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Instructional Supervision Form3A / CB-PAST Form 3A

 Name:       _________________________________ Position: _____________                              Date: ______________
 SCHOOL: _________________________________
 District:

                             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: ________           Average: ________                   Description: _______________
 Narrative Observation: _________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________

                                                                                                     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: ________           Average: ________                   Description: _______________
 Narrative Observation: _________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 Comments to the Teacher:
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 Agreements of the Teacher and Observer:
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________

             _________________________________                            ____________________________________
                  (Teacher’s Name and Signature)                                  (Observer’s Name and Signature)
                                                                                Head Teacher/Principal/Supervisor

 *Signatures indicate that observations have been clarified by both parties.
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: ________           Average: ________                   Description: _______________
 Narrative Description: _________________________________________________________________________________
 ____________________________________________________________________________________________________
 ____________________________________________________________________________________________________
 ____________________________________________________________________________________________________
                                                                                      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: ________           Average: ________                   Description: _______________
 Narrative Observation: ________________________________________________________________________________
 ____________________________________________________________________________________________________
 ____________________________________________________________________________________________________
 ____________________________________________________________________________________________________


 Comments to the Teacher:
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________



 Agreements of the Teacher and Observer:
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________




           _________________________________                            ____________________________________
                  (Teacher’s Name and Signature)                                 (Observer’s Name and Signature)
                                                                               Head Teacher/Principal/Supervisor

 *Signatures indicate that observations have been clarified by both parties.
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                                                                         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 children’s 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 Observation: ________________________________________________________________________________
 ____________________________________________________________________________________________________
 ____________________________________________________________________________________________________
 ____________________________________________________________________________________________________
 ____________________________________________________________________________________________________
 ____________________________________________________________________________________________________

                                                                                                     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: ________           Average: ________                   Description: _______________
 Narrative Observation: ________________________________________________________________________________
 ____________________________________________________________________________________________________
 ____________________________________________________________________________________________________
 ____________________________________________________________________________________________________

 Comments to the Teacher:
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________

 Agreements of the Teacher and Observer:
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________




           _________________________________                             ____________________________________
                  (Teacher’s Name and Signature)                                  (Observer’s Name and Signature)
                                                                                Head Teacher/Principal/Supervisor

 *Signatures indicate that observations have been clarified by both parties.
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: ________           Average: ________                   Description: _______________
 Narrative Observation: _________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________

                                                                                                      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

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

 Comments to the Teacher:
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________

 Agreements of the Teacher and Observer:
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________

           _________________________________                              ____________________________________
                  (Teacher’s Name and Signature)                                   (Observer’s Name and Signature)
                                                                                 Head Teacher/Principal/Supervisor




 *Signatures indicate that observations have been clarified by both parties.
CB-PAST Form 3 Summary of Ratings and Template
                              (For Formative Appraisal and Instructional Supervision)
Name:      _________________________________ Position: _____________                                   Date: ______________
SCHOOL: _________________________________                    District: AMULUNG EAST DISTRICT

                                    Assigned Weight                                                             Recommended
                                                          No. of                  Mean           Description
             Criteria                  in CB-PAST                      Score   (Score ÷ no. of                   Supervisory
                                      (disregarded in the Items                    items)         of the TBI
                                      Formative Appraisal)                                                        Approach
I. Instructional Competence
A. Diversity of Learners                   10%                  4
B. Curriculum Content and                                      17
    Pedagogy
                                           30%
    B.1 Teacher Behavior                                       9
    B.2 Learner Behavior                                       8
C. Planning, Assessing and                                     6
                                           20%
    Reporting
TOTAL                                      60%                 27
II. Home, School & Community Involvement
D. Learning Environment               10%                       5
E. Community Linkages                 10%                       6
TOTAL                                 20%                      11
III. Personal Growth & Professional Development
F. Social Regard for Learning            10%                    5
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. 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.

                 _____________________________
                    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.

             ______________________________                                          Date: ___________________
        Instructional Supervisor(name and signature)
    NOTED:
             _______________________________
                  TIC/ School Head/ Principal                                         Date: ___________________
CB-PAST Form 3 Summary of Ratings and Template
                              (For Formative Appraisal and Instructional Supervision)
Name:      _________________________________ Position: _____________                                   Date: ______________
SCHOOL: _________________________________                    District: AMULUNG EAST DISTRICT

                                    Assigned Weight                                                             Recommended
                                                          No. of                  Mean           Description
             Criteria                  in CB-PAST                      Score   (Score ÷ no. of                   Supervisory
                                      (disregarded in the Items                    items)         of the TBI
                                      Formative Appraisal)                                                        Approach
I. Instructional Competence
A. Diversity of Learners                   10%                  4
B. Curriculum Content and                                      17
    Pedagogy
                                           30%
    B.1 Teacher Behavior                                       9
    B.2 Learner Behavior                                       8
C. Planning, Assessing and                                     6
                                           20%
    Reporting
TOTAL                                      60%                 27
II. Home, School & Community Involvement
D. Learning Environment               10%                       5
E. Community Linkages                 10%                       6
TOTAL                                 20%                      11
III. Personal Growth & Professional Development
F. Social Regard for Learning            10%                    5
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. 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.

