Holy Trinity College of Cam. Sur Inc.

Don Domingo B. Fortuno St., Santiago Bato, Camarines Sur

(054) 2774296 – [email protected]
College of Teacher Education

FORM 1 TEACHING DEMONSTRATION EVALUATION FORM

Name of Student Teacher: __________________________________________________

Subject Demonstrated: _______________________________________ Date: _________________________
School: San Vicente Elementary School

CRITERIA RATING

A. LESSON PLANNING (5 pts.)

A.1. Objectives were stated in behavior terms (3pts.)
A.2 There was congruence between (2pts.)
1. Objective and subject matter
2. Object and teaching procedure
3 Objective and formative test
4. Objective and assignment
B. TEACHING METHOD (50 pts.)
B.1 Method /s used was/ were suited to the needs and capabilities of the students. (10 pts.)
B.2 The teacher was creative enough to adapt his/her method to the students’ capabilities. (10 pts.)
B.3 Visual aids and other example were used to illustrate the lesson. (10 pts.)
B.4 The teacher made effective use of the formative test after teaching. (10 pts.)
B.5 The teacher has innovative way of teaching (10 pts.)
C. C.CLASSROOM MANAGEMENT (10 pts.)
C.1 The teacher had a systematic way of checking. (3 pts)
C.2 Checking attendance
C.3 Checking assignment/homework
C.4 Checking practice exercises
C.5 Checking group work/ projects
C.6 Correcting /distributing collecting papers
C.7 Order and discipline were present in the classroom. (3 pts.)
C.8 Visual aids were within easy reach of the teacher during his/her teaching. (4 pts.)
D. COMMUNICATION SKILLS (25 pts.)
D.1 The teacher spoke with a well-modulated voice. (5 pts.)
D.2 The teacher used correct grammar in speaking. (5 pts.)
D.3 He /she observed correct pronunciation. (3 pts.)
D.4 Correct responses were given by the students through the teacher’s skillful questioning. (5 pts.)
D.5 The board work of the teacher was free from errors in grammar and spelling. (4 pts.)
D.6 The teacher’s hand writing on the board was clear enough to be read and understood. (3 pts.)
E. TEACHER’S PERSONALITY (10 pts.)
E.1 The teacher is neat and well-groomed. (3 pts.)
E.2 The teacher is free from mannerism or physical defects that tend to disturb the student’s attention.
(3 pts.)
E.3 The teacher’s personality is strong enough to command respect and attention. (4 pts.)
TOTAL:

COMMENTS:

_______________________________________________
NAME AND SIGNATURE OF OBSERVER
_______________________________________________
DESIGNATION
Noted:

NICOLAS B. SASALUYA I
Teaching Internship Instructor

Prof. SANTIAGO M. SABAO, LPT, MAEd-EM

Assistant Dean, College of Teacher Education

DR. FELIX I. FORTUNO, LPT

Dean, College of Teacher Education
 Holy Trinity College of Cam. Sur Inc.
Don Domingo B. Fortuno St., Santiago Bato, Camarines Sur
(054) 2774296 – [email protected]
College of Teacher Education

