Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

QUARTERLY INSTRUCTIONAL SUPERVISORY PLAN FOR MASTER TEACHER

SY ___________________

Name:
Area/Learning Area:
Sub-Office/School:
Quarter:
Goal:

Classrooms/
Activities/
Programs/ Sections/ Expected
Target Date Targets Strategies/ Success Indicator
Projects/ Thrust Teachers to be MOVs
Methods
visited
A. Domain 1: Content Knowledge and Pedagogy
1. Applied c STAR
knowledge of Observation
content within and c Classroom
across curriculum Observation using
teaching areas. COT
c Clinical
Observation

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

c Follow-up
Observation
c Job Embedded
Learning
c Focus Group
Discussion/Round
Table Discussion
c Attendance to
Learning Action
Cell
c Professional
Development
c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

2. Used a range of c STAR

teaching strategies Observation
that enhance c Classroom
learner Observation using
achievement in COT
literacy and c Clinical
numeracy skills. Observation
c Follow-up
Observation
c Job Embedded
Learning
c Focus Group
Discussion/Round
Table Discussion
c Attendance to
Learning Action
Cell
c Professional
Development
c Attendance to
short training/
courses
c Coaching

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________

3. Applied a range c STAR

of teaching Observation
strategies to c Classroom
develop critical and Observation using
creative thinking, COT
as well as other c Clinical
higher-order Observation
thinking skills. c Follow-up
Observation
c Job Embedded
Learning
c Focus Group
Discussion/Round
Table Discussion

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

c Attendance to
Learning Action
Cell
c Professional
Development
c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________
B. Domain 2: Learning Environment
4. Managed c STAR
classroom Observation
structure to engage c Classroom
learners, Observation using
individually or in COT
groups, in

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

meaningful c Clinical
exploration, Observation
discovery and c Follow-up
hands-on activities Observation
within a range of c Job Embedded
physical learning Learning
environments. c Focus Group
Discussion/Round
Table Discussion
c Attendance to
Learning Action
Cell
c Professional
Development
c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

___________________
___________________
5. Managed learner c STAR
behavior Observation
constructively by c Classroom
applying positive Observation using
and non-violent COT
discipline to c Clinical
ensure learning- Observation
focused c Follow-up
environments. Observation
c Job Embedded
Learning
c Focus Group
Discussion/Round
Table Discussion
c Attendance to
Learning Action
Cell
c Professional
Development

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________
C. Domain 3: Diversity of Learners
6. Used c STAR
differentiated, Observation
developmentally c Classroom
appropriate Observation using
learning COT
experiences to c Clinical
address learners’ Observation
gender, needs, c Follow-up
strengths, interests Observation
and experiences. c Job Embedded
Learning

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

c Focus Group
Discussion/Round
Table Discussion
c Attendance to
Learning Action
Cell
c Professional
Development
c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________
D. Domain 4: Curriculum and Planning
7. Planned, c STAR
managed and Observation
implemented

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

developmentally c Classroom
sequenced Observation using
teaching and COT
learning processes c Clinical
to meet curriculum Observation
requirements and c Follow-up
varied teaching Observation
contexts. c Job Embedded
Learning
c Focus Group
Discussion/Round
Table Discussion
c Attendance to
Learning Action
Cell
c Professional
Development
c Attendance to
short training/
courses
c Coaching
c Mentoring

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

c others: ________
___________________
___________________
___________________
___________________
___________________
8. Participated in c STAR
collegial Observation
discussions that c Classroom
use teacher and Observation using
learner feedback to COT
enrich teaching c Clinical
practice. Observation
c Follow-up
Observation
c Job Embedded
Learning
c Focus Group
Discussion/Round
Table Discussion
c Attendance to
Learning Action
Cell

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

c Professional
Development
c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________

9. Selected, c STAR
developed, Observation
organized and used c Classroom
appropriate Observation using
teaching and COT
learning resources, c Clinical
including ICT, to Observation
address learning c Follow-up
goals. Observation

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

c Job Embedded
Learning
c Focus Group
Discussion/Round
Table Discussion
c Attendance to
Learning Action
Cell
c Professional
Development
c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________

E. Domain 5: Assessment and Reporting

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

10. Designed, c STAR

selected, organized Observation
and used c Classroom
diagnostic, Observation using
formative and COT
summative c Clinical
assessment Observation
strategies c Follow-up
consistent with Observation
curriculum c Job Embedded
requirements. Learning
c Focus Group
Discussion/Round
Table Discussion
c Attendance to
Learning Action
Cell
c Professional
Development
c Attendance to
short training/
courses
c Coaching

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________

11. Monitored and c STAR

evaluated learner Observation
progress and c Classroom
achievement using Observation using
learner attainment COT
data. c Clinical
Observation
c Follow-up
Observation
c Job Embedded
Learning
c Focus Group
Discussion/Round
Table Discussion

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

c Attendance to
Learning Action
Cell
c Professional
Development
c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________

12. Communicated c Clinical

promptly and Observation
clearly the c Follow-up
learners’ needs, Observation
progress and c Job Embedded
achievement to key Learning

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

stakeholders, c Focus Group

including Discussion/Round
parents/guardians. Table Discussion
c Attendance to
Learning Action
Cell
c Professional
Development
c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________

Address:
SCHOOL Contact No.:
LOGO Email Address:
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>

Prepared by:

Name of Master Teacher

<Position>

Noted: Recommending Approval: Approved:

Name of the Principal Name of the PSDS Name of ASDS

<Position> Public Schools District Supervisor Asst. Schools Division Superintendent

Address:
SCHOOL Contact No.:
LOGO Email Address: