Instructional Supervision Form3A / CB-PAST Form 3A

Name: _________________________________

Position: _____________

Date: ______________

SCHOOL:

_________________________________

District:

Teacher Observation Guide for Instructional Competence

Legend:
0-Not Observed
1-Below Basic
2-Basic (B)
3- Proficient 4-Highly Proficient (HP)
(NO)
(BB)
(P)
Circle the number that describes best your observation of the teacher. Start here
Observation Rating
Performance Behavior
N
BB
B
P
HP
O
A. Diversity of Learners
1 Sets lesson objectives within the experiences and capabilities of the
0
1
2
3
4
learners
2 Utilizes varied techniques and strategies suited to different kinds of
0
1
2
3
4
learners
3 Shows fairness in dealing with learners
0
1
2
3
4
4 Places lessons appropriate to the needs and difficulties of learners
0
1
2
3
4
5 Provides appropriate intervention activities for learners at risk
0
1
2
3
4
Total Score: ________
Average: ________
Description: _______________
Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Performance Behavior
B. Curriculum Content and Pedagogy
B.1 Teacher behavior in Actual teaching
1 Teaches accurate and updated content using appropriate approaches
and strategies.
2 Aligns lesson objectives, teaching methods, learning objectives and
instructional materials
3 Encourages learners to use higher order thinking skills in asking
questions
4 Encourages and sustains learners interest in the subject matter by
making content meaningful and relevant
5 Establishes routines and procedures to maximize use of time and
instructional materials.
6 Integrates language, literacy, skills and values in teaching.
7 Presents lesson logically in a developmental manner
8 Utilizes technology resources in planning, designing and delivery of
the lesson
9 Creates situations that encourages learners to use higher order
thinking skills

Observation Rating
N
BB
B
P
HP
O

0
0
0

1
1
1

2
2
2

3
3
3

4
4
4

Total Score: ________

Average: ________
Description: _______________
Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Performance Behavior
B. Content and Pedagogy

Observation Rating
N
BB
B
P
HP
O

B.2 Learners Behavior in the Classroom

1 Answers in own words at a desired cognitive level
2 Participates actively in the learning tasks with some levels of
independence
3 Asks questions relevant to the lesson
4 Sustains interest in the lesson/ activity
5 Follows routines and procedure to maximize instructional time
6 Shows appropriate behavior of individualism, cooperation,
competition in classroom interactions
7 Imbibes and values learning from the teacher and from the classroom
8 Demonstrates in varies=d ways, learning achieved in the activities

0
0

1
1

2
2

3
3

4
4

0
0
0
0

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

0
0

1
1

2
2

3
3

4
4

Total Score: ________

Average: ________
Description: _______________
Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Observation Rating
Performance Behavior
N
BB
B
P
HP
O
C. Planning, Assessing , Reporting Learners Outcomes
1 Provides timely, appropriate reinforcement/feedback to learners
0
1
2
3
4
behavior
2 Use appropriate formative, summative tests congruent to the lesson
0
1
2
3
4
3 Uses non-traditional authentic assessment techniques when needed
0
1
2
3
4
4 Keeps accurate records of learners performance level
0
1
2
3
4
5 Gives assignment as reinforcement or enrichment of the lesson
0
1
2
3
4
6 Provide opportunity for learners to demonstrate their learning
0
1
2
3
4
Total Score: ________
Average: ________
Description: _______________
Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Comments to the Teacher:

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

Agreements of the Teacher and Observer:

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
______________________________________________________________________________________________________
____________________________________________________________________________________________________
_____________________________________________________________________________________________________

_________________________________
(Teachers Name and Signature)

2 | CB-PAST Form 3ABC, 4, 5 and 6

____________________________________
(Observers Name and Signature)

Head Teacher/Principal/Supervisor

*Signatures indicate that observations have been clarified by both parties.

