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    This document is an individual learning agreement form for an adult learner. It includes spaces for the learner to write their learning goals, learning activities or strategies, and timeline. It also includes areas for periodic reviews of progress, and advice from the learning facilitator. The purpose is to help the learner map out their plan to achieve their educational goals.

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    Als Assessment(Ila)

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    This document is an individual learning agreement form for an adult learner. It includes spaces for the learner to write their learning goals, learning activities or strategies, and timeline. It also includes areas for periodic reviews of progress, and advice from the learning facilitator. The purpose is to help the learner map out their plan to achieve their educational goals.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    181 views38 pages

    Als Assessment (Ila)

    Uploaded by

    logit
    This document is an individual learning agreement form for an adult learner. It includes spaces for the learner to write their learning goals, learning activities or strategies, and timeline. It also includes areas for periodic reviews of progress, and advice from the learning facilitator. The purpose is to help the learner map out their plan to achieve their educational goals.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 38

    ALS Assessment Form 1

    INDIVIDUAL LEARNING AGREEMENT


    Name of Learner: ____________________________________________ Community Learning Center: ___________________________
    Level: BLP LE AE JHS SHS Name of Learning Facilitator: ___________________________

    Direction: Write your learning goals, your leaning activities or strategies in order to attain these goals, and the timeline.

    Review of Learning Goals


    Learning Activities or Timeline Learning Facilitator’s
    Pagsusuri sa Kasanayang
    Learning Goals Strategies (Kailan mo ito Advice
    Natutunan)
    (Kasanayang Gusto Kong (Mga Pamamaraan sa gustong (Payo ng Learning
    Achieved Not Date of
    Matutunan) Pagkatuto) matutunan? (Nakamtan) Achieved Review Facilitator)
    (Hindi (Petsa ng
    Nakamtan) Pagusuri)

    ____________________________________________ __________________________________________________
    (Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)

    Date: ___________________________________________ Date: _____________________________________________


    ALS Assessment Form 1
    INDIVIDUAL LEARNING AGREEMENT
    Name of Learner: ____________________________________________ Community Learning Center: ___________________________
    Level: BLP LE AE JHS SHS Name of Learning Facilitator: ___________________________

    Direction: Write your learning goals, your leaning activities or strategies in order to attain these goals, and the timeline.

    Review of Learning Goals


    Learning Activities or Timeline Learning Facilitator’s
    Pagsusuri sa Kasanayang
    Learning Goals Strategies (Kailan mo ito Advice
    Natutunan)
    (Kasanayang Gusto Kong (Mga Pamamaraan sa gustong (Payo ng Learning
    Achieved Not Date of
    Matutunan) Pagkatuto) matutunan? (Nakamtan) Achieved Review Facilitator)
    (Hindi (Petsa ng
    Nakamtan) Pagusuri)

    ____________________________________________ __________________________________________________
    (Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)

    Date: ___________________________________________ Date: _____________________________________________


    ALS Assessment Form 1
    INDIVIDUAL LEARNING AGREEMENT
    Name of Learner: ____________________________________________ Community Learning Center: ___________________________
    Level: BLP LE AE JHS SHS Name of Learning Facilitator: ___________________________

    Direction: Write your learning goals, your leaning activities or strategies in order to attain these goals, and the timeline.

    Review of Learning Goals


    Learning Activities or Timeline Learning Facilitator’s
    Pagsusuri sa Kasanayang
    Learning Goals Strategies (Kailan mo ito Advice
    Natutunan)
    (Kasanayang Gusto Kong (Mga Pamamaraan sa gustong (Payo ng Learning
    Achieved Not Date of
    Matutunan) Pagkatuto) matutunan? (Nakamtan) Achieved Review Facilitator)
    (Hindi (Petsa ng
    Nakamtan) Pagusuri)

    ____________________________________________ __________________________________________________
    (Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)

    Date: ___________________________________________ Date: _____________________________________________


    ALS Assessment Form 1
    INDIVIDUAL LEARNING AGREEMENT
    Name of Learner: ____________________________________________ Community Learning Center: ___________________________
    Level: BLP LE AE JHS SHS Name of Learning Facilitator: ___________________________

    Direction: Write your learning goals, your leaning activities or strategies in order to attain these goals, and the timeline.

