HOLY CROSS COLLEGE OF CALINAN, INC.

DAVAO-BUKIDNON ROAD, CALINAN, DAVAO CITY

FS 1: OBSERVATION OF TEACHING-LEARNING IN ACTUAL SCHOOL ENVIRONMENT

SY 2021-2022

GUIDELINES FOR THE COOPERATING TEACHER

1. Cooperating teachers will be assigned with a maximum of three (3) pre-service teachers.
2. Cooperating teachers will give orientation to the pre-service teachers regarding their rules
during their conduct of online classes.
3. Cooperating teachers will accomplish the attached Daily Time Record (DTR) of the pre-service
teachers. Pre-service teachers will be asked to render 50 hours from September 20-October
22, 2021. The schedule of their observation to their cooperating teachers will depend on the
class schedule of the cooperating teacher.
4. Cooperating teachers will rate the pre-service students using the attached rubrics.
5. Cooperating teachers are asked to submit their rating to FS 1 instructor on or before October
25, 2021. You can submit a hard or soft copy of your evaluation. For soft copy, you can send it
to my email: jennifer.coreta1981@gmail.com

Prepared by:

JENNIFER C. REMPERAS, PhD

Education Program Head
 HOLY CROSS COLLEGE OF CALINAN, INC.
DAVAO-BUKIDNON ROAD, CALINAN, DAVAO CITY

AGREEMENT OF THE INSTRUCTOR AND COOPERATING TEACHER

FS 1: OBSERVATION OF TEACHING-LEARNING IN ACTUAL SCHOOL ENVIRONMENT

Dr. Jennifer C. Remperas

Education Program Head
This Institution

I ___________________________________________ (name) of the Basic Education

Department agreed to be the cooperating teacher of the following pre-service teachers:
1. ___________________________________
2. ___________________________________
3. ___________________________________

I agreed to allow the pre-service teachers under me to observe my class. I also agreed to give
them the stipulated tasks so that they will be able to complete the requirements for FS 1. I also
agreed to pass my rating for the computation of the grades on or before October 25, 2021.

With this, I affix my signature in this agreement during this _________ day of September,
2021.

Yours truly,

_____________________________________
Signature over Printed Name
 HOLY CROSS COLLEGE OF CALINAN, INC.
DAVAO-BUKIDNON ROAD, CALINAN, DAVAO CITY
College Department
Field Study 1

COOPERATING TEACHER EVALUATION FORM

Student: ______________________________________
Program and Year: _______________________________

Please rate the above-mentioned FS 1 student from 1-5, as described below. Please check the
column that corresponds to your evaluation.
5 Exceptional (Always demonstrates this ability/consistently exceeds expectations)
4 Commendable (usually demonstrates this ability/sometimes exceeds expectations)
3 Fair (Sometimes demonstrates this ability/meets expectations)
2 Uncomplimentary (seldom demonstrates this ability/rarely meets expectations)
1 Unsatisfactory (never demonstrates this ability/does not meet expectations)

5 4 3 2 1
A. Motivation to Learn
1. Asks pertinent and purposeful questions.
2. Seeks out and utilizes appropriate approaches.
3. Accepts responsibility for mistakes and learn from experiences.

B. Reading and Writing Skills

1. Reads/comprehends/follows written materials
2. Communicates ideas and concepts clearly in writing.
3. Works with procedures appropriate to the job.
C. Listening and Oral Communication
1. Listens to others in an active and attentive manner.
2. Effectively participates in meetings or group settings.
3. Demonstrates active verbal communication skills.

D. Creative Thinking and Problem-Solving Skills

1. Breaks down complex tasks/problems into manageable pieces

2. Brainstorms/develops options and ideas

3. Demonstrates analytical capacity
E. Professional and career Development Skills
1. Exhibits self-motivated approach to work
2. Demonstrates ability to set appropriate priorities/goals
3. Exhibits professional behavior and attitude
F. Interpersonal and Teamwork Skills
1. Manages and resolves conflict in an effective manner
2. Supports and contributes to a team atmosphere
3. Demonstrate assertive but appropriate behavior
G. Organizational Effectiveness Skills
1. Seeks to understand and support the organization’s
mission/goals.
2. Fits in with the norms and expectations of the organization.
 3. Works within appropriate authority and decision-making
channels.
H. Basic Work Habits
1. Reports to work as scheduled and on-time.
2. Exhibits a positive and constructive attitude.
3. Dress and appearance are appropriate.
I. Character Attributes
1. Brings a sense of values and integrity to the job.
2. Behaves in an ethical manner.
3. Respects the diversity (religious/cultural/ethnic) of co-workers

J. Open Category: Academe-Specific Skills

Are there any skills or competencies that you feel are important to the profession or career-
field (represented by your organization) that have not been previously listed in this evaluation?
If so, please list these skills below and assess the pre-service teacher accordingly.

