Scribd
Upload
17 views4 pages

Module 1 Outputs Forms 1 2 4

The document outlines forms related to the Learning Action Cell (LAC) process, including a profile form for LAC members, an information sheet for the LAC facilitator, and an engagement report to be filled out after each session. It includes sections for personal details, contact preferences, session feedback, and action plans. The forms aim to facilitate organization and evaluation of LAC sessions to enhance learning and collaboration among members.

Uploaded by

Jennifer Linaga
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
17 views4 pages

Module 1 Outputs Forms 1 2 4

The document outlines forms related to the Learning Action Cell (LAC) process, including a profile form for LAC members, an information sheet for the LAC facilitator, and an engagement report to be filled out after each session. It includes sections for personal details, contact preferences, session feedback, and action plans. The forms aim to facilitate organization and evaluation of LAC sessions to enhance learning and collaboration among members.

Uploaded by

Jennifer Linaga
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
You are on page 1/ 4

FORM 1: LAC PROFILE

This form should be accomplished by the LAC Facilitator and its members at the first LAC
session.

REGION:

LAC ID (name or number): Number of LAC members:

Name of LAC Facilitator: Designation/Position:

LAC Members
NAME Male/ Female DESIGNATION/ DIVISION/S Contact details Preferred contact
POSITION (email, mobile mode (email,
number) phone, Skype,
Zoom, Google
Meet, Viber, FB)

FORM 2: LAC Facilitator Information Sheet


This form should be accomplished by the designated LAC Facilitator on or before the first LAC
session.
Region:

Division:

NAME: Male/Female: Date of Birth: Age:

Contact details: Email: Mobile Number: Facebook Name:

Preferred contact (Indicate all: email, phone, Skype, Viber, WhatsApp, Zoom,
mode: Googlemeet, FB, Messenger, etc.)

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
(Forexample, if you disagree
orstrongly disagree,
SD D N A SA pleaseindicate 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:

2. I encountered the following problems or challenges:

3. Other comments/suggestions:

You might also like