FORM 1: LAC PROFILE

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

REGION:
NCR

LAC ID (name or number):  Number of LAC members: 12

Name of LAC Facilitator: Allan G. Salonatin Designation/Position: Master Teacher 1

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

ELISA S. DILAO FEMALE TEACHER 1 CAL. 09477155890/[email protected] phone

CITY

JANET M. GAMAYOT FEMALE TEACHER 1 CAL. 09157260924/[email protected] phone

CITY

LENIE E. TORRES FEMALE TEACHER 1 CAL. [email protected] phone

CITY

ROBERT M. RAMIREZ MALE TEACHER III CAL. [email protected] phone

CITY

MA. ANTONETTE N. FEMALE TEACHER II CAL. 09672078317/[email protected] phone

TAPULAYAN CITY h

LOLITA G. IMPAS FEMALE TEACHER II CAL. 09216297681/[email protected] phone

CITY

JELLIE M. BANIQUED FEMALE TEACHER II CAL. 09077910164/[email protected] phone

CITY

LEONILYN D. TATEL FEMALE TEACHER III CAL. 09333396933/[email protected] phone

CITY

MARY ANN C. CANTILEER FEMALE TEACHER III CAL. [email protected] email

CITY

ISIDRA ELERIA FEMALE TEACHER III CAL. 09334349392/[email protected] phone

CITY

JHONNA ALEXIS C. FEMALE TEACHER I CAL. 09158430193/jhonnaalexis.quiambao001@depe phone

QUIAMBAO CITY d.gov.ph

JESSICA B. NABAJA FEMALE TEACHER I CAL. 09273418559/[email protected] phone

CITY
FORM 2: LAC Facilitator Information Sheet
This form should be accomplished by the designated LAC Facilitator on or before the first LAC session.

Region: NCR

Division: Caloocan City

NAME: Allan G. Salonatin Male/Female: Male Date of Birth: Jan. 27, 1981 Age: 40

Contact Email: Mobile Number: Facebook Name:

details:09208663544 [email protected] 09208663544

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

FORM 3: LAC Session Report

This form should be accomplished by the LAC Facilitator at the end of every LAC session.

LAC ID: REGION: NCR

LAC FACILITATOR: Allan G. Salonatin LAC SESSION NO.: 1

DATE AND TIME OF SESSION: March 22, 2021/1:00 – 3:00 VENUE/PLATFORM OF SESSION: Google Meet
pm

Number of members present (attach attendance document): 12 members

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)

 Comments / Remarks
(For example, if you disagree or
S strongly disagree, please indicate
SD D N A A why.)

MEMBER PARTICIPATION

1. All of the members came prepared for the LAC √

session

2. All of the members had an opportunity to share and √

discuss their assignment, insights, and ideas

3. Members listened to each other’s insights and ideas. √

4. The members’ assignments showed an understanding of √
the lessons in the SLM.

5. The members demonstrated √

engagement in and/or
enthusiasm for the learning tasks during the session
(including providing feedback
on each other’s assignment).

FACILITATION

6. I managed 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 provided useful feedback on the teachers’ assignments. √

Part B
Please provide the information requested.

1. The best part of the session (i.e. what went well):

2. Problems or challenges encountered and how they were resolved:

3. Other topics discussed apart from the recommended topics, if any:

 4. Recommendations/Plans for next LAC session:

FORM 3: LAC Session Report

This form should be accomplished by the LAC Facilitator at the end of every LAC session.

LAC ID: REGION: NCR

LAC FACILITATOR: Allan G. Salonatin LAC SESSION NO.: 2

DATE AND TIME OF SESSION: March 23, 2021/ 1:00 – 3:00 pm VENUE/PLATFORM OF SESSION: Google Meet

Number of members present (attach attendance document): 12 members

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)

Comments / Remarks
(For example, if you disagree or
S strongly disagree, please indicate
SD D N A A why.)

MEMBER PARTICIPATION

2. All of the members came prepared for the LAC √

session

3. All of the members had an opportunity to share and √

discuss their assignment, insights, and ideas
 4. Members listened to each other’s insights and ideas. √
5. The members’ assignments showed an understanding of √
the lessons in the SLM.

6. The members demonstrated √

engagement in and/or
enthusiasm for the learning tasks during the session
(including providing feedback
on each other’s assignment).

FACILITATION

7. I managed the sharing and discussion during the LAC √

session by keeping the discussion focused on the lesson
or topic.

8. I encouraged all the members to actively participate in √

the LAC session (i.e., for the teachers to share their work
and ideas/ insights).

9. I provided useful feedback on the teachers’ assignments. √

Part B
Please provide the information requested.

