ALS Assessment Form 1

INDIVIDUAL LEARNING AGREEMENT

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

Learning Facilitators (MT, DALCS, AGAP, IM):

Level: …………………………………………………………. ……………………………………

Learning Goals Learning Activities and Strategies Timeline

Agreement starting date: ……………………… Agreement finishing date: ………………………

Signature of learner: ……………………………………………………………… Signature of Instructional Manager: …………………………………………………