FORM 1: LAC PROFILE
This form should be accomplished by the LAC Facilitator and its members at the first LAC session.
REGION: III
LAC ID (name or number): SBNHS-1LAC-06-006 Number of LAC members: 14
Name of LAC Facilitator: Joana Joy S. Canlas Designation/Position: Teacher II
LAC Members
Name Male/ Designation/ Division Contact Details ( email, Preferred
Female Position mobile number) contact
mode
(email,phone
,Skype,Zoom
JEHANNAH ANTIOQUIA Female T-1 Angeles [Link]@dep All
[Link]
EDDIE DARCIA Male T- Angeles [Link]@[Link] All
.ph
GEMMA MANDAP Female T-1 Angeles [Link]@deped All
.[Link]
FRANCES VELASQUEZ Male T-1 Angeles [Link]@dep All
[Link]
LADY YUMANG Female T-1 Angeles [Link]@[Link] All
[Link]
PATRICK RENZ MIRANDA Male T-1 Angeles [Link]@deped. All
[Link]
EROS PRINIEL Male T-1 Angeles [Link]@[Link]. All
ph
LON RELORCAZA Male T- 2 Angeles [Link]@[Link] All
[Link]
CHARLIEMAGNE FIEL Male T-2 Angeles [Link]@depe All
[Link]
LITHOS STO. DOMINGO Male T- 2 Angeles [Link]@dep All
[Link]
JOANA JOY CANLAS Female T- 2 Angeles [Link]@[Link] All
[Link]
ALEJANDRINA TORRES Female T-2 Angeles [Link]@depe All
[Link]
JOYCE MUNDIA Female T-2 Angeles [Link]@[Link] All
[Link]
KENNETH BAUTISTA Male T-1 Angeles [Link]@deped All
.[Link]
FORM 2: LAC Facilitator Information Sheet
This form should be accomplished by the designated LAC Facilitator on or before first LAC session.
REGION: III
DIVISION: ANGELES
Name Gender Date of Birth Age
Joana Joy S. Canlas Female April 22, 1990 30
Contact Details Email: Mobile Number Facebook Name
09952589623 [Link]@[Link] 09322133109 Joana Joy Soriano
Canlas
Preferred contact mode
Email, Phone, Google Meet, Facebook, Messenger, Zoom
From: 8:00-5:00
FORM 3: LAC Session Report
This form should be accomplished by the LAC Facilitator at the end of every LAC session.
LAC ID: SBNHS-1LAC-06-006 REGION: III
LAC FACILITATOR: JOANA JOY S. CANLAS LAC SESSION NO.: 1
DATE AND TIME OF SESSION: VENUE/ PLATFORM OF SESSION:
SEPTEMBER 14, 2020 / 1:00- 3:00 PM WORK FROM HOME/GOOGLE MEET
[Link]/vvx-wvig-kke
Number of members present ( attach attendance documents): 14
Materials and resources:
____ Self-Learning Module
____ Activity Sheets
____ Digital resources
____ Online resources
____ Smartphone
____ PC
____ LAC session guide
____ Others. Please specify:
____________________________________
Part A
Please indicate the extent to which you agree with each of the following statements by ticking the appropriate
box.
(SD=Strongly Disagree; D=Disagree; N=Neutral; A= Agree; SA= Strongly Agree)
Comment/ Remarks
(for example, if you disagree or
strongly disagree, please indicate
SD D N A SA why.)
MEMBER PARTICIPATION
1. All of the members came prepared for
the LAC session.
2. Opportunity to share and discuss their
assignment, insights and ideas.
3. Members listened to each other’s
insight and ideas.
4. The members’ assignment showed an
understanding of the lessons in the
SLM.
5. The members demonstrated
engagement in and / or enthusiasm for
the learning task during the session
( including proving feedback on each
other’s assignment ).
Comment/ Remarks
(for example, if you disagree or
strongly disagree, please indicate
SD D N A SA why.)
FACILITATION
6. I manage the sharing and discussion
during the LAC session by keeping the
discussion focused on the lesson or
topic.
7. I encouraged all the members to
actively participate in the LAC session
( i.e., for the teachers to share their
work and ideas/ insights).
8. I provide useful feedback on the
teachers’ assignment.
Part B
Please provide the information requested.
1. The best part of the session (i.e. what went well):
Discussing the ways on how easily understand the LDM
2. Problems or challenges encountered and how they were resolved:
Not all of the members have enough knowledge when it comes to LDM.
We shared our all ideas and helped each other to solve the problem.
3. Other topics discussed apart from the recommended topic, if any;
None
4. Recommendations/ Plans for next LAC session.
None
Signed:
Date:
FORM 4: LAC ENGAGEMENT REPORT
This form should be accomplished by each LAC Member at the end of every LAC session.
NAME OF MEMBER: CHARLIEMAGNE Z. FIEL LAC SESSION ID: SBNHS I-LAC-06-006
REGION: III DATE OF LAC SESSION: SEPTEMBER 14, 2020
DIVISION: PAMPANGA NUMBER OF LAC SESSION: LAC1
Part A
Please indicate the extent to which you agree with each of the following statement by ticking the
appropriate box. (SD = Strongly Disagree; D = Disagree; N = Neutral; A = Agree; SA = Strongly Agree)
Comments/Remarks
SD D N A SA (For example, if you disagree or
strongly disagree, please
indicate why.)
THE LAC SESSION
1. I learned a lot from my colleagues in this
LAC session.
2. The LAC session deepened my
understanding of the SLM content
3. My perspective on the topic/s covered has
changed as a results of the LAC session.
4. I participated actively in the LAC session
by sharing my assignment and insights,
asking questions, and giving feedback on
what colleagues shared.
5. I integrated with different people during
the LAC session.
ACTION PLAN
6. I feel motivated to apply in my
region/division/district what I have learned
in this lesson.
7. I intend to apply what I have learned from
the lesson in my region/division/district
Part B
Please provide the information requested.
1. I need further clarification and/or resources on the following topics:
Answer: Everything is clear and properly explained.
2. I encountered the following problems or challenges:
Answer: I was challenged with the different activities and task assigned to us in module 1
3. Other comments/suggestions:
Answer: The LAC1 was clear and successfully delivered. Though there are some flaws
regarding the management of time, it was clear for us what tasks should we do. I suggest that
we will be having interactive activities so we can further understand the different forms. It would
also be nice if they would give us the materials beforehand so we can study the module before
the session.
Signed:
Date:
