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TA Evaluation-Form 2024

The document is a Technical Assistance Form for teachers in the Division of Zamboanga City, Philippines, detailing the process for providing and evaluating technical assistance. It includes sections for teachers to outline their concerns, agreements made, compliance with those agreements, and satisfaction with the assistance received. Each form is signed by the teacher and the school head, indicating a structured approach to improving instructional delivery and leadership in education.

Uploaded by

Ana Marie Delos Reyes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
15 views8 pages

TA Evaluation-Form 2024

The document is a Technical Assistance Form for teachers in the Division of Zamboanga City, Philippines, detailing the process for providing and evaluating technical assistance. It includes sections for teachers to outline their concerns, agreements made, compliance with those agreements, and satisfaction with the assistance received. Each form is signed by the teacher and the school head, indicating a structured approach to improving instructional delivery and leadership in education.

Uploaded by

Ana Marie Delos Reyes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region IX, ZamboangaPeninsula
DIVISION OF ZAMBOANGACITY
Baliwasan Chico, Zamboanga City

Date: ___________ TECHNICAL ASSISTANCE FORM


(For Teachers)

Name of Teacher/School Head: ANA MARIE P. DELOS REYES Designation: TEACHER-I Yrs. In Service: -
______
Major: _______ Grade level/s Taught: KINDERGARTEN School: SIGUINAN ES District: MANICAHAN

A. CONCERNS/OBSERVATIONS:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

B. AGREEMENT:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

C. COMPLIANCE TO AGREEMENT:
Date Given TA: _________ Agreed Date for Follow-up: _____________
Number of points of agreement: ____
Number of points of agreement complied: _______
Remarks: __________________

D. Satisfaction from Technical Assistance Provided


Please put a check (/) in the appropriate column.

Satisfaction from Technical Assistance Provided YES NO


1. Were the suggestions specific and well-illustrated?
2. Were the suggestions clear enough to help you execute them
properly?
3. Were all your instructional/supervisory needs addressed during the
provision of TA?
4. Were you satisfied with the manner the TA was provided to you?

E. Degree of Relevance:
Rate the degree of relevance on how the TA contributed in the improvement of your instructional
delivery/leadership using the descriptions below (Please enter your score in the box below.

4 – Highly Relevant
3 – Relevant
2 – Moderately Relevant
1 – Not Relevant

ANA MARIE P. DELOS REYES VIOLETA M. JANGAS


Name & Signature of Teacher Name and Signature of School Head

F-CID-DES-006-0 05/02/2029
Republic of the Philippines
Department of Education
Region IX, ZamboangaPeninsula
DIVISION OF ZAMBOANGACITY
Baliwasan Chico, Zamboanga City

Date: _____________ TECHNICAL ASSISTANCE FORM


(For Teachers)

Name of Teacher/School Head: IRENE F. BANTAYA Designation: TEACHER-II Yrs. In Service: ______
Major: _______ Grade level/s Taught: GRADE - I School: SIGUINAN ES District: MANICAHAN

D. CONCERNS/OBSERVATIONS:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

E. AGREEMENT:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

F. COMPLIANCE TO AGREEMENT:
Date Given TA: _________ Agreed Date for Follow-up: _____________
Number of points of agreement: ____
Number of points of agreement complied: _______
Remarks: __________________

D. Satisfaction from Technical Assistance Provided


Please put a check (/) in the appropriate column.

Satisfaction from Technical Assistance Provided YES NO


1. Were the suggestions specific and well-illustrated?
2. Were the suggestions clear enough to help you execute them
properly?
3. Were all your instructional/supervisory needs addressed during the
provision of TA?
4. Were you satisfied with the manner the TA was provided to you?

F. Degree of Relevance:
Rate the degree of relevance on how the TA contributed in the improvement of your instructional
delivery/leadership using the descriptions below (Please enter your score in the box below.

4 – Highly Relevant
3 – Relevant
2 – Moderately Relevant
1 – Not Relevant

IRENE F. BANTAYA VIOLETA M. JANGAS


Name & Signature of Teacher Name and Signature of School Head

F-CID-DES-006-0 05/02/2029
Republic of the Philippines
Department of Education
Region IX, ZamboangaPeninsula
DIVISION OF ZAMBOANGACITY
Baliwasan Chico, Zamboanga City

Date: ____________ TECHNICAL ASSISTANCE FORM


(For Teachers)

Name of Teacher/School Head: ABIGAEL S. MARTINEZ Designation: TEACHER-I Yrs. In Service: ______
Major: _______ Grade level/s Taught: GRADE - II School: SIGUINAN ES District: MANICAHAN

G. CONCERNS/OBSERVATIONS:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

H. AGREEMENT:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

I. COMPLIANCE TO AGREEMENT:
Date Given TA: _________ Agreed Date for Follow-up: _____________
Number of points of agreement: ____
Number of points of agreement complied: _______
Remarks: __________________

D. Satisfaction from Technical Assistance Provided


Please put a check (/) in the appropriate column.