1. The best part of the session (i.e. what went well):

2. Problems or challenges encountered and how they were resolved:

3. Other topics discussed apart from the recommended topics, if any:

4. Recommendations/Plans for next LAC session:

FORM 3: LAC Session Report

This form should be accomplished by the LAC Facilitator at the end of every LAC session.

LAC ID: REGION: NCR

LAC FACILITATOR: Allan G. Salonatin LAC SESSION NO.: 3

DATE AND TIME OF SESSION: March 24, 2021/1:00 – 3:00 pm VENUE/PLATFORM OF SESSION: Google Meet

Number of members present (attach attendance document): 12 members

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)

Comments / Remarks
(For example, if you disagree or
S strongly disagree, please indicate
SD D N A A why.)

MEMBER PARTICIPATION

3. All of the members came prepared for the LAC √

session

4. All of the members had an opportunity to share and √

discuss their assignment, insights, and ideas

5. Members listened to each other’s insights and ideas. √

6. The members’ assignments showed an understanding of √
the lessons in the SLM.

7. The members demonstrated √

engagement in and/or
enthusiasm for the learning tasks during the session
(including providing feedback
on each other’s assignment).

FACILITATION

8. I managed the sharing and discussion during the LAC √

 session by keeping the discussion focused on the lesson
or topic.

9. I encouraged all the members to actively participate in √

the LAC session (i.e., for the teachers to share their work
and ideas/ insights).

10. I provided useful feedback on the teachers’ assignments. √

Part B
Please provide the information requested.

1. The best part of the session (i.e. what went well):

2. Problems or challenges encountered and how they were resolved:

3. Other topics discussed apart from the recommended topics, if any:

4. Recommendations/Plans for next 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: Janet M. Gamayot LAC SESSION ID.:

REGION: NCR DATE OF LAC SESSION: March 22, 2021

DIVISION: Caloocan City NUMBER OF LAC SESSION: LAC # 1

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,
S if you disagree or strongly disagree, please
SD D N A A 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:

We had clear ideas on comparing the two documents in determining learning which learning
competencies were retained, dropped and merged.

2. I encountered the following problems or challenges:

poor internet connection

3.Other comments/suggestions:

We were all pleased with the ideas and insights of the group. We learned so much from the ideas
given by the presenters.
FORM 4: LAC ENGAGEMENT REPORT
This form should be accomplished by each LAC Member at the end of every LAC session.

NAME OF MEMBER: Janet M. Gamayot LAC SESSION ID.:

REGION: NCR DATE OF LAC SESSION: March 23, 2021

DIVISION: Caloocan City NUMBER OF LAC SESSION: LAC # 2

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,

S if you disagree or strongly disagree, please
SD D N A A indicate why.)

THE LAC SESSION

2. I learned a lot from my colleagues in this LAC √

session.

3. The LAC session deepened my understanding √

of the SLM content.

4. My perspective on the topic/s covered has √

changed as a result of the LAC session.

5. I participated actively in the LAC session by √

sharing my assignment and insights, asking
questions, and giving
feedback on what colleagues shared.

6. I interacted with different √

people during the LAC
session.

ACTION PLAN

7. I feel motivated to apply in my √

region/division/district what I have learned in
this lesson.

8. 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 presenter did their tasks well in assessing the LR Materials.

2. I encountered the following problems or challenges:

poor internet connection, exhaustion

3.Other comments/suggestions:

We enjoyed watching the video presented by Mam Cantiller that we will be used in assessing of learning
resources (Non DepEd LR Portal).

FORM 4: LAC ENGAGEMENT REPORT

This form should be accomplished by each LAC Member at the end of every LAC session.

NAME OF MEMBER: Janet M. Gamayot LAC SESSION ID.:

REGION: NCR DATE OF LAC SESSION: March 24, 2021

DIVISION: Caloocan City NUMBER OF LAC SESSION: LAC # 3

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,

S if you disagree or strongly disagree, please
SD D N A A indicate why.)

THE LAC SESSION

3. I learned a lot from my colleagues in this LAC √

session.

4. The LAC session deepened my understanding √

 of the SLM content.

5. My perspective on the topic/s covered has √

changed as a result of the LAC session.

6. I participated actively in the LAC session by √

sharing my assignment and insights, asking
questions, and giving
feedback on what colleagues shared.

7. I interacted with different √

people during the LAC
session.

ACTION PLAN

8. I feel motivated to apply in my √

region/division/district what I have learned in
this lesson.

9. 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:

We are very grateful for the presentation and talk of LAC in-charge for this day. We are satisfied on their
ideas.

2. I encountered the following problems or challenges:

poor internet connection,

3.Other comments/suggestions:

We successfully finished the three-day LAC session joyfully and in good physical condition . We enjoyed
each others insights and expertise. Thanks be to God.