Gms/2010

Instructional Supervision Form3B / CB-PAST Form 3B

Teacher Observation Guide for Home, School and Community Involvement

Legend:
0-Not Observed
1-Below Basic
2-Basic (B)
3- Proficient 4-Highly Proficient (HP)
(NO)
(BB)
(P)
Circle the number that describes best your observation of the teacher. Start here
Observation Rating
Performance Behavior
N
BB
B
P
HP
O
D. Learning Environment
0
1
2
3
4
1 Maintains a safe and orderly classroom
2 Engages learners in different learning activities for higher learning
3 Handles behavior problems quickly and with due respect to childrens
rights
4 Creates situation that develops a positive attitude among learners
towards their subjects and teachers
5 Provides gender sensitive opportunities for learning
Total Score: ________
Average: ________
Description: _______________
Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Observation Rating
Performance Behavior
N
BB
B
P
HP
O
E. School, Home & Community Linkages
1 Involves the community in sharing accountability for learners
0
1
2
3
4
achievement
2 Uses varied and available community resources (human, materials) to
0
1
2
3
4
support learning
3 Uses community as laboratory for teaching and learning
0
1
2
3
4
4 Shares with the community information on school events and
0
1
2
3
4
achievements
5 Encourage learners to apply classroom learning at home and in
0
1
2
3
4
community
6 Informs learners, parents and stakeholders regarding school policies
0
1
2
3
4
and procedures
Total Score: ________
Average: ________
Description: _______________
Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Comments to the Teacher:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Agreements of the Teacher and Observer:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

3 | CB-PAST Form 3ABC, 4, 5 and 6

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_________________________________
(Teachers Name and Signature)

____________________________________
(Observers Name and Signature)

Head Teacher/Principal/Supervisor

*Signatures indicate that observations have been clarified by both parties.

Gms/2010

Instructional Supervision Form3C / CB-PAST Form 3C

Teacher Observation Guide for Personal, Social Growth and Professional

Development
Legend:
0-Not Observed
1-Below Basic
2-Basic (B)
3- Proficient 4-Highly Proficient (HP)
(NO)
(BB)
(P)
Circle the number that describes best your observation of the teacher. Start here
Observation Rating
Performance Behavior
N
BB
B
P
HP
O
F. Social Regard for Learning
1 Abides by and implements school policies and procedures
0
1
2
3
4
2 Observes punctuality in accomplishing tasks and requirements
0
1
2
3
4
3 Observes punctuality in class attendance and other occasions
0
1
2
3
4
4 Maintains appropriate appearance and decorum at all times
0
1
2
3
4
5 Demonstrate appropriate behavior in dealing with students, superiors
0
1
2
3
4
and stakeholder
Total Score: ________
Average: ________
Description: _______________
Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________
______________________________________________________________________________________________________
____________________________________________________________________________________________________
Observation Rating
Performance Behavior
N
BB
B
P
HP
O
G. Personal, Social growth and Professional Development
1 Maintains stature and behavior that upholds the dignity of teaching
0
1
2
3
4
2 Manifests personal qualities like enthusiasm, flexibility, caring
0
1
2
3
4
attitude and others
3 Demonstrates a personal philosophy of teaching in the classroom
0
1
2
3
4
4 Updates oneself with the recent developments in education
0
1
2
3
4
5 Improves teaching performance based on feedback from mentor,
0
1
2
3
4
students, peers, superiors
6 Accepts accountability for learning outcomes
0
1
2
3
4
7 Reflects on ones quality of teaching vis--vis learning outcomes
0
1
2
3
4
8 Uses self-assessment (TSNA) to enhance strengths and correct ones
0
1
2
3
4
weaknesses
9 Participates actively in professional organizations
0
1
2
3
4
10 Abides by the Code of Ethics for Professional Teachers
Total Score: ________
Average: ________
Description: _______________
Narrative Description:
_________________________________________________________________________________
____________________________________________________________________________________________________

4 | CB-PAST Form 3ABC, 4, 5 and 6

____________________________________________________________________________________________________
____________________________________________________________________________________________________
Comments to the Teacher:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Agreements of the Teacher and Observer:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
______________________________________________________________________________________________________
____________________________________________________________________________________________________
_________________________________

____________________________________

(Teachers Name and Signature)

(Observers Name and Signature)

Head Teacher/Principal/Supervisor

*Signatures indicate that observations have been clarified by both parties.

