INSTRUCTIONAL SUPERVISION (IS) FORM 1

PRE – OBSERVATION INFORMATION

Teacher: MIRASOL A. ROSALES
District TAGOLOAN
Grade/Year & Section: 2- MAGITING
School Year 2022 - 2023
Instructional Supervisor: MA. THERESA C. CABIAZA
School GRACIA ELEMENTARY SCHOOL
Division MISAMIS ORIENTAL
Subject: MATHEMATICS
Semester: SECOND Conference Date: MAY 25, 2023

Directions:
1. This form shall be answered by the Teacher prior to Instructional Support Visit.
2. The information will serve as guide for the pre-observation conference. Observer may ask additional job-related data to
provide a background for actual observation.
3. The filled up form shall be given back to the Teacher to be placed in front of the Teacher Observation Form A, B, C, which
will be used by the observer.

Pre- Observation Information

1. When would you like to have instructional supervision and support?
Date and Time MAY 25, 2023 @ 1:30 PM – 2:20 PM_____
2. In which of your classes would you like to be observed?
Class and period observed MATHEMATICS 2
3. What area or domain would you like to be observed? Please check
 _____Diversity of Learners  _____School, Home, Community Linkages
 _____Content and Pedagogy  _____Social Regard for Learning
 _____Planning, Assessing and Reporting  _____Personal Growth and Professional Development
 _____Learning Environment  _____ others, specify
4. What specific teaching-learning parameters would you like to be focused? Please check.
 _____Motivation  _____Classroom Management
 _____Teacher-learners Interaction  _____Time on Task
 _____Questioning- Answering skills  _____Addressing multiple intelligences/learning styles
 _____Pacing of the Lesson  _____Others, specify
 _____Testing
5. Which part of the lesson that you apply knowledge of content within and across curriculum teaching areas?
DISCUSSION
6. What subject/s is/are integrated in your lesson? Values; MAPEH-Music, MTB/ ENGLISH
7. What teaching method/strategy will you use that could best respond to the special educational needs of learners during
this difficult circumstance. TOTAL PHYSICAL RESPONSE
8. How would you describe the class you will be teaching during the visit? Please provide information by checking or filling
up the required data
 Type of class _____Monograde _____class combination ____ Multigrade
 Size of class _____small class size - no. of learners 36 Big class size _______
 Class diversity _____Homogeneous ________ Heterogeneous _________
9. What three priority areas in your ESAT do you need the most support and assistance? Please enumerate and specify

a. Established a learner-centered culture by using teaching strategies that respond to their linguistic, cultural,
socioeconomic and religious backgrounds. (PPST Indicator 3.2.2)

b. Planned and delivered teaching strategies that are responsive to the special educational needs of learners in
difficult circumstances, including geographic isolation; chronic illness; displacement due to armed conflict, urban
resettlement or disasters; child abuse and child labor practices. (PPST Indicator 3.4.2)

c. Used strategies for providing timely, accurate and constructive feedback to improve learner performance.
(PPST Indicator 5.3.2)
10. What priority objectives in your IPPD did you include for School year 2022 - 2023 that you intend to accomplish?

a. To improve myself in the use of various teaching strategies to develop critical and creative thinking, as well as other
higher-order thinking skills.

b. To plan and deliver teaching strategies that are responsive to the special educational needs of learners in difficult
circumstances, including: geographic isolation; chronic illness; displacement due to armed conflict, urban
resettlement, or disasters; child abuse and child labor practices

c. To actively participate in specified training.

Submitted by: Noted:

MIRASOL A. ROSALES MA. THERESA C. CABIAZA

Teacher Name & Signature Observer’s Name and Signature