    Review of Learning Goals


    Learning Activities or Timeline Learning Facilitator’s
    Pagsusuri sa Kasanayang
    Learning Goals Strategies (Kailan mo ito Advice
    Natutunan)
    (Kasanayang Gusto Kong (Mga Pamamaraan sa gustong (Payo ng Learning
    Achieved Not Date of
    Matutunan) Pagkatuto) matutunan? (Nakamtan) Achieved Review Facilitator)
    (Hindi (Petsa ng
    Nakamtan) Pagusuri)

    ____________________________________________ __________________________________________________
    (Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)

    Date: _________________________________________ Date: _____________________________________________


    ALS Assessment Form 1
    INDIVIDUAL LEARNING AGREEMENT
    Name of Learner: ____________________________________________ Community Learning Center: ___________________________
    Level: BLP LE AE JHS SHS Name of Learning Facilitator: ___________________________

    Direction: Write your learning goals, your leaning activities or strategies in order to attain these goals, and the timeline.

    Review of Learning Goals


    Learning Activities or Timeline Learning Facilitator’s
    Pagsusuri sa Kasanayang
    Learning Goals Strategies (Kailan mo ito Advice
    Natutunan)
    (Kasanayang Gusto Kong (Mga Pamamaraan sa gustong (Payo ng Learning
    Achieved Not Date of
    Matutunan) Pagkatuto) matutunan? (Nakamtan) Achieved Review Facilitator)
    (Hindi (Petsa ng
    Nakamtan) Pagusuri)

    ____________________________________________ __________________________________________________
    (Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)

    Date: ___________________________________________ Date: _____________________________________________


    ALS Assessment Form 1
    INDIVIDUAL LEARNING AGREEMENT
    Name of Learner: ____________________________________________ Community Learning Center: ___________________________
    Level: BLP LE AE JHS SHS Name of Learning Facilitator: ___________________________

    Direction: Write your learning goals, your leaning activities or strategies in order to attain these goals, and the timeline.

    Review of Learning Goals


    Learning Activities or Timeline Learning Facilitator’s
    Pagsusuri sa Kasanayang
    Learning Goals Strategies (Kailan mo ito Advice
    Natutunan)
    (Kasanayang Gusto Kong (Mga Pamamaraan sa gustong (Payo ng Learning
    Achieved Not Date of
    Matutunan) Pagkatuto) matutunan? (Nakamtan) Achieved Review Facilitator)
    (Hindi (Petsa ng
    Nakamtan) Pagusuri)

    ____________________________________________ __________________________________________________
    (Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)

    Date: ___________________________________________ Date: _____________________________________________


    ALS Assessment Form 1
    INDIVIDUAL LEARNING AGREEMENT
    Name of Learner: ____________________________________________ Community Learning Center: ___________________________
    Level: BLP LE AE JHS SHS Name of Learning Facilitator: ___________________________

    Direction: Write your learning goals, your leaning activities or strategies in order to attain these goals, and the timeline.

    Review of Learning Goals


    Learning Activities or Timeline Learning Facilitator’s
    Pagsusuri sa Kasanayang
    Learning Goals Strategies (Kailan mo ito Advice
    Natutunan)
    (Kasanayang Gusto Kong (Mga Pamamaraan sa gustong (Payo ng Learning
    Achieved Not Date of
    Matutunan) Pagkatuto) matutunan? (Nakamtan) Achieved Review Facilitator)
    (Hindi (Petsa ng
    Nakamtan) Pagusuri)

    ____________________________________________ __________________________________________________
    (Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)

    Date: ___________________________________________ Date: _____________________________________________


    ALS Assessment Form 1
    INDIVIDUAL LEARNING AGREEMENT
    Name of Learner: ____________________________________________ Community Learning Center: ___________________________
    Level: BLP LE AE JHS SHS Name of Learning Facilitator: ___________________________

    Direction: Write your learning goals, your leaning activities or strategies in order to attain these goals, and the timeline.

    Review of Learning Goals


    Learning Activities or Timeline Learning Facilitator’s
    Pagsusuri sa Kasanayang
    Learning Goals Strategies (Kailan mo ito Advice
    Natutunan)
    (Kasanayang Gusto Kong (Mga Pamamaraan sa gustong (Payo ng Learning
    Achieved Not Date of
    Matutunan) Pagkatuto) matutunan? (Nakamtan) Achieved Review Facilitator)
    (Hindi (Petsa ng
    Nakamtan) Pagusuri)

    ____________________________________________ __________________________________________________
    (Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)

    Date: ___________________________________________ Date: _____________________________________________

    ALS Assessment Form 1


    INDIVIDUAL LEARNING AGREEMENT
    Name of Learner: ____________________________________________ Community Learning Center: ___________________________
    Level: BLP LE AE JHS SHS Name of Learning Facilitator: ___________________________

    Direction: Write your learning goals, your leaning activities or strategies in order to attain these goals, and the timeline.