Satisfaction from Technical Assistance Provided YES NO


1. Were the suggestions specific and well-illustrated?
2. Were the suggestions clear enough to help you execute them
properly?
3. Were all your instructional/supervisory needs addressed during the
provision of TA?
4. Were you satisfied with the manner the TA was provided to you?

G. Degree of Relevance:
Rate the degree of relevance on how the TA contributed in the improvement of your instructional
delivery/leadership using the descriptions below (Please enter your score in the box below.

4 – Highly Relevant
3 – Relevant
2 – Moderately Relevant
1 – Not Relevant

ABIGAEL S. MARTINEZ VIOLETA M. JANGAS


Name & Signature of Teacher Name and Signature of School Head

Date: ___________ TECHNICAL ASSISTANCE FORM


(For Teachers)
F-CID-DES-006-0 05/02/2029
Republic of the Philippines
Department of Education
Region IX, ZamboangaPeninsula
DIVISION OF ZAMBOANGACITY
Baliwasan Chico, Zamboanga City

Name of Teacher/School Head: ANALYN N. CUARTOCRUZ Designation: TEACHER-I Yrs. In Service: ______
Major: _______ Grade level/s Taught: GRADE - III School: SIGUINAN ES District: MANICAHAN

J. CONCERNS/OBSERVATIONS:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

K. AGREEMENT:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

L. COMPLIANCE TO AGREEMENT:
Date Given TA: _________ Agreed Date for Follow-up: _____________
Number of points of agreement: ____
Number of points of agreement complied: _______
Remarks: __________________

D. Satisfaction from Technical Assistance Provided


Please put a check (/) in the appropriate column.

Satisfaction from Technical Assistance Provided YES NO


1. Were the suggestions specific and well-illustrated?
2. Were the suggestions clear enough to help you execute them
properly?
3. Were all your instructional/supervisory needs addressed during the
provision of TA?
4. Were you satisfied with the manner the TA was provided to you?

H. Degree of Relevance:
Rate the degree of relevance on how the TA contributed in the improvement of your instructional
delivery/leadership using the descriptions below (Please enter your score in the box below.

4 – Highly Relevant
3 – Relevant
2 – Moderately Relevant
1 – Not Relevant

ANALYN N. CUARTOCRUZ VIOLETA M. JANGAS


Name & Signature of Teacher Name and Signature of School Head

Date: __________ TECHNICAL ASSISTANCE FORM


(For Teachers)

Name of Teacher/School Head: KEYCIE G. ALVIAR Designation: TEACHER-I Yrs. In Service: ______

F-CID-DES-006-0 05/02/2029
Republic of the Philippines
Department of Education
Region IX, ZamboangaPeninsula
DIVISION OF ZAMBOANGACITY
Baliwasan Chico, Zamboanga City

Major: _______ Grade level/s Taught: GRADE - IV School: SIGUINAN ES District: MANICAHAN

M. CONCERNS/OBSERVATIONS:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

N. AGREEMENT:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

O. COMPLIANCE TO AGREEMENT:
Date Given TA: _________ Agreed Date for Follow-up: _____________
Number of points of agreement: ____
Number of points of agreement complied: _______
Remarks: __________________

D. Satisfaction from Technical Assistance Provided


Please put a check (/) in the appropriate column.

Satisfaction from Technical Assistance Provided YES NO


1. Were the suggestions specific and well-illustrated?
2. Were the suggestions clear enough to help you execute them
properly?
3. Were all your instructional/supervisory needs addressed during the
provision of TA?
4. Were you satisfied with the manner the TA was provided to you?

I. Degree of Relevance:
Rate the degree of relevance on how the TA contributed in the improvement of your instructional
delivery/leadership using the descriptions below (Please enter your score in the box below.

4 – Highly Relevant
3 – Relevant
2 – Moderately Relevant
1 – Not Relevant

KEYCIE A. ARANETA VIOLETA M. JANGAS


Name & Signature of Teacher Name and Signature of School Head

Date: ____________ TECHNICAL ASSISTANCE FORM


(For Teachers)

Name of Teacher/School Head: NHINIA R. GABAYERON Designation: TEACHER-I Yrs. In Service: ______
Major: _______ Grade level/s Taught: GRADE - V School: SIGUINAN ES District: MANICAHAN

F-CID-DES-006-0 05/02/2029
Republic of the Philippines
Department of Education
Region IX, ZamboangaPeninsula
DIVISION OF ZAMBOANGACITY
Baliwasan Chico, Zamboanga City

P. CONCERNS/OBSERVATIONS:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

Q. AGREEMENT:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

R. COMPLIANCE TO AGREEMENT:
Date Given TA: _________ Agreed Date for Follow-up: _____________
Number of points of agreement: ____
Number of points of agreement complied: _______
Remarks: __________________

D. Satisfaction from Technical Assistance Provided


Please put a check (/) in the appropriate column.

Satisfaction from Technical Assistance Provided YES NO


1. Were the suggestions specific and well-illustrated?
2. Were the suggestions clear enough to help you execute them
properly?
3. Were all your instructional/supervisory needs addressed during the
provision of TA?
4. Were you satisfied with the manner the TA was provided to you?

J. Degree of Relevance:
Rate the degree of relevance on how the TA contributed in the improvement of your instructional
delivery/leadership using the descriptions below (Please enter your score in the box below.

4 – Highly Relevant
3 – Relevant
2 – Moderately Relevant
1 – Not Relevant

NHINIA R. GABAYERON VIOLETA M. JANGAS


Name & Signature of Teacher Name and Signature of School Head

Date: __________ TECHNICAL ASSISTANCE FORM


(For Teachers)

Name of Teacher/School Head: ANGELYNE C. ALVIAR Designation: TEACHER-II Yrs. In Service: ______
Major: _______ Grade level/s Taught: GRADE - VI School: SIGUINAN ES District: MANICAHAN

S. CONCERNS/OBSERVATIONS:
F-CID-DES-006-0 05/02/2029
Republic of the Philippines
Department of Education
Region IX, ZamboangaPeninsula
DIVISION OF ZAMBOANGACITY
Baliwasan Chico, Zamboanga City

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

T. AGREEMENT:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

U. COMPLIANCE TO AGREEMENT:
Date Given TA: _________ Agreed Date for Follow-up: _____________
Number of points of agreement: ____
Number of points of agreement complied: _______
Remarks: __________________

D. Satisfaction from Technical Assistance Provided


Please put a check (/) in the appropriate column.

Satisfaction from Technical Assistance Provided YES NO


1. Were the suggestions specific and well-illustrated?
2. Were the suggestions clear enough to help you execute them
properly?
3. Were all your instructional/supervisory needs addressed during the
provision of TA?
4. Were you satisfied with the manner the TA was provided to you?

K. Degree of Relevance:
Rate the degree of relevance on how the TA contributed in the improvement of your instructional
delivery/leadership using the descriptions below (Please enter your score in the box below.

4 – Highly Relevant
3 – Relevant
2 – Moderately Relevant
1 – Not Relevant

ANGELYNE C. ALVIAR VIOLETA M. JANGAS


Name & Signature of Teacher Name and Signature of School Head

Date: __________ TECHNICAL ASSISTANCE FORM


(For Teachers)

Name of Teacher/School Head: JENNELYN B. FRANCISCO Designation: TEACHER-III Yrs. In Service: ______
Major: _______ Grade level/s Taught: ______________ School: SIGUINAN ES District: MANICAHAN

V. CONCERNS/OBSERVATIONS:

____________________________________________________________________________
F-CID-DES-006-0 05/02/2029
Republic of the Philippines
Department of Education
Region IX, ZamboangaPeninsula
DIVISION OF ZAMBOANGACITY
Baliwasan Chico, Zamboanga City

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

W. AGREEMENT:

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

X. COMPLIANCE TO AGREEMENT:
Date Given TA: _________ Agreed Date for Follow-up: _____________
Number of points of agreement: ____
Number of points of agreement complied: _______
Remarks: __________________

D. Satisfaction from Technical Assistance Provided


Please put a check (/) in the appropriate column.

Satisfaction from Technical Assistance Provided YES NO


1. Were the suggestions specific and well-illustrated?
2. Were the suggestions clear enough to help you execute them
properly?
3. Were all your instructional/supervisory needs addressed during the
provision of TA?
4. Were you satisfied with the manner the TA was provided to you?

L. Degree of Relevance:
Rate the degree of relevance on how the TA contributed in the improvement of your instructional
delivery/leadership using the descriptions below (Please enter your score in the box below.

4 – Highly Relevant
3 – Relevant
2 – Moderately Relevant
1 – Not Relevant

JENNELYN B. FRANCISCO VIOLETA M. JANGAS


Name & Signature of Teacher Name and Signature of School Head

F-CID-DES-006-0 05/02/2029

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