PRE-OBSERVATION INFORMATION

ISIDRO V. LARIDA, JR.

Teacher: ______________________________________ School: San Miguel Elementary School
District: Norala District 2 Division: South Cotabato
Grade/Year & Section: __________________________ Subject: ______________________________
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School Year: 2021-2022 Semester: 1 Conference Date: _______________________
Instructional Supervision: ______________________________________
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-relevant data to
provide a background for actual observation.
3. The filled up form 3A, B and C, which be used by the observer.
Pre-Observation Information:
1. When would you like to have instructional supervision support?
Date and Time: _______________________________________________________________________
In which of your class would you like to be observed?
Class and the period to be observed: _______________________________________________________
2. What area or domain would you like to be observed?
_____________________ Diversity of Learners
_____________________ Content and Pedagogy
_____________________ Learning Environment
_____________________ School, Home and Community Linkages
_____________________ Social Rehearsal of Learning
_____________________ Personal Growth and Professional Development
_____________________ Planning, Assessment and Reporting
_____________________ Others, specify: _________________________________________________
3. What specific teaching-learning parameter would you like to be focused? Please check
_____________________ Motivation
_____________________ Teacher-Learner Interaction
_____________________ Questionnaire/Answering Skill
_____________________ Pacing of the Lesson
_____________________ Testing
_____________________ Classroom Management
_____________________ Time on Task
_____________________ Addressing Multiple Intelligence/Learning Styles
_____________________ Others, specify: _________________________________________________
4. What teaching methods/strategy will you use? 4 As – Activity, Analysis, Abstraction, Application
5. How would you describe the class that you will be teaching during visit? Please provide information by checking
or filling up the required data.
a. Type of Class
(/) Monograde ( ) 2 Class Combination ( ) Multi-Grade
b. Size of Class
(/) Small Class Size Number of Learners: _____________________
( ) Big Class Size Number of Learners: _____________________
c. Class Diversity
( ) Homogeneous (describe)
(/) Heterogeneous (describe)
6. What three priority in your TSNA 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,
socio-economic 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)
7. What priority objectives in your IPPD did you include for School Year _________________ that you interested to
accomplish? Please write:
a. Diversity of Learners and Assessment and Reporting. (PPST Domain 2 and Domain 5)
b. Content Knowledge and Pedagogy. (PPST Domain 1)
c. Community Linkages and Professional Engagement and Personal Growth and Professional Development.
(PPST Domain 6 and 7)
Submitted by: Noted by:
ISIDRO V. LARIDA, JR.
_________________________________ ______________________________
Teacher’s Name and Signature Critique Teacher and Signature
Note: This space shall be used for needed information given during the pre-observation but are included above.
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 POST-OBSERVATION INFORMATION
School Year: ____________ Semester: __________ Conference Date: ____________________
Date: ________________________________
Teacher: ______________________________________ Grade/Year & Section: _____________________
Demonstrated: ____________________________________________
Post Observation Information:
1. What did your learners gain in your lesson of Knowledge, Skills, and Attitudes:
a. Knowledge: _________________________________________________________________
__________________________________________________________________
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b. Skills: __________________________________________________________________
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c. Attitude: __________________________________________________________________
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2. How did you make the learners gain the Knowledge, Skills, and Attitudes (KSAs) which you listed
above?
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3. What did your students do to gain and learn the KSAs?
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4. Were you able to accomplish your lesson objectives?
Yes __________ All ____________ Some ____________
No ___________ All ____________ Some ____________
5. If yes, how did you do it?
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6. If no, what difficulties did you encounter?
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7. Did you and your class enjoy the lesson? Yes ____ No____ Why?
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8. If you will be given the chance to reteach your lesson, in what part are you going to improve? How
will you do it?
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 9. What teaching assistance would you need to overcome? Difficulties that you have encountered?
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10. Can you suggest from whom you can ask this assistance and support? And How?
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11. Would you welcome another visit or observation? Yes ________ No _______ Why?
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Commendation for the Teacher:

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Suggested support for the Teacher:

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Teacher’s Name and Signature Observer’s Name and Signature

Note: This space shall be used for needed information given during the pre-observation but are included above.

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