    Review of Learning Goals


    Learning Activities or Timeline Learning Facilitator’s
    Pagsusuri sa Kasanayang
    Learning Goals Strategies (Kailan mo ito Advice
    Natutunan)
    (Kasanayang Gusto Kong (Mga Pamamaraan sa gustong (Payo ng Learning
    Achieved Not Date of
    Matutunan) Pagkatuto) matutunan? (Nakamtan) Achieved Review Facilitator)
    (Hindi (Petsa ng
    Nakamtan) Pagusuri)

    ____________________________________________ __________________________________________________
    (Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)

    Date: ___________________________________________ Date: _____________________________________________


    ALS Assessment Form 1
    INDIVIDUAL LEARNING AGREEMENT
    Name of Learner: ____________________________________________ Community Learning Center: ___________________________
    Level: BLP LE AE JHS SHS Name of Learning Facilitator: ___________________________

    Direction: Write your learning goals, your leaning activities or strategies in order to attain these goals, and the timeline.

    Review of Learning Goals


    Learning Activities or Timeline Learning Facilitator’s
    Pagsusuri sa Kasanayang
    Learning Goals Strategies (Kailan mo ito Advice
    Natutunan)
    (Kasanayang Gusto Kong (Mga Pamamaraan sa gustong (Payo ng Learning
    Achieved Not Date of
    Matutunan) Pagkatuto) matutunan? (Nakamtan) Achieved Review Facilitator)
    (Hindi (Petsa ng
    Nakamtan) Pagusuri)

    ____________________________________________ __________________________________________________
    (Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)

    Date: ___________________________________________ Date: _____________________________________________


    ALS A&E Assessment Form 2

    WEEKLY LEARNING LOG


    Name: ………………………………………………………… Learning Center: ………………..…………………………………

    Level: ………………………………………………………… Instructional Manager: ……………………………………………

    Reflective Week 1 Week 2 Week 3 Week 4 Week 5


    Questions Date: ……………….. Date: ……………….. Date: ……………….. Date: ……………….. Date: ………………..

    What modules did I


    learn this week?

    What other things


    have I learned this
    week?
    What other things
    have I read this
    week?

    What did I enjoy


    this week?

    What did I find easy


    to do this week?

    What did I not enjoy


    this week?

    What did I find


    difficult this week?

    What do I want to
    do next?

    What learning
    module do I want to
    study next?
    ALS A&E Assessment Form 2

    Reflective Week 6 Week 7 Week 8 Week 9 Week 10


    Questions Date: ……………….. Date: ……………….. Date: ……………….. Date: ……………….. Date: ………………..

    What modules did I


    learn this week?

    What other things


    have I learned this
    week?
    What other things
    have I read this
    week?

    What did I enjoy


    this week?

    What did I find easy


    to do this week?

    What did I not enjoy


    this week?

    What did I find


    difficult this week?

    What do I want to
    do next?

    What learning
    module do I want to
    study next?

    Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….

    ……………………………………………………………………. (Signature)
    ALS A&E Assessment Form 2

    WEEKLY LEARNING LOG


    Name: ………………………………………………………… Learning Center: ………………..…………………………………

    Level: ………………………………………………………… Instructional Manager: ……………………………………………

    Reflective Week 1 Week 2 Week 3 Week 4 Week 5


    Questions Date: ……………….. Date: ……………….. Date: ……………….. Date: ……………….. Date: ………………..

    What modules did I


    learn this week?

    What other things


    have I learned this
    week?
    What other things
    have I read this
    week?

    What did I enjoy


    this week?

    What did I find easy


    to do this week?

    What did I not enjoy


    this week?

    What did I find


    difficult this week?

    What do I want to
    do next?

    What learning
    module do I want to
    study next?
    ALS A&E Assessment Form 2

    Reflective Week 6 Week 7 Week 8 Week 9 Week 10


    Questions Date: ……………….. Date: ……………….. Date: ……………….. Date: ……………….. Date: ………………..