Gms/2010

CB-PAST Form 3 Summary of Ratings and Template

(For Formative Appraisal and Instructional Supervision)

Name: _________________________________ Position: _____________
Date: ______________
SCHOOL:

_________________________________

District:

_______________________

Criteria

Assigned
Weight in
CB-PAST
(disregarded in the
Formative Appraisal)

I. Instructional Competence
A. Diversity of Learners
B. Curriculum Content and
Pedagogy
B.1 Teacher Behavior
B.2 Learner Behavior
C. Planning, Assessing and
Reporting

TOTAL

No.
of
Items

10%

4
17

30%

9
8
6

20%
60%

Score

Mean
(Score no. of
items)

Descripti
on of the
TBI

Recommended
Supervisory
Approach

27

II. Home, School & Community Involvement

D. Learning Environment
10%
5
E. Community Linkages
10%
6
20%
11
TOTAL
III. Personal Growth & Professional Development
F. Social Regard for
10%
5
Learning
G. Personal, Social and
10
10%
Professional Development
TOTAL
20%
15
Grand Total
100%
Teacher Formative Appraisal Rating:
_____________________________________

Description for Overall Teacher Observation Rating for Formative Appraisal:

_____________________________________
Teacher Behavior Index (TBI) for Formative analysis
3.51 - 4.00- Highly Proficient.
Teacher behaviors consistently exceed expectations. Displays AT ALL TIME, a consistency
high level of performance related skills, abilities, attributes initiatives and productivity. Selfdirection of the teacher is evident. Non-Directive and collaborative approaches to
supervision are recommended.
2.51 3.50- Proficient.

5 | CB-PAST Form 3ABC, 4, 5 and 6

 Teacher behaviors often exceed expectations. Displays a high level of competency related
skills, abilities, initiatives and productivity, exceeding requirements in many indicators.
Non-Directive and collaborative approaches to supervision are recommended.
1.51 2.50 Basic
Teacher behaviors meet basic expectations based on standards. Display basic level of work
and performance outputs as required outcomes or expectations of the job. Collaborative
and directive approaches to supervision a re recommended
Below 1.50- Below Basic
Teacher behaviors on the job and performance outputs frequently fall below standard.
Work outputs consistently fail to meet required outcomes which need repetition. The
teacher urgently needs immediate instructional support. Intensive directive supervision
approach is recommended
I hereby acknowledge the observations done by my instructional supervisor
and I will appreciate all the support that will be extended to improve my instructional
competence.
_____________________________
Teacher(name and signature)
Date: ___________________
As an instructional supervisor, I am willing to extend instructional support to
this teacher based on the results of the Observation and his/her expressed need.
______________________________
Instructional Supervisor(name and signature)
NOTED:
_______________________________
TIC/ School Head/ Principal

Date: ___________________

Date: ___________________

CB-PAST Form 4
Teacher Performance Rubrics as Guide for Rating
The Teacher Performance Rubrics accompanies CB-PAST Form 1 and 2. It
explains in detail the requirements for each component along the scale values and
clearly determines the equivalent nearest to the scale.
CB-PAST PERFORMANCE RUBRICS FOR TEACHERS AND MASTER TEACHERS
Sample Summary Rubrics
This accompanying summary rubrics describe in holistic manner what is expected in
every performance standars. The descriptions will help guide and assist the teacher
and the observer in understanding the expectations and in reviewing the rating
along the scale of the instruments.
Performance
Standards

Performance Criteria
1 Below Basic 2 - Basic
3 - Proficient
Teacher
performance
and outputs
frequently fall
below
standard. Work
utputs
consistently
regularly fails
to meet
required
outcomes
which need
repetition of
duty or by
completion of
others. The
teacher shows
an indifference
to job

6 | CB-PAST Form 3ABC, 4, 5 and 6

Teacher
performance
meets basic
expectations
based on
standards.
Displays basic
levels of work
and
performance
outputs as
required
outcomes of
the job.
Performance is
Satisfactory.

