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 learning activities or strategies in order to attain these goals, and the timeline.
General Learning Goal: Finish Elementary/JHS/SHS Others (Pls. specify):_____________________________

Review of Learning Goals

Delivery Mode Timeline (Pagsusuri sa Kasanayang
Learning Facilitator’s
Learning Goals (Mga Pamamaraan sa Natutunan)
(Kasanayang Gusto at (Kailan mo ito Advice
Pagkatuto) gustong matutunan?) Not Date of
Kailangan Kong Matutunan) (Face-to-face, Independent Learning, Achieved Achieved Review (Payo ng Learning
RBI, eLearning/eSkwela) (Nakamtan) (Hindi (Petsa ng Facilitator)
Nakamtan) Pagsusuri)

________________________________________________ ________________________________________________
(Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)

Date:___________________________________________ Date:___________________________________________