    What modules did I


    learn this week?

    What other things


    have I learned this
    week?
    What other things
    have I read this
    week?

    What did I enjoy


    this week?

    What did I find easy


    to do this week?

    What did I not enjoy


    this week?

    What did I find


    difficult this week?

    What do I want to
    do next?

    What learning
    module do I want to
    study next?

    Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….

    ……………………………………………………………………. (Signature)
    ALS A&E Assessment Form 2

    WEEKLY LEARNING LOG


    Name: ………………………………………………………… Learning Center: ………………..…………………………………

    Level: ………………………………………………………… Instructional Manager: ……………………………………………

    Reflective Week 1 Week 2 Week 3 Week 4 Week 5


    Questions Date: ……………….. Date: ……………….. Date: ……………….. Date: ……………….. Date: ………………..

    What modules did I


    learn this week?

    What other things


    have I learned this
    week?
    What other things
    have I read this
    week?

    What did I enjoy


    this week?

    What did I find easy


    to do this week?

    What did I not enjoy


    this week?

    What did I find


    difficult this week?

    What do I want to
    do next?

    What learning
    module do I want to
    study next?
    ALS A&E Assessment Form 2

    Reflective Week 6 Week 7 Week 8 Week 9 Week 10


    Questions Date: ……………….. Date: ……………….. Date: ……………….. Date: ……………….. Date: ………………..

    What modules did I


    learn this week?

    What other things


    have I learned this
    week?
    What other things
    have I read this
    week?

    What did I enjoy


    this week?

    What did I find easy


    to do this week?

    What did I not enjoy


    this week?

    What did I find


    difficult this week?

    What do I want to
    do next?

    What learning
    module do I want to
    study next?

    Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….

    ……………………………………………………………………. (Signature)
    ALS A&E Assessment Form 2

    WEEKLY LEARNING LOG


    Name: ………………………………………………………… Learning Center: ………………..…………………………………

    Level: ………………………………………………………… Instructional Manager: ……………………………………………

    Reflective Week 1 Week 2 Week 3 Week 4 Week 5


    Questions Date: ……………….. Date: ……………….. Date: ……………….. Date: ……………….. Date: ………………..

    What modules did I


    learn this week?

    What other things


    have I learned this
    week?
    What other things
    have I read this
    week?

    What did I enjoy


    this week?

    What did I find easy


    to do this week?

    What did I not enjoy


    this week?

    What did I find


    difficult this week?

    What do I want to
    do next?

    What learning
    module do I want to
    study next?
    ALS A&E Assessment Form 2

    Reflective Week 6 Week 7 Week 8 Week 9 Week 10


    Questions Date: ……………….. Date: ……………….. Date: ……………….. Date: ……………….. Date: ………………..

    What modules did I


    learn this week?

    What other things


    have I learned this
    week?
    What other things
    have I read this
    week?

    What did I enjoy


    this week?

    What did I find easy


    to do this week?

    What did I not enjoy


    this week?

    What did I find


    difficult this week?

    What do I want to
    do next?

    What learning
    module do I want to
    study next?

    Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….

    ……………………………………………………………………. (Signature)
    ALS A&E Assessment Form 3

    REVIEW OF LEARNING GOALS


    Name: ………………………………………………………………… Learning Center: ………………………………………………..

    Level: …………………………………………………………………. Instructional Manager: …………………………………………

    Learning Goals Review 1: Date: __________________ Review 2: Date: ………………………


    (from Individual Learning Agreement) Have I achieved my learning goals? Have I achieved my learning goals?
    If yes, show evidence. If no, why? If yes, show evidence. If no, why?

    Certification by Instructional Manager: …………………………………………………………………………………………………. (Name) Date: …………………………….


    ………………………………………………………………………………………………… (Signature)
    ALS A&E Assessment Form 3

    Learning Goals Review 3: Date: __________________ Review 4: Date: ………………………


    (from Individual Learning Agreement) Have I achieved my learning goals? Have I achieved my learning goals?
    If yes, show evidence. If no, why? If yes, show evidence. If no, why?

    Certification by Instructional Manager: …………………………………………………………………………………………………. (Name) Date: …………………………….


    ………………………………………………………………………………………………… (Signature)
    ALS A&E Assessment Form 3

    REVIEW OF LEARNING GOALS


    Name: ………………………………………………………………… Learning Center: ………………………………………………..

