This document summarizes the results of an instructional supervision observation of teacher Francisca P. Gabunilas. The observer assessed the teacher's performance across several criteria on a scale of 0-4, including diversity of learners, curriculum content and pedagogy, planning and assessment, learning environment, community linkages, and personal and professional development. Overall, the teacher received ratings averaging 3.4, described as "proficient." The observer recommended a collaborative supervisory approach and commended the teacher's use of varied activities and technology to engage students.

1. Instructional Supervision Form3A / CB-PAST Form 3A
Name: Francisca P. Gabunilas Position: Teacher 3 Date: July 28,2011
SCHOOL: Calapagan Elementary School
District: Lupon East District Division: Davao Oriental
Teacher Observation Guide for Instructional Competence
Legend:
0-Not Observed (NO) 1-Below Basic (BB) 2-Basic (B) 3- Proficient (P) 4-Highly Proficient (HP)
Circle the number that describes best your observation of the teacher. Start here…
Observation Rating
Performance Behavior
NO BB B P HP
A. Diversity of Learners
1 Sets lesson objectives within the experiences and capabilities of the learners 0 1 2 3 4
2 Utilizes varied techniques and strategies suited to different kinds of learners 0 1 2 3 4
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: __18___ Average: __3.6___ Description: _____H.P.______
Narrative Description: _________________________________________________________________________________
Learners were able to respond to the varied activities and innovative instructional
materials utilized by the teacher.
____________________________________________________________________________________________________
Observation Rating
Performance Behavior
NO BB B P HP
B. Curriculum Content and Pedagogy
B.1 Teacher behavior in Actual teaching
1 Teaches accurate and updated content using appropriate approaches and 0 1 2 3 4
strategies.
2 Aligns lesson objectives, teaching methods, learning objectives and instructional 0 1 2 3 4
materials
3 Encourages learners to use higher order thinking skills in asking questions 0 1 2 3 4
4 Encourages and sustains learners’ interest in the subject matter by making content 0 1 2 3 4
meaningful and relevant
5 Establishes routines and procedures to maximize use of time and instructional 0 1 2 3 4
materials.
6 Integrates language, literacy, skills and values in teaching. 0 1 2 3 4
7 Presents lesson logically in a developmental manner 0 1 2 3 4
8 Utilizes technology resources in planning, designing and delivery of the lesson 0 1 2 3 4
9 Creates situations that encourages learners to use higher order thinking skills 0 1 2 3 4
Total Score: __31___ Average: 3.4 Description: _____P________
Narrative Description: _________________________________________________________________________________
Teacher utilizes technology an audio material in motivating the learner’s interest.
____________________________________________________________________________________________________
Observation Rating
Performance Behavior
NO BB B P HP
B. Content and Pedagogy
B.2 Learners’ Behavior in the Classroom
1 Answers in own words at a desired cognitive level 0 1 2 3 4
2 Participates actively in the learning tasks with some levels of independence 0 1 2 3 4
3 Asks questions relevant to the lesson 0 1 2 3 4
4 Sustains interest in the lesson/ activity 0 1 2 3 4
5 Follows routines and procedure to maximize instructional time 0 1 2 3 4
6 Shows appropriate behavior of individualism, cooperation, competition in 0 1 2 3 4
classroom interactions
7 Imbibes and values learning from the teacher and from the classroom 0 1 2 3 4
8 Demonstrates in varies=d ways, learning achieved in the activities 0 1 2 3 4
Total Score: ___27___ Average: __3.4___ Description: ____P________
Narrative Description: _________________________________________________________________________________
Teacher sustains the interest of the learners through varied activities using discovery approach.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
1 | CB-PAST Form 3ABC

2. Observation Rating
Performance Behavior
NO BB B P HP
C. Planning, Assessing , Reporting Learners’ Outcomes
1 Provides timely, appropriate reinforcement/feedback to learners’ behavior 0 1 2 3 4
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: __19____ Average: ____3.2_ Description: ____P________
Narrative Description: _________________________________________________________________________________
Teacher provides timely reinforcement to learners’ behavior.
____________________________________________________________________________________________________
Comments to the Teacher:
Learning is fun! This is what she would like to have during her class so she set learning
activities in various ways. She was grateful that her observer had noticed her efforts. And she would like to do it
more……
Agreements of the Teacher and Observer:
_____________________________________________________________________________________________________
Teacher agreed to set standards in group work activities and utilize real objects in
some other activities.
_FRANCISCA P. GABUNILAS FLORIANO B. BUCIO
(Teacher’s Name and Signature) (Observer’s 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 (NO) 1-Below Basic (BB) 2-Basic (B) 3- Proficient (P) 4-Highly Proficient (HP)
Circle the number that describes best your observation of the teacher. Start here…
Observation Rating
Performance Behavior
NO BB B P HP
D. Learning Environment
1 Maintains a safe and orderly classroom 0 1 2 3 4
2 Engages learners in different learning activities for higher learning 0 1 2 3 4
3 Handles behavior problems quickly and with due respect to children’s rights 0 1 2 3 4
4 Creates situation that develops a positive attitude among learners towards their 0 1 2 3 4
subjects and teachers
5 Provides gender sensitive opportunities for learning 0 1 2 3 4
Total Score: __17___ Average: ___3.4___ Description: ____P_______
Narrative Description: _________________________________________________________________________________
__________________________Teacher maintains a safe and orderly classroom in the conduct of group work activities.__
_____________________________________________________________________________________________________
____________________________________________________________________________________________________
Observation Rating
Performance Behavior
NO BB B P HP
E. School, Home & Community Linkages
1 Involves the community in sharing accountability for learners’ achievement 0 1 2 3 4
2 Uses varied and available community resources (human, materials) to support 0 1 2 3 4
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 achievements 0 1 2 3 4
5 Encourage learners to apply classroom learning at home and in community 0 1 2 3 4
6 Informs learners, parents and stakeholders regarding school policies and 0 1 2 3 4
procedures
Total Score: __20____ Average: ___3.3___ Description: ____P________
Narrative Description: _________________________________________________________________________________
________________________Teacher informed the learners, parents and stakeholders regarding school policies and
procedures during Homeroom PTCA meeting.______________________________________________________________
____________________________________________________________________________________________________
2 | CB-PAST Form 3ABC

