of Resources Target date for Expected Remarks/General
Needs Instructional Capacity Material Fund supervision Output/ Observation
Supervision used Building Result

Prepared by:
____________________________
School Head
Reviewed by: _______________________________
EPS/ PSDS APPROVED:

___________________________________
OIC, Schools Division Superintendent

REPORT ON SCHOOL HEADS OBSERVED AND GIVEN TECHNICAL ASSISTANCE


FOR THE MONTH OF _____________________,2020

Address: Rizal St. Cor. Peñaranda St., Surigao City


Telephone: (086) 826-82-16
Email: surigao.delnorte@deped.gov.ph Website: www.depedsurigaodelnorte.com
Republic of the Philippines
Department of Education
CARAGA REGION XIII
SCHOOLS DIVISION OF SURIGAO DEL NORTE
Name of School Head :____________________________ District:_________________________________
School:_________________________________ Division:_________________________________

Date Name of Teacher Observed Program Subject/ Grade Level/ Year TECHNICAL ASSISTANCE AGREEMENT
GIVEN (SH and SUPERVISOR)

Submitted by:
_________________________________
Name and Signature of EPS/ PSDS Reviewed by:

DOMINICO P. LARONG, JR.


CID Chief

Concurred by:

________________________________
OIC, Schools Division Superintendent

INSTRUCTIONAL SUPERVISORY PLAN


For the Month of ________________________ 2020
Objective: To extend technical assistance and support to the school heads.

Address: Rizal St. Cor. Peñaranda St., Surigao City


Telephone: (086) 826-82-16
Email: surigao.delnorte@deped.gov.ph Website: www.depedsurigaodelnorte.com
Republic of the Philippines
Department of Education
CARAGA REGION XIII
SCHOOLS DIVISION OF SURIGAO DEL NORTE
DATE DISTRICT CLUSTER PRINCIPAL/SCHOOL HEAD SUPERVISORY CONCERNS/FOCUS STRATEGY

Prepared by:
_________________________________-
EPS/PSDS
Recommending Approval: Approved:

DOMINICO P. LARONG, JR., __________________________


CID Chief Schools Division Superintendent
MONTHLY SUPERVISORY PLAN
For the Month of OCTOBER 2020
SY 2020-2021
Objectives: To extend technical assistance and support to the Teachers on: a) Modular Distance Learning; b) Assessing learners’ performance (written and performance tasks),
c) giving remediation to learners d) providing feedback to parents on learners’ performance based on the assessment results.

Address: Rizal St. Cor. Peñaranda St., Surigao City


Telephone: (086) 826-82-16
Email: surigao.delnorte@deped.gov.ph Website: www.depedsurigaodelnorte.com
Republic of the Philippines
Department of Education
CARAGA REGION XIII
SCHOOLS DIVISION OF SURIGAO DEL NORTE

Date Grade Level Name of Teacher Supervisory Focus Strategy

Prepared by: Reviewed by:

______________________ ___________________________
School Head District Supervisor

Noted:
_______________________________
CID Chief APPROVED: __________________________
Schools Division Superintendent

Address: Rizal St. Cor. Peñaranda St., Surigao City


Telephone: (086) 826-82-16
Email: surigao.delnorte@deped.gov.ph Website: www.depedsurigaodelnorte.com
Republic of the Philippines
Department of Education
CARAGA REGION XIII
SCHOOLS DIVISION OF SURIGAO DEL NORTE

Address: Rizal St. Cor. Peñaranda St., Surigao City


Telephone: (086) 826-82-16
Email: surigao.delnorte@deped.gov.ph Website: www.depedsurigaodelnorte.com

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