Teacher
performance
often exceeds
expectations.
Displays at
high level of
job
performance
related skills,
abilities,
initiatives and
productivity,
exceeding
requirements
in many of the
areas.
Performance is
Very
Satisfactory.

4 Highly
Proficient
Displays at all
time
consistently
high level of
job
performance
related skills,
abilities,
attributes,
initiatives and
productivity.
All
assignments/
responsibilities
are completed
beyond the
level of
expectation .
Self direction
is evident.

I.

responsibilities
and may need
immediate
instructional
support.
Performance is
Below Basic.
INSTRUCTIONAL COMPETENCE

Performance
Standards
Diversity of
Learners

Performance
Standards
Curriculum
Content &
Pedagogy

Planning
Assessing and
Reporting

Performance Criteria
1 Below Basic 2 - Basic
3 - Proficient

Performance is
Outstanding.

4 Highly
Proficient
Teacher lacks
Teacher
Teacher
Teacher
knowledge of
displays
displays
displays
developmental
minimal
sufficient
mastery of
characteristics
knowledge of
knowledge of
knowledge of
of learners,
developmental
developmental
diversity of
learning styles
characteristics
characteristics
learners and
and modalities, of learners,
of learners,
the use of
skills and
understanding
understanding
appropriate
knowledge,
and use of
and use f varied approaches to
interests and
varied
approaches for
learning styles,
cultural
approaches for
the class to
cultural
differences.
the whole class address
background,
to address
diversity of
interest, as well
diversity of
learners.
as exceptions
learner.
to general
patterns.
Performance Criteria
1 Below Basic 2 - Basic
3 - Proficient
4 Highly
Proficient
Teacher makes Teacher
Teacher
Teacher
content errors
displays basic
displays
displays
or des not
content prethorough
extensive
correct content requisites
content,
content
errors
learning
knowledge and knowledge and
students
needed but
makes
pedagogy with
make. Content cannot
connections
evidence of
is unrelated to articulate
between
continuing
specific
connections to content and
pursuit to
objectives of
other
pedagogy.
update such
learning. Lacks disciplines.
Reflects
and search for
of
Lack skills in
understanding best practices.
understanding connecting to
of relationships
of pre-requisite content to
and precontent
pedagogy.
requisites in
needed.
teaching and
Mismatches
learning.
content and
pedagogy.
Teacher uses
Teacher uses
Teacher uses
Teacher uses
objectives
objectives
most of the
objectives that
which are not
which are
objectives
are all clear,
clear, do not
moderately
which are
reflect learners
align with
clear and are
clear, suitable
expected
learners
related to the
to the learners outcomes, are
activities,
learners
activities,
suited to the
materials and
activities,
materials and
materials and
assessment
materials and
assessment
assessment
procedures.
assessment
procedures
procedures
procedures
which address
which address
which are
different types different types

7 | CB-PAST Form 3ABC, 4, 5 and 6

suitable to
majority of
learners.

of learning.
Learning
outcomes are
often
communicated
to students
and parents

HOME, SCHOOL AND COMMUNITY LINKAGES

Performance Criteria
Performance
1 Below Basic 2 - Basic
3 - Proficient
Standards

of learning.
Learning
outcomes are
always
communicated
clearly to
students and
parents.

II.

Learning
Environment

Teacher
provides
learning
environment
that reflects
unsuitable
culture for
learning
characterized by
sarcasm,
conflict, unsafe
condition,
mismatch of
physical
arrangement
and learning
activities.

Performance
Standards
School , Home,
Community
Linkages

1 Below Basic 2 - Basic

Teacher
facilitates very
minimal home
community
involvement in
sharing
accountability
of learning
outcomes .
Transfer of
learning from
school to home
and
community is
not evident.

8 | CB-PAST Form 3ABC, 4, 5 and 6

Teacher
provides
learning
environment
that reflects a
suitable culture
for learning
where conflicts
and insensitivity
to learners are
minimal, safety
is assured and
essential
learning is
accessible to all.
Physical
condition
supports
learning
activities.

