for LAC

1. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
QUARTERLY INSTRUCTIONAL SUPERVISORY PLAN FOR MASTER TEACHER
SY ___________________
Name:
Area/Learning Area:
Sub-Office/School:
Quarter:
Goal:
Programs/
Projects/ Thrust
Target Date Targets
Classrooms/
Sections/
Teachers to be
visited
Activities/
Strategies/
Methods
Expected
MOVs
Success Indicator
A. Domain 1: Content Knowledge and Pedagogy
1. Applied
knowledge of
content within and
across curriculum
teaching areas.
c STAR
Observation
c Classroom
Observation using
COT
c Clinical
Observation

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

3. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
2. Used a range of
teaching strategies
that enhance
learner
achievement in
literacy and
numeracy skills.
c STAR
Observation
c Classroom
Observation using
COT
c Clinical
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

4. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________
3. Applied a range
of teaching
strategies to
develop critical and
creative thinking,
as well as other
higher-order
thinking skills.
c STAR
Observation
c Classroom
Observation using
COT
c Clinical
Observation
c Follow-up
Observation
c Job Embedded
Learning
c Focus Group
Discussion/Round
Table Discussion

5. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
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
classroom
structure to engage
learners,
individually or in
groups, in
c STAR
Observation
c Classroom
Observation using
COT

6. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
meaningful
exploration,
discovery and
hands-on activities
within a range of
physical learning
environments.
c Clinical
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
c Mentoring
c others: ________
___________________
___________________
___________________

7. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
___________________
___________________
5. Managed learner
behavior
constructively by
applying positive
and non-violent
discipline to
ensure learning-
focused
environments.
c STAR
Observation
c Classroom
Observation using
COT
c Clinical
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

8. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________
C. Domain 3: Diversity of Learners
6. Used
differentiated,
developmentally
appropriate
learning
experiences to
address learners’
gender, needs,
strengths, interests
and experiences.
c STAR
Observation
c Classroom
Observation using
COT
c Clinical
Observation
c Follow-up
Observation
c Job Embedded
Learning

9. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
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,
managed and
implemented
c STAR
Observation

10. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
developmentally
sequenced
teaching and
learning processes
to meet curriculum
requirements and
varied teaching
contexts.
c Classroom
Observation using
COT
c Clinical
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
c Mentoring

11. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
c others: ________
___________________
___________________
___________________
___________________
___________________
8. Participated in
collegial
discussions that
use teacher and
learner feedback to
enrich teaching
practice.
c STAR
Observation
c Classroom
Observation using
COT
c Clinical
Observation
c Follow-up
Observation
c Job Embedded
Learning
c Focus Group
Discussion/Round
Table Discussion
c Attendance to
Learning Action
Cell

12. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
c Professional
Development
c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________
9. Selected,
developed,
organized and used
appropriate
teaching and
learning resources,
including ICT, to
address learning
goals.
c STAR
Observation
c Classroom
Observation using
COT
c Clinical
Observation
c Follow-up
Observation

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

14. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
10. Designed,
selected, organized
and used
diagnostic,
formative and
summative
assessment
strategies
consistent with
curriculum
requirements.
c STAR
Observation
c Classroom
Observation using
COT
c Clinical
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

15. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________
11. Monitored and
evaluated learner
progress and
achievement using
learner attainment
data.
c STAR
Observation
c Classroom
Observation using
COT
c Clinical
Observation
c Follow-up
Observation
c Job Embedded
Learning
c Focus Group
Discussion/Round
Table Discussion

16. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
c Attendance to
Learning Action
Cell
c Professional
Development
c Attendance to
short training/
courses
c Coaching
c Mentoring
c others: ________
___________________
___________________
___________________
___________________
___________________
12. Communicated
promptly and
clearly the
learners’ needs,
progress and
achievement to key
c Clinical
Observation
c Follow-up
Observation
c Job Embedded
Learning

17. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Schools Division of _________________
<NAME OF SCHOOL>
<Address of School>
Address:
Contact No.:
Email Address:
SCHOOL
LOGO
stakeholders,
including
parents/guardians.
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: ________
___________________
___________________
___________________
___________________
___________________

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