                 _____________________________
                    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.

             ______________________________                                          Date: ___________________
        Instructional Supervisor(name and signature)
    NOTED:
             _______________________________
                  TIC/ School Head/ Principal                                         Date: ___________________

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Cb past-form3abc

  • 1. Instructional Supervision Form3A / CB-PAST Form 3A Name: _________________________________ Position: _____________ Date: ______________ SCHOOL: _________________________________ District: 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: ________ Average: ________ Description: _______________ Narrative Observation: _________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ 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: ________ Average: ________ Description: _______________ Narrative Observation: _________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ Comments to the Teacher: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ Agreements of the Teacher and Observer: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _________________________________ ____________________________________ (Teacher’s Name and Signature) (Observer’s Name and Signature) Head Teacher/Principal/Supervisor *Signatures indicate that observations have been clarified by both parties.
  • 2. 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: ________ Average: ________ Description: _______________ Narrative Description: _________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ 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: ________ Average: ________ Description: _______________ Narrative Observation: ________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Comments to the Teacher: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ Agreements of the Teacher and Observer: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _________________________________ ____________________________________ (Teacher’s Name and Signature) (Observer’s Name and Signature) Head Teacher/Principal/Supervisor *Signatures indicate that observations have been clarified by both parties.
  • 3. 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 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 children’s 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 Observation: ________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ 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: ________ Average: ________ Description: _______________ Narrative Observation: ________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Comments to the Teacher: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ Agreements of the Teacher and Observer: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _________________________________ ____________________________________ (Teacher’s Name and Signature) (Observer’s Name and Signature) Head Teacher/Principal/Supervisor *Signatures indicate that observations have been clarified by both parties.
  • 4. 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: ________ Average: ________ Description: _______________ Narrative Observation: _________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ 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 Total Score: ________ Average: ________ Description: _______________ Narrative Description: _________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ Comments to the Teacher: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ Agreements of the Teacher and Observer: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _________________________________ ____________________________________ (Teacher’s Name and Signature) (Observer’s Name and Signature) Head Teacher/Principal/Supervisor *Signatures indicate that observations have been clarified by both parties.
  • 5. CB-PAST Form 3 Summary of Ratings and Template (For Formative Appraisal and Instructional Supervision) Name: _________________________________ Position: _____________ Date: ______________ SCHOOL: _________________________________ District: AMULUNG EAST DISTRICT Assigned Weight Recommended No. of Mean Description Criteria in CB-PAST Score (Score ÷ no. of Supervisory (disregarded in the Items items) of the TBI Formative Appraisal) Approach I. Instructional Competence A. Diversity of Learners 10% 4 B. Curriculum Content and 17 Pedagogy 30% B.1 Teacher Behavior 9 B.2 Learner Behavior 8 C. Planning, Assessing and 6 20% Reporting TOTAL 60% 27 II. Home, School & Community Involvement D. Learning Environment 10% 5 E. Community Linkages 10% 6 TOTAL 20% 11 III. Personal Growth & Professional Development F. Social Regard for Learning 10% 5 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. 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. _____________________________ 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. ______________________________ Date: ___________________ Instructional Supervisor(name and signature) NOTED: _______________________________ TIC/ School Head/ Principal Date: ___________________
  • 6. CB-PAST Form 3 Summary of Ratings and Template (For Formative Appraisal and Instructional Supervision) Name: _________________________________ Position: _____________ Date: ______________ SCHOOL: _________________________________ District: AMULUNG EAST DISTRICT Assigned Weight Recommended No. of Mean Description Criteria in CB-PAST Score (Score ÷ no. of Supervisory (disregarded in the Items items) of the TBI Formative Appraisal) Approach I. Instructional Competence A. Diversity of Learners 10% 4 B. Curriculum Content and 17 Pedagogy 30% B.1 Teacher Behavior 9 B.2 Learner Behavior 8 C. Planning, Assessing and 6 20% Reporting TOTAL 60% 27 II. Home, School & Community Involvement D. Learning Environment 10% 5 E. Community Linkages 10% 6 TOTAL 20% 11 III. Personal Growth & Professional Development F. Social Regard for Learning 10% 5 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. 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. _____________________________ 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. ______________________________ Date: ___________________ Instructional Supervisor(name and signature) NOTED: _______________________________ TIC/ School Head/ Principal Date: ___________________