ALS RPL Form 1 Documentation of Life Experiences

ALS RPL Form 1
DOCUMENTATION OF LIFE EXPERIENCE
Name of Learner: ____________________ Community Learning Center: ______________

Level: □BLP □LE □AE □JHS □SHS Name of Learning Facilitator: ______________
(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.)
_________________________________ _________________________________
_________________________________ _________________________________
_________________________________ _________________________________
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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.
Where did
you
What specific When did you
Experience experience
experience/s? experience it?
(Karanasan) it?
(Anong karanasan (Kailan ito
(Saan ito
ito?) naranasan?)
naranasan?)
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.,
attending prom; engaging in
sports)
Charitable Works (e.g.,
caring for the sick; giving
donation)
______________________
______________________
______________________
C. Science (Agham)
Using/Operating Simple
Machines (e.g., inclined
plane; wheel and axle)
Using Electronic Devices
(e.g., electric bike )
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ALS RPL Form 1
Natural Calamities (e.g.,

typhoon, earthquake)
Human-induced Calamities
(e.g., fire; war
______________________
______________________
______________________
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)
Tables, Graphs, and
Statistics (e.g., collecting and
recording data;
reading/interpreting data in a
graph)
______________________
______________________
______________________
E. Livelihood (Kabuhayan)
Agri-fisheries (e.g., food
processing; farming)
Industrial Arts (e.g., welding,
plumbing)
Home Economics
(e.g., housekeeping;
bartending )
_______________________
_______________________
_______________________
F. Intrapersonal and Interpersonal Relationships (Pang-unawa sa Sarili at Pakikipagkapwa
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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)
______________________
______________________
______________________
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.)
______________________
______________________
______________________
_________________________________ MRS. SHALIMAR G. TAMAYAO

(Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)
Date: ____________________________ Date: _____________________________
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ALS RPL Form 1 Documentation of Life Experiences

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ALS RPL Form 1

DOCUMENTATION OF LIFE EXPERIENCE

Name of Learner: ______ Community Learning Center:

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.)

B. Social Activity (Panlipunang Aktibidad)

Natural Calamities (e.g.,

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

Positive Sense of Self (e.g.,

G. Information and Communications Technology (ICT) (Teknolohiya ng Impormasyon at

_________________________________ MRS. SHALIMAR G. TAMAYAO

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