    Level: …………………………………………………………………. Instructional Manager: …………………………………………

    Learning Goals Review 1: Date: __________________ Review 2: Date: ………………………


    (from Individual Learning Agreement) Have I achieved my learning goals? Have I achieved my learning goals?
    If yes, show evidence. If no, why? If yes, show evidence. If no, why?

    Certification by Instructional Manager: …………………………………………………………………………………………………. (Name) Date: …………………………….


    ………………………………………………………………………………………………… (Signature)
    ALS A&E Assessment Form 3

    Learning Goals Review 3: Date: __________________ Review 4: Date: ………………………


    (from Individual Learning Agreement) Have I achieved my learning goals? Have I achieved my learning goals?
    If yes, show evidence. If no, why? If yes, show evidence. If no, why?

    Certification by Instructional Manager: …………………………………………………………………………………………………. (Name) Date: …………………………….


    ………………………………………………………………………………………………… (Signature)
    ALS A&E Assessment Form 4

    LEARNER’S RECORD OF MODULE USE


    Name: ……………………………………………………………. Learning Center: ……………………………………………………..

    Level: …………………………………………………………….. Instructional Manager: ………………………………………………

    Title of Module

    10

    11

    12

    13

    14

    15
    Learning Pretest Post-test IM Advice
    Strand result Result Activities Completed Learner’s Assessment of Performance

    Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….


    ……………………………………………………………………. (Signature)
    ALS A&E Assessment Form 4

    LEARNER’S RECORD OF MODULE USE


    Name: ……………………………………………………………. Learning Center: ……………………………………………………..

    Level: …………………………………………………………….. Instructional Manager: ………………………………………………

    Title of Module

    10

    11

    12

    13

    14

    15
    Learning Pretest Post-test IM Advice
    Strand result Result Activities Completed Learner’s Assessment of Performance

    Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….


    ……………………………………………………………………. (Signature)
    ALS A&E Assessment Form 4

    LEARNER’S RECORD OF MODULE USE


    Name: ……………………………………………………………. Learning Center: ……………………………………………………..

    Level: …………………………………………………………….. Instructional Manager: ………………………………………………

    Title of Module

    10

    11

    12

    13

    14

    15
    Learning Pretest Post-test IM Advice
    Strand result Result Activities Completed Learner’s Assessment of Performance

    Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….


    ……………………………………………………………………. (Signature)
    ALS A&E Assessment Form 4

    LEARNER’S RECORD OF MODULE USE


    Name: ……………………………………………………………. Learning Center: ……………………………………………………..

    Level: …………………………………………………………….. Instructional Manager: ………………………………………………

    Title of Module

    10

    11

    12

    13

    14

    15
    Learning Pretest Post-test IM Advice
    Strand result Result Activities Completed Learner’s Assessment of Performance

    Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….


    ……………………………………………………………………. (Signature)
    ALS A&E Assessment Form 4

    LEARNER’S RECORD OF MODULE USE


    Name: ……………………………………………………………. Learning Center: ……………………………………………………..

    Level: …………………………………………………………….. Instructional Manager: ………………………………………………

    Title of Module

    10

    11

    12

    13

    14

    15
    Learning Pretest Post-test IM Advice
    Strand result Result Activities Completed Learner’s Assessment of Performance

    Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….


    ……………………………………………………………………. (Signature)
    ALS A&E Assessment Form 4

    LEARNER’S RECORD OF MODULE USE


    Name: ……………………………………………………………. Learning Center: ……………………………………………………..

    Level: …………………………………………………………….. Instructional Manager: ………………………………………………

    Title of Module

    10

    11

    12

    13

    14

    15
    Learning Pretest Post-test IM Advice
    Strand result Result Activities Completed Learner’s Assessment of Performance

    Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….


    ……………………………………………………………………. (Signature)
    ALS A&E Assessment Form 4

    LEARNER’S RECORD OF MODULE USE


    Name: ……………………………………………………………. Learning Center: ……………………………………………………..

    Level: …………………………………………………………….. Instructional Manager: ………………………………………………

    Title of Module

    10

    11

    12

    13

    14

    15
    Learning Pretest Post-test IM Advice
    Strand result Result Activities Completed Learner’s Assessment of Performance

    Certification by Instructional Manager: ………………………………………………………………………… (Name) Date: ………………………………….


    ……………………………………………………………………. (Signature)

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