Teacher
facilitates
home and
commu nity
involvement to
share
accountability
of the learning
outcomes to
some extent.
Activities
utilize
community as
laboratory for
learning where
parents and
the community
are involved.
Transfer of
learning to the
home and
community are
minimally
shown.

Teacher
provides
learning
environment
that reflects a
very suitable
culture of
learning which
supports
developmental
differences
among learners,
safety is assured
and opportunity
to many
students.
Physical and
psychological
environment
support most
learning
activities.

3 - Proficient

4 Highly
Proficient
Learning
environment
reflects a
genuine culture
of learning with
warmth and
care, responsive
to students
decorum and
are sensitive to
students need.
Safety is
assured and
opportunity to
learn is
accessible to
all. Physical and
psychological
environment
support all
learning
activities.

4 Highly
Proficient
Teacher
Teacher
facilitates
facilitates
home and
home and
commu nity
commu nity
involvement in involvement as
the learning of shared
the students to accountability
share
of the students
accountability
learning
of the learning outcomes is
outcomes. The very clearly
community is
evident. The
frequently
community is
used as
always used as
laboratory for
the learning
learning, open laboratory and
communication communication
is established
is open.
by the teacher, Community
community
support is
support is
overflowing,
evident.
transfer of
Transfer of
learning to
learning to
home and
home and
community is
school is
very clearly

Performance
Standards
Social Regard
for Learning

1 Below Basic 2 - Basic

Teacher
exhibits
behavior and
decorum that
fall short of the
requirement as
role model for
students
learning.

Teacher
exhibits
behavior,
decorum and
qualities which
meet the
requirements
as role model
for students
learning.

Personal
Growth and
Professional
Development

Teacher
exemplifies
personal and
professional
qualities that
fall short of the
standard and
rarely enhance
student
learning
outcomes due
to lack of
continuous
professional
development
involvement.

Teacher
exemplifies
personal and
professional
qualities that
preserve the
dignity of the
profession,
conform with
the Code of
Professional
Ethics which
will enhance
student
learning
outcomes
sometimes
through
continuous
professional
development.

evident.
3 - Proficient
Teacher
exemplifies
appropriate
behavior,
decorum and
qualities very
satisfactorily
beyond the
requirements
most of the
time as role
model for
student
learning.
Teacher
exemplifies
personal and
professional
qualities that
preserve the
dignity of the
profession,
conform with
the
Code of
Professional
Ethics which
will enhance
student
learning
outcomes most
of the time
through
continuous
professional
development.

seen.
4 Highly
Proficient
Teacher
exemplifies
appropriate
behavior,
decorum and
qualities at the
highest level
and at all times
as a role model
for students
learning.

Teacher
exemplifies
personal and
professional
qualities that
preserve the
dignity of the
profession,
conform with
the
Code of
Professional
Ethics which
will ultimately
enhance
learning
outcomes of
students to the
highest level at
all times
through
continuous
professional
development.

CB-PAST Form 5
TEACHERS PORTFOLIO TEMPLATE
To Teachers and Master Teachers:
Every Teacher and Master Teacher must prepare a TEACHERS PORTFOLIO to
showcase results of assessment of strengths and weaknesses, plans for professional
development, and improvement of learning outcomes. The portfolio should contain
corresponding accomplishments as evidences of teaching performance. The
portfolio will house all the documentary records that would show proofs for the
different components of the performance standards in the appraisal system. The
evidence should be arranged according to the major sections of the portfolio and
performance standards in CB PAST Form 1, 2 and Form 3.
The Teachers Portfolio should be prepared the whole year round. It should be
accessible for the perusal of the teacher, the school head and the instructional
leaders. Contents of the Portfolio should be complete to include the best practices
of the teacher.

