Technical Asssistance Contract

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Republic of the Philippines

Department Of Education
REGION II CAGAYAN VALLEY
SCHOOLS DIVISION OF ISABELA
ALICIA SOUTH DISTRICT
PALAYAN REGION HIGH SCHOOL
Bagnos, Alicia, Isabela

TECHNICAL ASSISTANCE CONTRACT

Name of Teacher: _______________________________________________ Number of Teachers: ___________________


School Head: _______________________________________________ Number of Classes: ___________________
Position: _______________________________________________ Enrollment: ___________________
Contact Number: _______________________________________________ District: ___________________

PART I. OVERVIEW OF THE TECHNICAL ASSISTANCE PLAN

Education Program Supervisor: Public Schools District Supervisor:

______________________________________ ______________________________________

Program Description:
Content Focus: _____ Learners _____Teachers _____School Head Others: (Please Specify) ____________________
Area of Focus:
_____ Curriculum _____ Classroom Instruction _____ Classroom
Assessment
_____Classroom _____ Learning Environment/Set-up _____ Supervision
_____Development of Learning Resources _____ Developmentally Appropriate Practices Others: _______________
_______________

School ID: 300565


Email Add: 300565@deped.gov.ph
Republic of the Philippines
Department Of Education
REGION II CAGAYAN VALLEY
SCHOOLS DIVISION OF ISABELA
ALICIA SOUTH DISTRICT
PALAYAN REGION HIGH SCHOOL
Bagnos, Alicia, Isabela

TA Goal:

Date Venue
Estimate Number of Sessions:
First Session: _______________________________________ _____________________________________
Second Session: _______________________________________ _____________________________________
Third Session: _______________________________________ _____________________________________
Fourth Session: _______________________________________ _____________________________________
_______ Conversation _______Coaching _______ Mentoring _______ Demonstration _______ Guided
TA Techniques:
Instruction
_______Observation _______Face-to-Face Training _______ Workshop Others: ________________
_______________________________
(Include handouts, references, equipment, and the like):
Materials
__________________________________________________________________________________________________

Tools: __________________________________________________________________________________________________

Prepared by: Conforme: Noted:


EMILY O. BENITEZ, EdD. _______________________ FLORDELIZA T. RUDIO, EdD.
School ID: 300565
Email Add: 300565@deped.gov.ph
Republic of the Philippines
Department Of Education
REGION II CAGAYAN VALLEY
SCHOOLS DIVISION OF ISABELA
ALICIA SOUTH DISTRICT
PALAYAN REGION HIGH SCHOOL
Bagnos, Alicia, Isabela

Principal I Teacher Public Schools District Supervisor

TECHNICAL ASSISTANCE PROGRESS MONITORING REPORT

Name of Teacher: _______________________________________________________ Position: _______________


Grade: ________________________ Date: _______________

Date: ____________________________________ Time: ___________________________________ Venue:


___________________________________

Type of Contract: Length of Contract: ____________ Hours/Minutes Technical Assistance Recipients:


(List their Names and their position.)
_______________________________________
1. _________________________________
2. _________________________________
3. _________________________________
4. _________________________________
5. _________________________________

School ID: 300565


Email Add: 300565@deped.gov.ph
Republic of the Philippines
Department Of Education
REGION II CAGAYAN VALLEY
SCHOOLS DIVISION OF ISABELA
ALICIA SOUTH DISTRICT
PALAYAN REGION HIGH SCHOOL
Bagnos, Alicia, Isabela

Objective/s and Action Steps Summary of Interaction/Progress Reflection Reminders


Addressed (May include a gist of TA proceedings, (What can still be done to address (To do list, Agreements,
comments on strengths of the program, the concerns of the group? What Adjustments, etc.)
(Indicate the number of Objective/s responsiveness of the group, issues and aspects of the program may be
and Action Steps Addressed during the concerns, program adjustments, modified or adjusted to suit the
session based on the TA Action Plan.) opportunities, threats, and other matters) needs of the group?)

___ No Progress ____ Some Progress


___ Complete

Conformed: Prepared by: Noted:

___________________________ EMILY O. BENITEZ, EdD. FLORDELIZA T. RUDIO, EdD.


Teacher School Head Public Schools District Supervisor
School ID: 300565
Email Add: 300565@deped.gov.ph

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