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LAC-1-to-4-1

The document outlines various forms related to the Learning Action Cell (LAC) sessions in Region VII, including participant profiles, facilitator information, session reports, and engagement feedback. It specifies the roles of LAC facilitators and members, the structure of sessions, and the evaluation of participation and learning outcomes. These forms are designed to enhance collaboration and effectiveness in educational settings.

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5 views

LAC-1-to-4-1

The document outlines various forms related to the Learning Action Cell (LAC) sessions in Region VII, including participant profiles, facilitator information, session reports, and engagement feedback. It specifies the roles of LAC facilitators and members, the structure of sessions, and the evaluation of participation and learning outcomes. These forms are designed to enhance collaboration and effectiveness in educational settings.

Uploaded by

Fghh
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
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FORM 1: LAC PROFILE

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

REGION: VII

LAC ID (name or number): Number of LAC members: 9

Name of LAC Facilitator: Designation/Position: TIC


JOEL R. KIRIT

LAC Members

DESIGN Contact
Preferred contact mode (email,
ATION/ details (email,
NAME Male/ Female DIVISION/S phone, Skype, Zoom, Google Meet,
POSITI mobile
Viber, FB)
ON number)

ANSOK, CLIFFORD JAY MALE TII NEG. OR.


G.

AWID, ANTHONY Q. MALE TI NEG. OR.

CAGA, LEILANE T. FEMALE TI NEG. OR.

DESPOJO, CORAZON FEMALE TIII NEG. OR.


S.

GADIANE, ROLANDO MALE TII NEG. OR.


JR. D.

KIRIT, RUBEN R. MALE TI NEG. OR.

PAJULAS, MUSTIOLA FEMALE TIII NEG. OR.


B.

PALALON, RICKY C. MALE TI NEG. OR.

WAPILI, JULEIBETH D. FEMALE TII NEG. OR.

FORM 2: LAC Facilitator Information Sheet


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

Region: VII

Division: NEGROS ORIENTAL

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

Contact details: Email: Mobile Number: Facebook Name:

Preferred contact mode: (Indicate all: email, phone, Skype, Viber, WhatsApp, Zoom, Googlemeet, FB,
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: VII

LAC FACILITATOR: LAC SESSION NO.: 1

DATE AND TIME OF SESSION: VENUE/PLATFORM OF SESSION:

Number of members present (attach attendance document):

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
SD D N A SA (For example, if you disagree
or strongly disagree, please
indicate 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:

Problem:

Resolved:

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

4. Recommendations/Plans for next LAC session:

FACILITATOR: _______________________

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: VII DATE OF LAC SESSION:

DIVISION: NEGROS ORIENTAL 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
SD D N A SA
strongly disagree, please indicate
why.)

THE LAC SESSION

I learned a lot from my colleagues in this LAC session.

The LAC session deepened my understanding of the


SLM content.

My perspective on the topic/s covered has changed as


a result of the LAC session.

I participated actively in the LAC session by sharing


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

I interacted with different people during the LAC


session.

ACTION PLAN

I feel motivated to apply in my region/division/district


what I have learned in this lesson.

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:

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