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RPL Form 1

This document is a form for documenting a learner's life experiences. It contains sections for the learner to provide information about themselves, describe common experiences they have had, and sign and date the form along with their teacher.

Uploaded by

Jeffrey Merete Ecalnir
Copyright
© © All Rights Reserved
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135 views4 pages

RPL Form 1

This document is a form for documenting a learner's life experiences. It contains sections for the learner to provide information about themselves, describe common experiences they have had, and sign and date the form along with their teacher.

Uploaded by

Jeffrey Merete Ecalnir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

ALS RPL Form 1

DOCUMENTATION OF LIFE EXPERIENCE

Name of Learner: ______________________ Community Learning Center: _______________


Level: BL LE AE JHS JEFFREY M. ECALNIR
Name of ALS Teacher: ____________________

(1) About Me
Directions: Kindly write your hobbies, strengths, interests, weaknesses, ambition/s, and a simple
sentence about your family on the spaces provided.

Hobby/ies (Libangan): Strength/s (Kalakasan):


________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________

Interest/s (Hilig): Weakness/es (Kahinaan):


________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________

Ambition/s (Mithiin): Write a simple sentence about


________________________________ your family.
________________________________ (Sumulat ng pangungusap tungkol sa
________________________________ iyong pamilya.)
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________

Page 1 of 4 10/2020
ALS RPL Form 1

(2) Experiences
Directions: Read each of the common daily life experiences listed in the first column. Place a
check ( ) in the second column if you have ever had such similar life experiences. If you have
had a significant life experience not on the list, kindly check “Others” and specify on the space
provided. Use a separate sheet of paper if necessary. Briefly explain the experience in the third
column; indicate when it happened in the fourth column; and specified where it happened in the
fifth column.

P
u Where did
t When did you you
What specific
Experience experience it? experience
i
experience/s?
(Karanasan) (Kailan ito it?
f (Anong karanasan ito?)
naranasan?) (Saan ito
y naranasan?)
e
s
A. Communication (Komunikasyon)
Reading/Viewing (e.g.,
newspaper, internet)
Listening/Speaking (e.g.,
dialogue)
Writing (e.g., note-taking)
Others, please specify:
______________________
______________________
______________________
B. Social Activity (Panlipunang Aktibidad)
Outdoor Activities (e.g.,
engaging in sports, tree
planting, clean-up drive)
Charitable Works (e.g.,
caring for the sick; giving
donation)
Others, please specify:
_______________________
_______________________
_______________________
C. Science (Agham)
Using/Operating Simple
Machines (e.g., inclined
plane; wheel and axle)
Using Electronic Devices
(e.g., electric bike )
Page 2 of 4 10/2020
ALS RPL Form 1

Natural Calamities (e.g.,


typhoon, earthquake)
Human-induced Calamities
(e.g., fire; war)
Others, please specify:
______________________
______________________
______________________
D. Numeracy (Matematika)
Money (e.g., counting and
recording the amount of
money earned and spent)
Geometric Shapes/Figures
(e.g., lines, perimeter, angle,
polygon)
Measuring Devices (e.g.,
linear; kilo, kilometers)
Tables, Graphs, and
Statistics (e.g., collecting and
recording data;
reading/interpreting data in a
graph)
Others, please specify:
______________________
______________________
______________________
E. Livelihood (Kabuhayan)
Agri-fisheries (e.g., food
processing; farming)
Industrial Arts (e.g., welding,
plumbing)
Home Economics
(e.g., housekeeping;
bartending )
Handicraft (e,g., basket
weaving, knitting)
Others, please specify:
_______________________
_______________________
_______________________

Page 3 of 4 10/2020
ALS RPL Form 1

F. Intrapersonal and Interpersonal Relationships (Pang-unawa sa Sarili at


Pakikipagkapwa)
Positive Sense of Self (e.g.,
learning to know oneself;
self-worth; self-direction)
Family and Community
Solidarity (e.g.,
demonstrating smooth
interpersonal relationships
between and among family
and community members)
Others, please specify:
______________________
______________________
______________________
G. Information and Communications Technology (ICT) (Teknolohiya ng Impormasyon at
Komunikasyon)
Basic Hardware/Software
Operations and File
Management (e.g., operating
a computer and other
computer peripherals;
managing files in a computer)
Common Office Application
Software Packages (e.g.,
word processing;
presentation software)
Mobile Devices
(e.g., operating mobile
phones, smart
devices/wearables, digital
video cameras, etc.)
Others, please specify:
______________________
______________________
______________________

_________________________________ JEFFREY M. ECALNIR


___________________________________
(Learner’s Signature over Printed Name) (ALS Teacher’s Signature over Printed Name)

Date: ____________________________ Date: _______________________________

Page 4 of 4 10/2020

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