1.-Form 4. LAC Engagement Report-Faci LAC1-SAMPLE

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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: MA. FE V. ACSON LAC SESSION ID.: HCS Cluster/ ELLN Lac
session 1

MARY JANE T. DESIERDO –LAC Leader

REGION: VI-WESTERN VISAYAS DATE OF LAC SESSION: FEBRUARY 06, 2020

DIVISION: HIMAMAYLAN CITY DIVISION 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, 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.

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:

How can I be consistent in making my learners in learning?


2. I encountered the following problems or challenges:

None.

3. Other comments/suggestions:

None at all.

Prepared by:

MA. FE V. ACSON NOTED:

Teacher I MARY JANE T. DESIERDO

Master Teacher I

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