3. Comments to the Teacher:
___________________As a teacher, she was oriented to her job descriptions so she obliged herself to do this particular
tasks.________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Agreements of the Teacher and Observer:
Teacher agreed to conduct a home visitation.___________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
________FRANCISCA P. GABUNILAS______ ________FLORIANO B. BUCIO______
(Teacher’s Name and Signature) (Observer’s 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 (NO) 1-Below Basic (BB) 2-Basic (B) 3- Proficient (P) 4-Highly Proficient (HP)
Circle the number that describes best your observation of the teacher. Start here…
Observation Rating
Performance Behavior
NO BB B P HP
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 and 0 1 2 3 4
stakeholder
Total Score: ___18___ Average: __4____ Description: _____H.P.______
Narrative Description: _________________________________________________________________________________
______________Teacher observes punctuality and maintains appearance and behavior at all times.___________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Observation Rating
Performance Behavior
NO BB B P HP
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 attitude and others 0 1 2 3 4
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, students, peers, 0 1 2 3 4
superiors
6 Accepts accountability for learning outcomes 0 1 2 3 4
7 Reflects on ones quality of teaching vis-à-vis learning outcomes 0 1 2 3 4
8 Uses self-assessment (TSNA) to enhance strengths and correct ones weaknesses 0 1 2 3 4
9 Participates actively in professional organizations 0 1 2 3 4
10 Abides by the Code of Ethics for Professional Teachers 0 1 2 3 4
Total Score: ___34___ Average: ___3.4___ Description: ____P________
Narrative Description: Teacher abides by the code of Ethics for Professional Teachers and updates herself with the recent
developments in education._____________________________________________________________________________
____________________________________________________________________________________________________
Comments to the Teacher:
She is optimistic to obtain her career goals. Thus, attending seminar workshop is her
next target.___________________________________________________________________________________________
_____________________________________________________________________________________________________
Agreements of the Teacher and Observer:
Teacher assured to attend more training to enhance her skills.____________________
_____________________________________________________________________________________________________
_______FRANCISCA P. GABUNILAS____ ________FLORIANO B. BUCIO_____
(Teacher’s Name and Signature) (Observer’s 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)
3 | CB-PAST Form 3ABC

4. Name: _Francisca P. Gabunilas Position: ___Teacher 3___ Date: __July 28, 2011__
SCHOOL: _Calapagan Elementary School__ District: ___Lupon East District_
Assigned Weight Recommended
No. of Mean Description
Criteria in CB-PAST Score (Score ÷ no. of Supervisory
(disregarded in the Items of the TBI
Formative Appraisal)
items) Approach
I. Instructional Competence
A. Diversity of Learners 10% 5 18 3.6 HP collaborative
B. Curriculum Content and 17 58 3.4 P collaborative
Pedagogy
B.1 Teacher Behavior 9 31 3.4 P collaborative
30%
B.2 Learner Behavior
8 27 3.4 P collaborative
C. Planning, Assessing and 6 19 3.2 P collaborative
Reporting 20%
TOTAL 60% 27 95 3.4 P collaborative
II. Home, School & Community Involvement
D. Learning Environment 10% 5 17 3.4 P collaborative
E. Community Linkages 10% 6 20 3.3 P collaborative
TOTAL 20% 11 37 3.4 P collaborative
III. Personal Growth & Professional Development
F. Social Regard for Learning 10% 5 18 4 HP Non-directive
G. Personal, Social and 10 34 3.4 P collaborative
10%
Professional Development
TOTAL 20% 15 52 3.5 P collaborative
Grand Total 100% 54 184 3.4 P collaborative
Teacher Formative Appraisal Rating: : __3.4___________________________________
Description for Overall Teacher Observation Rating for Formative Appraisal: __________Proficient____________
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. Self-direction of the teacher is
evident. Non-Directive and collaborative approaches to supervision are recommended.
2.51 – 3.50- Proficient.
 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 are 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.
______FRANCISCA P. GABUNILAS___
Teacher(name and signature) Date: ____July_28,2011__
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.
FLORIANO B. BUCIO___ Date: _____July 28,2011__
Instructional Supervisor(name and signature)
NOTED:
______FLORIANO B. BUCIO_______
TIC/ School Head/ Principal Date: _____July 28,2011_____
4 | CB-PAST Form 3ABC

5. 5 | CB-PAST Form 3ABC