Republic of
the Philippines
Department of Education
Region III
Division of
Nueva Ecija
JAEN DISTRICT
PUTLOD
ELEMENTARY SCHOOL
S.Y.2011-2012
PRE-OBSERVATION INFORMATION
Teacher: MARILOU
P. PILLARINA School: PUTLOD
District: JAEN Division: NUEVA
ECIJA
Grade/ Year/ Section:
_______ Subject: ______________
School Year: 2011-2012 Semesters: FIRST Conference
Date: _________
Instructional
Supervisor: MRS. EVELYN A. PANGILINAN
OBJECTIVE:
1.
This form shall be answered by the teacher prior
to the Instructional Support Visit.
2.
The information will serve as guide for the
pre-observation conference. Observer may ask additional job- relevant data to
provide for a background for actual observation.
3.
The filled up data shall be given back to the
teacher to be placed in front of the Teacher Observation Form3A,B,C, which will
be used by the observer.
PRE-OBSERVATIONAL INFORMATION:
1.
When would you like to have instructional supervision
and support?
Date & Time :
__________________________
2.
In which of you classes would you like to be
observed?
Class and
Period to be observed. EPP
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 & Professional
Development
______ Planning, Assessing & 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
__/__ Addressing multiple intelligence/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
class size
Number of Learners :______
( ) Big
class size Number of
Learners:______
c.
Class Diversity
( )
Homogeneous ( Describe) _______________________________
( )
Heterogeneous (Describe)
male & female
7.
What three priorities in your TSNA do you need
the most support and assistance? Please enumerate and specify.
a.
Understand the theories and concepts of multiple
intelligence and learning styles?
b.
Know techniques and strategies in
designing/selecting activities for varied types of learners?
c.
Understand the requirements in setting goals for
differentiated learning?
8.
What priority objectives in your IPPD did you
include for School Year that you intend to accomplish? Please write?
a.
Provide appropriate intervention programs for
learners-at-risk?
b.
Update myself with relevant scholarly works and
ideas related to my subject area?
c.
Use appropriate technology resources to achieve
curriculum and objectives?
__________________________________________________________________________________________________
Submitted
by:
Noted by:
MARILOU
P. PILLARINA
EVELYN A. PANGILINAN
Teacher Name & Signature
Observer & Signature
Note: This space shall be used for
needed information given during the pre-observation but are not included above.
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