FORM 2 OFF –CAMPUS TRAINING EVALUATION

NAME OF STUDENT TEACHER: _______________________________
COURSE: ________________________________________________
DATE (DURATION OF TRAINING): _______________________________________
4: EXEMPLARY 3: EFFECTIVE 2: DEVELOPMENT NEEDED 1: UNSATISFACTORY NA – NOT APPLICABLE
ELEMENTS RATING
1. Planning / The teacher develops an effective instructional sequence.
Aligns learning targets with standards and student data inform planning
I. Plans units and lessons effectively
II. Selects learning targets and activities
II. Applies content knowledge and understanding of how students learn
1.B Uses content, resources and student knowledge to design coherent
I. Designs coherent instruction
II. Creates interdisciplinary and extended learning experiences
III. Uses available resources and technology
1.C Plans for assessment and differentiation
I. Plans formative and summative assessments
II. Plans for differentiation
2. Domain 2: Classroom Environment. The teacher creates and implements a physical and interpersonal classroom
environment that supports student learning.
2.A Creates a respectful classroom culture of trust, safety and high expectations.
I. Creates a safe learning environment
II. Establishes a culture of learning
III. Creates a culture of persistence
2.B Establishes and maintains clear expectations for classroom and behavior management.
I. Establishes and maintains classroom routines and procedures
II. Monitors and provides feedback on student behavior
3. Domain 3: Classroom Instruction. The teacher engages students in learning and utilizes instructional strategies that help
students understand content.
3.A Communicates learning targets and content clearly and effectively.
I. Uses content knowledge to promote learning
II. Communicates learning targets and content
3.B INDICATOR 3B: Facilitates activities and discussions that promote high cognitive engagement.
I. Uses instructional strategies to engage students in learning
II. Uses questioning and discussion techniques
III. Uses appropriate pacing and structure
3.C INDICATOR 3C: Uses varied assessment techniques to advance student learning.
I. Uses formative assessments to inform instruction
II. Provides feedback to advance learning
III. Promotes student self- assessment
4. Domain 4: Professionalism. The teacher participates in on-going professional development activities and collaborates
with colleagues and families to advance learning for teachers and students.
4.A INDICATOR 4A: Reflects on teaching practice.
I. Uses self-reflection to improve instruction
II. Uses feedback to improve instruction
III. Plans for professional growth
4.B INDICATOR 4B: Engages in professional development.
I. Participates in professional development
II. Collaborates with colleagues regarding student learning
III. Contributes to school culture of learning
4.C INDICATOR 4C: Maintains professional responsibilities and communicates with families
I. Adheres to standards of ethical conduct
II. Maintains accurate records
III. Completes tasks in an organized and efficient manner
IV. Understands the cultural and linguistic backgrounds of students, their families and the community
RATING:

LIST OF EVIDENCE / OUTPUT OR ACCOMPLISHMENT

LIST OF OUTPUT /ACCOMPLISHMENT PURPOSE

______________________________________________________________________
NAME AND SIGNATURE OF THE SUPERVISING TEACHER
DATE EVALUATED: ____________________________________________
 Holy Trinity College of Cam. Sur Inc.
Don Domingo B. Fortuno St., Santiago Bato, Camarines Sur
(054) 2774296 – [email protected]
College of Teacher Education

FORM 3 Performance indicator evaluation

NAME OF STUDENT TEACHER: __________________________________________________

Kindly rate according to your observation on how the given indicators have been achieved.

