DEPARTMENT OF EDUCATION
Region I
DIVISION I OF PANGASINAN
MAPANDAN NATIONAL HIGH SCHOOL
Mapandan, Pangasinan
Instructional Supervision Form 1
PRE-OBSERVATION INFORMATION
Teacher:_Velasquez, Almira O.___School:Mapandan National High School__
District:_III_________________________Division:Pangasinan I____________________
Year Level: Fourth____________________Subject: English IV_______________________
School Year: 2011-2012________________Semester:________________________________
Conference Dated:_________________________
Instructional Supervisor:____________________
Directions: 1. This form shall be answered by 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 shall be given back to the teacher to be placed in front of the Teacher Observation Form 3A, 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: 2. In which of your classes would you like to be observed?
Class and Period to be Observed: 3. What area or domain would you like to be observed? Please Check.
____________ Diversity of Learners
____________ Content and Pedagogy
____________ Learning Environment
____________ School, Home, Community Linkages
____________ Social Regard for Learning
____________ Personal Growth and Professional Development
____________ Planning, Assessing and Reporting
____________ Others, specify 4. What specific teaching-learning parameters would you like to be focused? Please Check.
____________ Motivation
____________ Teacher- Learner Interaction
____________ Questioning/Answering Skills
____________ Pacing of the Lesson
____________ Testing
____________ Classroom Management
____________ Time on Task