IS Form No.

1-A
Republic of the Philippines
Department of Education
Region XII
DIVISION OF SARANGANI

CONSOLIDATED INSTRUCTIONAL SUPERVISION REPORT ON CLASS OBSERVATION FOR T-I-III (Proficient)

Name of School:

Teacher's
Grade/ Subject Date Rating COT RATING PER ITEM
No. Name of Teacher Position Observer/s Average Remarks
Observed Observed Order
1 2 3 4 5 6 7 8 9 Rating
1
2
3
4
5
6
7
8
9
10
Average Rate
Rank from the Least

Respectfully Submitted:

Signature Over Printed Name of School Administrator

Noted by:
ADRIANO A. DALIGDIG DONNA S. PANES DIOSDADO F. ABLANIDO , CPA
District Principal In-Charge Chief, Curriculum Implementation Division Assistant Schools Division Superintendent
IS Form No. 1-B
Republic of the Philippines
Department of Education
Region XII
DIVISION OF SARANGANI

CONSOLIDATED INSTRUCTIONAL SUPERVISION REPORT ON CLASS OBSERVATION FOR MT-I-IV (Highly Proficient)
Name of School:

Teacher's
Grade / Subject Date Rating COT RATING PER ITEM
No. Name of Teacher Position Observer/s Average Remarks
Observed Observed Order
1 2 3 4 5 Rating
1
2
3
4
5
6
7
8
9
10
Average Rate
Rank from the Least

Respectfully Submitted:

Signature Over Printed Name of School Administrator

Noted by:
ADRIANO A. DALIGDIG DONNA S. PANES DIOSDADO F. ABLANIDO , CPA
District Principal In-Charge Chief, Curriculum Implementation Division Assistant Schools Division Superintendent
IS Form No. 2
Republic of the Philippines
Department of Education
Region XII
DIVISION OF SARANGANI

CONSOLIDATED RESULTS ON THE CONDUCT OF SCOT PER CRITERIA FOR TECHNCAL ASSISTANCE for (Proficient Teachers)
Name of School: Observation Period (Month/s):
N No. of
CRITERIA Teachers
Name of Teachers/s TA Plan
o.
1 Applies knowledge of content within and across curriculum teaching areas
Uses a range of teaching strategies that enhance learner achievement in literacy
2
and numeracy skills
Applies a range of teaching strategies to develop critical and creative thinking, as
3
well as other higher-order thinking skills
Manages classroom structure to engage learners, individually or in groups, in
4 meaningful exploration, discovery and hands-on activities within a range of physical
learning environments
Manages learner behavior constructively by applying positive and non-violent
5
discipline to ensure learning-focused environments.
Uses differentiated, developmentally approciate learning experiences to address
6
learners' gender, needs, strengths, interests and experiences.
Plans, manages and implements developmentally sequenced teaching and learning
7
process to meet curriculum requirements and varied teaching contexts
Selects, developns, organizes, and uses appropriate teaching and learning
8
resources, including ICT, to address learning goals
Designs, selects, organizes, and uses diagnostic, formative and summative
9
assessment strategies with curriculum requirements.
LEGEND: RUBRICS ON SCOT RATING Prepared by:
Strength in SCOT Competencies 6.50 - 7.00Outstanding
Signature Over printed Name School
(Outstanding and Very Satisfactory Performance) 5.50 - 6.49Very Satisfactory Administrator
Weakness in SCOT Competencies 4.50 - 5.49Satisfactory Noted by:
(Satisfactory in SCOT Competencies) 3.50 - 4.49Unsatisfactory ADRIANO A. DALIGDIG
Below 3.49Poor District Principal In-Charge
IS Form No. 3A
Republic of the Philippines
Department of Education
Region XII
DIVISION OF SARANGANI

DIAGNOSTIC RESULT OF TEACHERS' INSTRUCTIONAL COMPETENCE FOR T-I-III

SCOT COMPETENCIES
Name of Teachers Total Average
1 2 3 4 5 6 7 8 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
TOTAL
AVERAGE
REMARKS

Prepared by: Noted by:

ADRIANO A. DALIGDIG
School Administrator District Principal In-Charge

LEGEND:

LEGEND: RUBRICS ON SCOT RATING

Strength in SCOT Competencies 6.50 - 7.00 Outstanding
(Outstanding and Very Satisfactory Performance) 5.50 - 6.49 Very Satisfactory
Weakness in SCOT Competencies 4.50 - 5.49 Satisfactory
(Satisfactory in SCOT Competencies) 3.50 - 4.49 Unsatisfactory
Below 3.49 Poor
IS Form No. 3B
Republic of the Philippines
Department of Education
Region XII
DIVISION OF SARANGANI

DIAGNOSTIC RESULT OF TEACHERS' INSTRUCTIONAL COMPETENCE FOR MT-I-IV

SCOT COMPETENCIES
Name of Teachers Total Average
1 2 3 4 5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
TOTAL
AVERAGE
REMARKS

Prepared by: Noted by:

ADRIANO A. DALIGDIG
School Administrator District Principal In-Charge

LEGEND:

LEGEND: RUBRICS ON SCOT RATING

Strength in SCOT Competencies 7.50 - 8.00 Outstanding
(Outstanding and Very Satisfactory Performance) 6.50 - 7.49 Very Satisfactory
Weakness in SCOT Competencies 5.50 - 6.49 Satisfactory
(Satisfactory in SCOT Competencies) 4.50 - 5.49 Unsatisfactory
Below 4.49 Poor
IS Form No. 4
Republic of the Philippines
Department of Education
Region XII
DIVISION OF SARANGANI

CURRICULUM IMPLEMENTATION TECHNICAL ASSISTANCE PLAN for TEACHERS

Categories AREAS TO BE IMPROVED TA TO BE CONDUCTED MAJOR OUTPUT
Names of Teachers (Specify what item/s found to be the weakness of ( Coaching, Counseling, Mentoring, (Training/Activity Design, SLAC,
P HP D the Teacher as result of the COT rating) Training, SLAC, Immersion) Supervisory Plan, Agreements, etc.)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

Prepared by: Noted by: Approved by:

ADRIANO A. DALIGDIG DONNA S. PANES
School Administrator District Principal In-Charge Chief, Curriculum Implementation Division
 Republic of the Philippines
Department of Education
Region XII
DIVISION OF SARANGANI

SLAC MONITORING & SUPERVISION

(Coverage Dates: Every 3rd & 4th Friday of the Month)

Date SLAC TOPICS / AREAS ACTIVITY/IES TARGET ACCOMPLISHMENT MOV's

Prepared by: Noted by: Approved by:

ADRIANO A. DALIGDIG DONNA S. PANES
School Administrator District Principal In-Charge Chief, Curriculum Implementation Division