Pre Observation Information

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Republic of the Philippines

Department of Education
REGION XII - SOCCSKSARGEN
SCHOOLS DIVISION OF SOUTH COTABATO
POLOMOLOK NATIONAL HIGH SCHOOL

PRE-OBSERVATION INFORMATION
Teacher: _____________________________________________ Conference Date: ___________________

Direction:
1. This information shall be answered by the Teacher prior to instructional Support Visit.
2. The information will serve as guided for the pre-observation conference. Observer may ask additional-job
relevant data to provide a background for actual observation.
3. The filled-up form shall be given back to the Teacher to be placed in the front of the Teacher Observation
Form 3A, B, C which be used by the observer.

Pre-observation Information
1. When would you like to have instructional supervision and support? Date and Time
____________________________________________________________________________
2. In which of your classes would you like to be observe? Class and the period to be observed?
____________________________________________________________________________
3. What area of domain would you like to be observed? Please check.
______ Diversity of Learners ______ Personal Growth and Professional Development
______ Content and Pedagogy ______ Planning, Assessing, and Reporting
______ Learning Environment ______ Others, specify
______ School, Home, Community Linkages
4. What specific teaching-learning parameters would you liked to be focused? Please check.
______ Motivation ______ Classroom Management
______ Teacher-Learners Interaction ______ Time on Task
______ Questioning/Answering Skills ______ Addressing Multiple Intelligences/Learning Styles
______ Pacing of the Lesson ______ Others, specify
______ Testing
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 of filling up the required data.
a. Type of Class b. Size of Class c. Class Diversity
( ) Monograde ( ) Small Class Size Number of Learners ____
( ) Class Combination ( ) Big Class Size Number of Learners ____
( ) Multigrade
7. What Three (3) priority areas in your TSNA do you need the most support and assistance? Please enumerate
and specify?
a.
b.
c.
8. What priority in your IPPD did you included for School Year 2021-2022 that you intend to accomplish?
Please write.
a.
b.
c.

Submitted by: Noted by:

_______________________________ _______________________________

Address: Octavio Vill., Brgy. Cannery Site, Polomolok, South Cotabato


Telephone Number: (083) 878-8996
Email Address: 304560@deped.gov.ph
Republic of the Philippines
Department of Education
REGION XII - SOCCSKSARGEN
SCHOOLS DIVISION OF SOUTH COTABATO
POLOMOLOK NATIONAL HIGH SCHOOL

Teacher’s Name & Signature Name & Signature of Observer

Address: Octavio Vill., Brgy. Cannery Site, Polomolok, South Cotabato


Telephone Number: (083) 878-8996
Email Address: 304560@deped.gov.ph

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