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Learning Action Cell Templates
Typology: Study Guides, Projects, Research
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Learning Modality: Distance Learning through the Use of Modules A. LAC PROFILE This form should be accomplished by the LAC Facilitator and its members at the first LAC session. REGION: LAC ID (name or number): Number of LAC members: Name of LAC Facilitator: Designation/Position: LAC Members NAME Male/ Female DESIGNATION/ POSITION DIVISION/S Contact details (email, mobile number) Preferred contact mode (email, phone, Skype, Zoom, Google Meet, Viber, FB) B. LAC Session Report
This form should be accomplished by the LAC Facilitator at the end of every LAC session. LAC ID: REGION: VII, CENTRALVISAYAS LAC FACILITATOR: LAC SESSION NO.: 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)
Part B Please provide the information requested.
Date & Time: ___________________ Proponent: RATIONALE: AUDIENCE: TIME: OBJECTIVES: At the end of the session, participants are expected to: EXPECTED OUTCOMES: PREPARATION: CONSUMABLES: TOOLS AND EQUIPMENT: BUDGET: Name/Job Description/School: Division/ Region:
Planning Implementation Evaluation Prepared by: Approved By: ________________ _________________ ______________________ LAC LEADER LAC FACILITATOR Principal/TIC LAC PLAN APPRAISAL TOOL
Scale description: 1 Very Dissatisfied 2 Dissatisfied 3 Neutral 4 Satisfied (For assigned LAC Monitor to accomplish) Date: Name of School: Plan coverage: Start date: End date: Please indicate whether each description presented in the table below is satisfactory: Description 1 2 3 4 5 Remarks
Evaluated by: Signature over printed name Date:_______________
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: NUMBER OF LAC SESSION: 2 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) SD D N A SA Comments / Remarks (For example, if you disagree or strongly disagree, please indicate why.) THE LAC SESSION
(For the assigned documenter to accomplish) Date: Venue: Start time: End time: Attendees: Name Designation/Position LAC Role Objectives: a. b. c. … Topics: a. … b. … c. … LAC Proper: (Must include agreements from the previous LAC, presentation of monitoring and evaluation results and areas for plan adjustment) Topic/Agenda/Major points Discussions/Agreements/Next Steps Documented by: Signature over printed name Date:
Date: Name: Position: _ Designation: Sex: Age: Reflections: Individual Actionable Agreements from LAC Session Reflection a. Key Takeaways b. Challenges c. Suggestions for improvement Overall Impression: