FORM 4: LAC ENGAGEMENT REPORT
This form should be accomplished by each LAC Member at the end of every LAC session.
NAME OF MEMBER: LAC SESSION ID.:
REGION: DATE OF LAC SESSION:
DIVISION: NUMBER OF LAC SESSION:
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)
Comments / Remarks
(For example, if you disagree
or strongly disagree, please
SD D N A SA 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
result 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 interacted 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: The topics in LDM2 module 2 delivered
2. I encountered the following problems or challenges:
There’s no problems I encountered during the LAC session.
3. Other comments/suggestions:
Effective learning engagement was demonstrated in all the activities discussed during the LAC session.
FORM 4: LAC ENGAGEMENT REPORT
This form should be accomplished by each LAC Member at the end of every LAC session.
NAME OF MEMBER: LAC SESSION ID.:
REGION: DATE OF LAC SESSION:
DIVISION: NUMBER OF LAC SESSION:
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)
Comments / Remarks
(For example, if you disagree
or strongly disagree, please
SD D N A SA 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
result 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 interacted 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:
The topics are well presented and clear.
2. I encountered the following problems or challenges:
It is really a big challenge to me as a provisionary teacher in finding effective learning design
to suit the needs of my students using the different Learning Delivery Modalities in this New
Normal in Education
3. Other comments/suggestions.
I gain more insights in this LDM2 Module 2.
FORM 4: LAC ENGAGEMENT REPORT
This form should be accomplished by each LAC Member at the end of every LAC session.
NAME OF MEMBER: LAC SESSION ID.:
REGION: DATE OF LAC SESSION:
DIVISION: NUMBER OF LAC SESSION:
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)
Comments / Remarks
(For example, if you disagree
or strongly disagree, please
SD D N A SA 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
result 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 interacted 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:
It was a great sessions.
2. I encountered the following problems or challenges:
There’s no problems I encountered during the LAC session.
3. Other comments/suggestions:
I learned a lot from the lecture discussed on the LDM2 Module 3
FORM 4: LAC ENGAGEMENT REPORT
This form should be accomplished by each LAC Member at the end of every LAC session.
NAME OF MEMBER: LAC SESSION ID.:
REGION: DATE OF LAC SESSION:
DIVISION: NUMBER OF LAC SESSION:
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)
Comments / Remarks
(For example, if you disagree
or strongly disagree, please
SD D N A SA 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
result 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 interacted 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:
The topics in LDM2 module 4 delivered very well by the LAC leader.
2. I encountered the following problems or challenges:
There’s no problems I encountered during the LAC session.
3. Other comments/suggestions:
Productive learning engagement was demonstrated in all the activities discussed during the LAC session.
FORM 4: LAC ENGAGEMENT REPORT
This form should be accomplished by each LAC Member at the end of every LAC session.
NAME OF MEMBER: LAC SESSION ID.:
REGION: DATE OF LAC SESSION:
DIVISION: NUMBER OF LAC SESSION:
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)
Comments / Remarks
(For example, if you disagree
or strongly disagree, please
SD D N A SA 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
result 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 interacted 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:
The topics in LDM2 module 5 delivered very well by the LAC leader.
2. I encountered the following problems or challenges:
There’s no problems I encountered during the LAC session.
3. Other comments/suggestions:
Productive learning engagement was demonstrated in all the activities discussed during
the LAC session.