9 | CB-PAST Form 3ABC, 4, 5 and 6

Section provided for the Reflection of the Teacher. It maybe placed after each
component in the evidences of collectively as the last section of the portfolio. The
reflections should include important insights , analysis of issues, records of
everyday class happening among others that impact on the life of the teacher. Since
there are many formats in reflection, this section should be agreed upon by the
school head and the teachers in the specific school.
PARTS OF THE TEACHER PORTFOLIO
I.
PRELIMINARY INFORMATION ABOUT THE TEACHER
- Teacher Personal Profile/ Personal Data Sheet
- Teachers TSNA Results
- Purposes of the Portfolio to include among others
a.) Targets Set for the Students LearningOutcomes and
b.)Individual Plan for Professional Development ( IPPD)
II.
-

PORTFOLIO EVIDENCES
Evidences for the Instructional Competence
Evidences for Home, School, Community Linkages
Evidences for Personal, Social and Professional Development
Evidences for Plus Factor
Evidences of School Outcomes, Achievement Rate, Participation rate, Dropout
Rate

III. CB PAST ACCOMPLISHED FORMS

- CB PAST Form 1 for TEACHERS
- CB PAST Form 2 for MASTER TEACHERS
- CB PAST Form 3 for TEACHER PERFORMANCE OBSERVATION GUIDE
Form 3A Observation Guide for Instructional Competence
Form 3B Observation Guide for School, Home and Community
Linkages
Form 3C Observation guide for Personal growth and Professional
Development
IV.

TEACHERS REFLECTION
Teachers reflection may also be placed after every component of Portfolio
evidence in Part II or should be collectively placed in sections as a
summary reflectin.

V.

REMARKS
School heads, instructional Leaders and other observers are encouraged to
write remarks which are valuable to the teacher in this section.

Note: 1.)The basic parts of the Portfolio should be followed but the school may require additional
components and contents of the Portfolio which are deemed needed.
2.) Original evidences are preferred however authenticated
3.) Artifacts like report cards, school forms, diploma and others are acceptable evidences in
the portfolio.
4.) Pictures may add to the aesthetic value of portfolio but not acceptable as evidences.

CB-PAST Form 6
JOBS AND RESPONSIBILITIES OF TEACHERS AND MASTER TEACHERS
Teacher I, II, & III with Salary Grades 11, 12 & 13 (Including Substitutes,
locally funded and volunteer teachers)
Duties and Responsibilities
Under General Supervision:
1. Facilitates learning in the elementary/secondary schools through functional
lesson plans, daily log of activities and appropriate, adequate and updated
instructional materials ( print and non-print)
2. Monitors, assesses and evaluates pupils progress.
3. Undertakes activities to improve performance indicators.
10 | CB-PAST Form 3ABC, 4, 5 and 6

4. Maintains updated pupil/s school records.

5. Updates parents on pupil/s progress regularly.
6. Supervises curricular and co- curricular projects and activities
7. Counsels and guides pupil/s.
8. Conducts action research.
9. Maintains cleanliness, orderliness, safety and upkeep of the classroom.
10. Participates in staff development activities and utilizes KSAs gained from
seminars, trainings and scholarchips.
11. Maintains harmonious relationship with fellow teachers and other school
personnel as well as with parents and other stakeholders.
12. Supports activities of governmental and non-governmental organizations.
13. Does related works.
Master Teacher I, II, II, IV with Salary Grades 18, 19, 20, 21
Duties and Responsibilities
In addition to the full teaching load of instructional programs and
preparation of instructional materials as in the following:
1. Assumes leadership in the environment of instructional programs and in
preparation of instructional materials in the following:
- MT I : in at least two grades / year levels
- MT II: in at least three grades/year levels
- MT III: in at least four grade /year levels
- MT IV: in all grade /year levels
2. Conducts instructional training programs in the school, district or division.
3. Provides professional assistance to teachers like coaching and mentoring.
4. Develops and/or implements innovative and functional teaching approaches
and strategies every school year , as follows:
- MT I: at least one
- MT II: at least two
5. Serves as demonstration teacher and/or consultant
- MT I: at least school and district levels
- MT II: school, district and division levels
- MT III: school, district, division and region levels
- MT IV: school, district, division, region and national levels
6. Conducts Action Research
7. Leads in the analysis and utilization of test Results
8. Does related work.

PRE-OBSERVATION INFORMATION
Teacher: ___________________________________________School:
__________________________________________
District: ___________________________________________ Grade/Year & Section: _____________ Semester:
________
Subject: ___________________________________________S.Y.: _____________ Conference Date:
_________________
Instructional Supervisor:
_______________________________________________________________________________
Directions:
1. This form shall be answered by the Teacher prior to Instructional Support Visit.
2. The information shall serve as guide for the pre-observation conference. Observer may ask
additional job-relevant data to provide background for actual observation.
3. The filled up form shall be given back to be placed in front of the Teacher Observation Form
3A,B,C which shall be used by the Observer.
Pre-Observation Information
1. When would you like to have instructional supervision and support?
Date & Time: _______________________________________________________

11 | CB-PAST Form 3ABC, 4, 5 and 6

2. In which of your classes would you like to be observed?

Class and the 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-Learners Interaction
______ Questioning/Answering Skills
______ Pacing the Lesson
______ Testing
______ Classroom Management
______ Time on Ask
______ Addressing multiple intelligences/learning styles
______ Others, specify
5. What teaching method/strategy will you use?
________________________________________________________________
6. How would you describe the class you will be teaching during the visit? Please provide
information by checking or filling up the required data.
a. Type of class: ( ) monograde
( ) class combination
( ) multigrade
b. Size of class: ( ) Small (30 & below) class size
Number of Learners
( ) Big (31 & above) class size
c.
Class diversity: ( ) Homogenous (Describe) __________________________________
( ) Heterogenous (Describe) _________________________________
7. What priority areas in your TSNA do you need most support and assistance?
Please enumerate and specify.
a. ______________________________________________________________________
b. ______________________________________________________________________
c. ______________________________________________________________________
8. What priority objectives in your IPPD did you include for School Year _______________
that you intend to accomplish? Please write.
a. _____________________________________________________________________
b. _____________________________________________________________________
c. _____________________________________________________________________
Note: This space shall be used for needed information given during the pre-observation but
are included above.
___________________________________________________________________________________________
___________________________________________________________________________________________
____________________________________________________________________ ______________________
___________________________________________________________________________________________
Submitted by:

Noted by:

____________________________
Teachers Name & Signature
Signature

_______________________________
Instructional Supervisors Name &

POST-OBSERVATION INFORMATION
Teacher: _____________________________________________ School: _______________________________________
District: _____________________________________________ School Year: ________________ Semester:
__________
Grade/Year & Section: ____________ Subject: ____________________________
Conference Date:
______________
Instructional Supervisor:
_______________________________________________________________________________
Directions:
1. This form shall be answered by the Teacher after the actual class observation.
2. The information will serve as guide for the post-observation conference. Observer may ask for
additional job-relevant information to clarify or support observations.
3. The filled up form shall be given back to the Teacher to be placed at the back of the Teacher
Observation Form 3A, B, C which was used by the observer.
Post-Observation Information

12 | CB-PAST Form 3ABC, 4, 5 and 6

1. What did your learners gain in your lesson in terms of Knowledge, Skills and Attitudes (KSAs)?
Please enumerate.
a. Knowledge
______________________________________________________________________________
b. Skills
____________________________________________________________________________________
c. Attitude
__________________________________________________________________________________
2. How did you make the learners gain the KSAs which you listed above?
____________________________________________________________________________________________________
3. What did your pupils/students do in order to gain/learn the KSAs
____________________________________________________________________________________________________
____________________________________________________________________________________________________
4. Were you able to accomplish your lesson objective?
Yes __________
All _________ No _________
No __________
All _________ No _________
5. If yes, how did you do it?
_____________________________________________________________________________
____________________________________________________________________________________________________
6. If No, what difficulties did you encounter?
_______________________________________________________________
7. Did you and your class enjoy the lesson? Yes ____ No ___ Why?
______________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
8. If you are going to teach the same lesson again, can you think of ways to improve it? Please write
it down.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
____________________________________________________________________________________________________
9. Can you suggest from whom you can ask this assistance and support? And how?
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
____________________________________________________________________ ________________________________
Commendation for the Teacher
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Suggested support for the Teacher
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

__________________________
Teachers Name & Signature

13 | CB-PAST Form 3ABC, 4, 5 and 6

__________________________
Observers Name & Signature