1. ______________________________________ 1 2 3 4 5
2. ______________________________________ 1 2 3 4 5
3. ______________________________________ 1 2 3 4 5

K. Comments:

L. Overall Performance (please encircle)

5- Outstanding
4- Very Good
3- Good
2- Poor
1- Unsatisfactory

This assessment was reviewed on __________________________________________

Evaluator’s Name and Signature: ___________________________________________

Rubric # 1: Reflection
Name of the Pre-Service Teacher:_______________________Program and Year:_______________
Subject:__________________ Date of Evaluation:_______________

CRITERIA SUPERIOR ADEQUATE MINIMAL INADEQUATE

Depth of Response Response Response Response
Reflection demonstrates an in- demonstrates a demonstrates a demonstrates a lack of
(X2) depth reflection on, general reflection on, minimal reflection on, reflection on, or
and personalization of, and personalization of, and personalization of, personalization of, the
the theories, concepts, the theories, concepts, the theories, concepts, theories, concepts,
and/or strategies and/or strategies and/or strategies and/or strategies
presented in the presented in the presented in the presented in the
course materials to course materials to course materials to course materials to
date. Viewpoints and date. Viewpoints and date. Viewpoints and date. Viewpoints and
interpretations are interpretations are interpretations are interpretations are
insightful and well supported. unsupported or missing, inappropriate,
supported. Clear, Appropriate examples supported with flawed and/or unsupported.
detailed examples are are provided, as arguments. Examples, Examples, when
provided, as applicable. when applicable, are applicable, are not
applicable. not provided or are provided.
irrelevant to the
assignment.

Required Response includes all Response includes all Response is missing Response excludes
Components components and components and some components essential components
(X2) meets or exceeds all meets all requirements and/or does not fully and/or does not
requirements indicated indicated in the meet the requirements address the
in the instructions. instructions. Each indicated in the requirements indicated
Each question or part question or part of the instructions. Some in the instructions.
of the assignment is assignment is questions or parts of Many parts of the
addressed thoroughly. addressed. the assignment are not assignment are
addressed. addressed minimally,
inadequately, and/or
not at all.

Structure Writing is clear, Writing is mostly clear, Writing is unclear Writing is unclear and
concise, and well concise, and well and/or disorganized. disorganized.
organized. Thoughts organized with good Thoughts are not Thoughts ramble and
are expressed in a sentence/paragraph expressed in a logical make little sense.
coherent and logical construction. Thoughts manner.
manner. are expressed in a
coherent and logical
manner.

Summary Response shows Response shows Response shows little Response shows no
strong evidence of evidence of synthesis evidence of synthesis evidence of synthesis
synthesis of ideas of ideas presented and of ideas presented and of ideas presented and
presented and insights insights gained. insights gained. insights gained.
gained.

Total: 30

DAILY TIME RECORD

HOLY CROSS COLLEGE OF CALINAN, INC .

 DAVAO-BUKIDNON ROAD, CALINAN, DAVAO CITY

Daily Time Record

For the Month of September, 2021

A.M. P.M. Total No. of

Da Arrival Departure Arrival Departure Hour Minutes
y s
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total No. of Hours and Minutes ___________

I certify on my honor that the above is a true and correct

report of the hours of work performed, record of which
was made daily at the time of arrival at and departure
from office.
Verified as to the prescribed office hours

_____________________________
Cooperating Teacher

HOLY CROSS COLLEGE OF CALINAN, INC .

DAVAO-BUKIDNON ROAD, CALINAN, DAVAO CITY
 Daily Time Record

For the Month of October, 2021

A.M. P.M. Total No. of

Da Arrival Departure Arrival Departure Hour Minutes
y s
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total No. of Hours and Minutes ___________

I certify on my honor that the above is a true and correct

report of the hours of work performed, record of which
was made daily at the time of arrival at and departure
from office.
Verified as to the prescribed office hours

_____________________________
Cooperating Teacher