4. 1 | CB-PAST Form 3ABC
Instructional Supervision Form of the EPSVR/PSDS to the School Heads
Name of SH: ________________________ Teacher Observed: ______________________
Date: ______________________________________ Subject Taught: _________________________
SCHOOL: __________________________________ Date/Time: _____________________________
District: ____________________________________
EPSVR/PSDS Observation Guide for Instructional Competence
Legend:
1-I am not doing this yet
2-I am doing a little of this and I need to learn more
3-I am doing it but I need to improve
4-I am doing it well and can lead others to do the same
Instructional Supervision 1 2 3 4
1. Prepare and implement an instructional supervisory plan
2. Conduct instructional supervision using appropriate strategy
3. Evaluate lesson plans as well as classroom and learning management
4. Provide in a collegial manner, timely, accurate and specific feedback to teachers
regarding their performance
5. Provide expert technical assistance and instructional support to teachers
CB-PAST FORM 1
COMPETENCY-BASED PERFORMANCE APPRAISAL SYSTEM FOR TEACHERS (CB-PAST)
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…
Performance Behavior
Observation Rating
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: ________ Average: ________ Description: _______________
Narrative Description: _________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Performance Behavior
Observation Rating
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
strategies.
0 1 2 3 4
2 Aligns lesson objectives, teaching methods, learning objectives and instructional
materials
0 1 2 3 4
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
meaningful and relevant
0 1 2 3 4
5 Establishes routines and procedures to maximize use of time and instructional
materials.
0 1 2 3 4
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: ________ Average: ________ Description: _______________
Narrative Description: _________________________________________________________________________________
____________________________________________________________________________________________________
5. 2 | CB-PAST Form 3ABC
Performance Behavior
Observation Rating
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
classroom interactions
0 1 2 3 4
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: ________ Average: ________ Description: _______________
Narrative Description: _________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Performance Behavior
Observation Rating
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: ________ Average: ________ Description: _______________
Narrative Description: _________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Comments to the School Head:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Agreements of the School Head and Observer:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
___________________________________________________________________________________________________________
_______________________________________________________________________________________________
_____________________________________________________________________________________________________
_________________________________
(School Head’s Name and Signature)
____________________________________
(Observer’s Name and Signature)
EPSVR/PSDS
*Signatures indicate that observations have been clarified by both parties.
6. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
DIVISION OF BATANGAS CITY
P. Herrera St., Batangas City Dangal at Gabay ng Batangueño
Tel. No. 723-3586
MONTHLY SUPERVISORY REPORT
FOR THE MONTH OF ___________________________________________
Date Name of Teacher Subject Observed Observations
(Comments/Remarks)
Technical Assistance Given to the Teacher
Note: Please indicate the total number of teachers observed in a month
Prepared by: ________________________ Noted by: SACORO R. COMIA, Ph. D.
CES-CID
7. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
DIVISION OF BATANGAS CITY
P. Herrera St., Batangas City Dangal at Gabay ng Batangueño
Tel. No. 723-3586
SUPERVISORY WORKPLAN
WHAT
(SUPERVISORY OBJECTIVE)
WHO
(SELECTS)
HOW
(SUPERVISORY MODEL)
FOR WHOM
(TEACHER TYPE OF NAME)
Prepared by: ________________________ Noted by: SACORO R. COMIA, Ph. D.
CES-CID
8. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
DIVISION OF BATANGAS CITY
P. Herrera St., Batangas City Dangal at Gabay ng Batangueño
Tel. No. 723-3586
MY DAILY SCHEDULE
FOR THE MONTH OF ___________________________________________
DATE ACTIVITY VENUE PERSONNEL INVOLVED REMARKS
Prepared by: ________________________ Noted by: SACORO R. COMIA, Ph. D.
CES-CID
9. Republic of the Philippines
Department of Education
Region IV-A CALABARZON
DIVISION OF BATANGAS CITY
P. Herrera St., Batangas City Dangal at Gabay ng Batangueño
Tel. No. 723-3586
MONTHLY ACCOMPLISHMENT REPORT
FOR THE MONTH OF ___________________________________________
DATE ACTIVITIES UNDERTAKEN
NOTE: Please include pictures.
Prepared by: ________________________ Noted by: SACORO R. COMIA, Ph. D.
CES-CID