5 - Exceeded to the expectation 4 – Highly achieved 3- Satisfactorily Achieved

2. Fairly achieved 1 – Not yet achieved

PROGRAM OUTCOMES AND ITS INDICATOR RATING

1. Demonstrate in-depth understanding of the diversity of the learners in various learning areas.
1.1 Identify various types of learners and provide them with appropriate culturally – relevant learning activities and
experiences.
1.2 Develop and utilize relevant materials that match the learner’s styles goals and culture.
1.3 Select instructional strategies for the development of the learners’ critical and creative thinking skills.
1.4 Utilize developmentally appropriate activities in teaching different learning areas.
1.5 Utilized appropriate technologies to achieve the learning outcomes
1.6 Apply theories of learning in designing learning teaching experiences.
2. Manifest meaningful and comprehensive pedagogical content knowledge (PCK) of the Different subject areas
2.1 Explain subject matter content clearly accurately and comprehensively.
2.2 Relate current content with past and future lessons.
2.3 Integrate recent developments in education and in the specific field to enrich learning.
2.4 Provide example from real to life to make learning meaningful.
2.5 Utilized appropriate teaching learning methods and technology for specific subject matter content.
2.6 Keep abreast with educational issues trends and practices vis- a vis local and global content to provide relevant
learning experience.
3. Utilize appropriate assessment and evaluation tools to measure learning outcomes.
3.1 Design authentic assessment evaluation instruments and alternative assessment tools.
3.2 Interpret assessment results and use these to impose learning and teaching.
3.3 Keep accurate and updated records of the learners’ performance using technology tools where feasible and
appropriate
3.4 Provide timely feedback of assessment results to parents and other stakeholders
4. Manifest skills in communication higher order thinking and use tools and technology to accelerate learning and
Teaching
4.1 Demonstrate skills in creative and critical thinking logical reasoning problem solving and decision making in
various classroom situations.
4.2 Create learning experiences that develop the learner higher order thinking skills.
4.3 Provide opportunities to develop the learners’ communication skills
4.4 Use tools and technology to enhance learning and teaching
5. Demonstrate positive attributes of a model teacher both as an individual and as a professional
5.1 Act accordingly to the norms of the teaching profession in dealing with students, parents, colleagues and other
stakeholders.
5.2 Manifest positive personal and professional qualities of a teacher
5.3 Observe integrity and professionalism in handling issues and conflicts and controversies related to the student
welfare as well as parent community concerns.
6. Manifest a desire to continuously pursue personal and professional development
6.1 Pursue personal growth and professional development through attendance in seminar- workshop participations in
demo tests conducting action research and other education related activities.
6.2 Participate actively in the school community outreach activities.
GENERAL RATING

INTERPRETATION

ACTIONS TO BE TAKEN TO IMPROVE THE EXPECTED PROGRAM OUTCOMES

1.

2.

3.

4.

5.

______________________________________________________________________
NAME AND SIGNATURE OF THE SUPERVISING TEACHER
DATE EVALUATED: _____________________________________________
 Holy Trinity College of Cam. Sur Inc.
Don Domingo B. Fortuno St., Santiago Bato, Camarines Sur
(054) 2774296 – [email protected]
College of Teacher Education

FORM 4 SUMMARY OF OFF-CAMPUS SIMULATION

TEACHING DEMONSTRATION

NAME OF STUDENT TEACHER: __________________________________________ DATE: __________________

COURSE: _______________________________________

GRADE LEVEL: ________________________

FIRST SHIFTING

SUBJECT
NAME OF OBSERVER DESIGNATION MATTER GRADES SIGN

AVERAGE

Noted by:
AMALIA T. REQUIO
School Principal I
SAN VICENTE EEMENTARY SCHOOL

Recommending Approval:

NICOLAS B. SASALUYA I
Teaching Internship Instructor

Prof. SANTIAGO M. SABAO, LPT, MAEd-EM

Assistant Dean, College of Teacher Education

Approved by:

DR. FELIX I. FORTUNO, LPT

Dean, College of Teacher Education
 Holy Trinity College of Cam. Sur Inc.
Don Domingo B. Fortuno St., Santiago Bato, Camarines Sur
(054) 2774296 – [email protected]
College of Teacher Education

FORM 5 OFF –CAMPUS TRAINING DAILY TIME RECORD REPORT

S.Y 2024 – 2025
NAME OF STUDENT : ___________________________________________________________
COURSE : ______________________________________
SUPERVISING TEACHER : _______________________________________________
DATE TIME –IN TIME -OUT TIME –IN TIME -OUT SUPERVISING TEACHER
SIGNATURE

SUMMARY OF TIME OF THE OFF – CAMPUS TRAINING: _________________

REMARKS:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_______________________________________________________________________________.

____________________________________________________________________
NAME AND SIGNATURE OF THE SUPERVISING TEACHER

Recommending Approval:

NICOLAS B. SASALUYA I
Teaching Internship Instructor

Prof. SANTIAGO M. SABAO, LPT, MAEd-EM

Assistant Dean, College of Teacher Education

Approved by:

DR. FELIX I. FORTUNO, LPT

Dean, College of Teacher Education