Form 4. LAC Engagement Report

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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:IV-A CALABARZON DATE OF LAC SESSION:03-15-2021

DIVISION: IMUS CITY 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 strongly disagree, please
SD D N A SA indicate why.)

THE LAC SESSION

1. I learned a lot from my


colleagues in this LAC session. b
y
2. The LAC session deepened U
my understanding of the SLM n
b
k
content. yn
U
o
3. My perspective on the topic/s n
w
kn
covered has changed as a b
n
A
result of the LAC session. yo
u
U
w
t
4. I participated actively in the n
h
kA
o
LAC session by sharing my n
b
u
r
assignment and insights, yo
ti
asking questions, and giving w
U
h
s
n
o
li
feedback on what colleagues kA
rc
shared. u
n
ie
tsn
o
5. I interacted with different h
w
lis
o
n
ce
people during the LAC b
red
A
session. yu
in
u
U
tsn
n
lied
h
ko
cd
e
n
reu
r
o
in
w
sd
n
lie
A
cd
r
tn
h
sd
o
e
rd
iu
sn
lid
ce
er
n
s
ACTION PLAN e
d
6. I feel motivated to apply in u
n
my region/division/district b
d
what I have learned in this ye
lesson. U
r
n
k
7. I intend to apply what I have n
learned from the lesson in my o
b
region/division/district w
y
n
U
A
n
u
Part B k
tn
Please provide the information requested. h
o
o
w
rn
1. I need further clarification and/or resources on the following topics: None
iA
su
lit
ch
eo
2. I encountered the following problems or challenges: n
r
is
es
d
li
u
c
3. Other comments/suggestions: en
d
n
es
re
d
u
n
d
e
r

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