Department of Education

Region 7, Central Visayas

DIVISION OF CEBU PROVINCE
District of Minglanilla 1
VITO ELEMENTARY SCHOOL
Vito, Minglanilla, Cebu

Annex B
LAC Plan Appraisal Tool
(for the Assigned LAC Monitor to accomplish)

Date: ________________________________________
Name of School: ________________________________________
Plan Coverage: ________________________________________
Date of LAC: ________________________________________

Rate how well the LAC plan meets the following descriptions by putting a check mark
under the corresponding number:

Description 1 2 3 4 5 Remarks
Relevance: The LAC Plan is applicable to the current
and future needs of the target group. It complies to
the LAC Policy and theoretical framework.
Timeliness: The LAC Plan addresses key challenges
in a timely manner.
Evidence-Based: The LAC Plan is based on primary
and secondary data, both qualitative and
quantitative form. Main references of evidences are
needs assessment. DepEd generated report/data.
Budget: The LAC Plan budget is appropriate and
justifiable based on the approved/agreed-upon
activities and the budget and expenditure
guidelines.
Strategic: Prioritization of activities or agenda in the
LAC Plan is well-planned.
Collaborative: The LAC Plan is collaboratively
created by the core planning team.
Inclusiveness: The LAC Plan is wide-ranging and
gender sensitive. It does not promote inappropriate
attitude towards members of other religion, race or
gender.
OVERALL RATING

Recommendations:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
________________________

Evaluated by: Scale Description:

1 - Very Dissatisfied
____________________________________
(Signature over Printed Name) 2 - Dissatisfied
3 - Neutral
________________________________________ 4 - Satisfied
(Date)
5 - Very Satisfied
 Department of Education
Region 7, Central Visayas
DIVISION OF CEBU PROVINCE
District of Minglanilla 1
VITO ELEMENTARY SCHOOL
Vito, Minglanilla, Cebu

Annex C
LAC Session Evaluation Tool
(for LAC Members and School Head to accomplish)

Name of Facilitator: ________________________________________

Sex: ________________________________________
Position: ________________________________________
Designation: ________________________________________
Disability ________________________________________
Ethnic Group: ________________________________________

Scale Description:
1 - Observed 0% to 20% of the time
2 - Observed 21% to 40% of the time
3 - Observed 41% to 60% of the time
4 - Observed 61% to 80% of the time
5 - Observed 81% to 100% of the time

Rate how the LAC Session matches the following description:

Description 1 2 3 4 5 Remarks
1. Introduction procedures are appropriate.
2. Topic is clearly defined.
3. Instructions are clear and appropriate.
4. Presentation flow is chronological and
systematic.
5. Effective use of verbal and non-verbal
communication.
6. There is mastery of content.
7. There are evidences of ICT integration.
8. Rapport is established resulting to a warm
and friendly atmosphere.
Overall Rating

Evaluated by:

____________________________
Name and Signature of Teacher

Date: ____________________________
 Department of Education
Region 7, Central Visayas
DIVISION OF CEBU PROVINCE
District of Minglanilla 1
VITO ELEMENTARY SCHOOL
Vito, Minglanilla, Cebu
Annex D
LAC Documentation Tool
(for LAC Members and School Head to accomplish)
Date: ________________________________________
Venue: ________________________________________
Start Time: ________________________________________
End Time: ________________________________________
Name of LAC Facilitator: ________________________________________

Objectives:
1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________

Topics:
1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________

Discussion Highlights:
(Must include agreements from the previous LAC Session, results of monitoring and evaluation and areas od
plan adjustment)
A. Monitoring and Evaluation Report
Good Practices shared:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
________________________

Challenges Shared:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
________________________

B. Lessons learned, insights and realization

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
______________________________________________________________________________________________________

C. Major Points
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
________________________
Annex D

D. Next Steps
Matters arising and agreements on what to do next
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
________________________________________________________________________________________________________
 Attendees Designation/Position LAC Role

Documented by:

___________________________________
Secretary’s Signature over Printed Name

Date: _____________________________________
 Department of Education
Region 7, Central Visayas
DIVISION OF CEBU PROVINCE
District of Minglanilla 1
VITO ELEMENTARY SCHOOL
Vito, Minglanilla, Cebu
Annex E
LAC Reflection Journal
(for LAC Members and School Head to accomplish)

Date: ________________________________________
Name: ________________________________________
Position: ________________________________________
Designation: ________________________________________
Name of LAC Facilitator: ________________________________________

Topic:
(description of the approach or strategy learned)
_________________________________________________________________________________________________________
___________________________________________________

Insights or Realization:
(what are gained from the facilitator, mentor, or coach regarding new concepts learned and
known that were more understood)
A. A totally new concept
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
________________________
B. A familiar concept but learned something new
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
________________________

Lessons Learned
(personal experiences of how the strategy worked or not in his or her class)
A. Easy Points (what was easy to learn or apply to learners and why)
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
______________________________
B. Challenging Points (what was difficult to learn or apply to learners and why)
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
______________________________

Next Course of Action

(what to do next to address challenges encountered)
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
______________________________

Prepared by: _______________________________ Date: _____________