FORM 1: LAC PROFILE

This form should be accomplished by the LAC Facilitator and its members at the first LAC session.
REGION: REGION 7

LAC ID (name or number): LURAY II-Team 8 Number of LAC members: 14

Name of LAC Facilitator: Mariepet A. Cristuta Designation/Position: Master Teacher 2

LAC Members
Preferred contact mode
Male/ DESIGNATION/ Contact details (email, mobile
NAME DIVISION/S (email, phone, Skype, Zoom,
Female POSITION number)
Google Meet, Viber, FB)

benjamin.kilag@deped.gov.ph Email, Phone, Zoom, Google

Benjamin M. Kilag Male Teacher 3 Toledo City
09459641761 Meet, FB

chenanie.delosreyes@deped.gov.
Email, Phone, Zoom, Google
Chenanie M. Delos Reyes Female Teacher 1 Toledo City ph
Meet, FB
09353247534

geceyl.egam071@deped.gov.ph Email, Phone, Zoom, Google

Geceyl L. Egam Female Teacher 1 Toledo City
09353247534 Meet, FB

hillarymae.bucao071@deped.gov
Email, Phone, Zoom, Google
Hillary Mae M. Bucao Female Teacher 1 Toledo City .ph
Meet, FB
09272879121

jerali.hermosa@deped.gov.ph Email, Phone, Zoom, Google

Jerali R. Hermosa Female Teacher 3 Toledo City
09954154736 Meet, FB

jerson.bayotas071@deped.gov.p
Email, Phone, Zoom, Google
Jerson C. Bayotas Male Teacher 1 Toledo City h
Meet, FB
09261533421

jessica.roble74@deped.gov.ph Email, Phone, Zoom, Google

Jessica T. Roble Female Teacher 3 Toledo City
09173176513 Meet, FB

loida.minoza071@deped.gov.ph Email, Phone, Zoom, Google

Loida C. Miñoza Female Teacher 1 Toledo City
09053554264 Meet, FB

marialenie.jumalon@deped.gov.p
Email, Phone, Zoom, Google
Maria Lenie S. Jumalon Female Teacher 1 Toledo City h
Meet, FB
09666410896

maryjoy.lebumfacil071@deped.g
Email, Phone, Zoom, Google
Mary Joy G. Lebumfacil Female Teacher 1 Toledo City ov.ph
Meet, FB
09555469688

maryrose.monilar071@deped.go
Email, Phone, Zoom, Google
Mary Rose L. Monilar Female Teacher 1 Toledo City v.ph
Meet, FB
09770879790

napoleon.prajes@deped.gov.ph Email, Phone, Zoom, Google

Napoleon L. Prajes Male Teacher 3 Toledo City
09193757263 Meet, FB

ruby.jurcales@deped.gov.ph Email, Phone, Zoom, Google

Ruby N. Jurcales Female Teacher 1 Toledo City
09958536610 Meet, FB

yvonne.caniedo01@gmail.com Email, Phone, Zoom, Google

Yvonne M. Caniedo Female Teacher 1 Toledo City
09386346285 Meet, FB
FORM 2: LAC Facilitator Information Sheet
This form should be accomplished by the designated LAC Facilitator on or before the first LAC session.

Region: Region 7

Division: Toledo City

NAME: Male/Female: Date of Birth: Age:

MARIEPET A. CRISTUTA FEMALE AUGUST 8, 1990 30

Contact details Email: Mobile Number: Facebook Name:

mariepet.cristuta@depe 09661664644 Mariepet Acantilado
d.govph Cristuta

Preferred contact mode: (Indicate all: email, phone, Skype, Viber, WhatsApp, Zoom, Googlemeet, FB,
Messenger, etc.)
Email:
mariepet.cristuta@deped.gov.ph
cristutamariepet@gmail.com
astig_ramc@yahoo.com
astigmaerelcoc@gmail.com
Phone number:
09661664644
Telephone number:
(032)517-6469
Skype:
astigmaerelcoc@gmail.com
Viber:
09661664644
WhatsApp:
09661664644
Zoom:
mariepet.cristuta@deped.gov.ph
cristutamariepet@gmail.com
Googlemeet:
mariepet.cristuta@deped.gov.ph
cristutamariepet@gmail.com
FB:
astig_ramc@yahoo.com
Messenger:
astig_ramc@yahoo.com

FORM 3: LAC Session Report

This form should be accomplished by the LAC Facilitator at the end of every LAC session.

LAC ID: LURAY II-Team 8 REGION: REGION 7

LAC FACILITATOR: MARIEPET A. CRISTUTA LAC SESSION NO.: 1

DATE AND TIME OF SESSION: VENUE/PLATFORM OF SESSION:

October 23, 2020, 3 PM – 5 PM Zoom

Number of members present (attach attendance document): 14

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)

Comments / Remarks
SD D N A SA (For example, if you disagree or
strongly disagree, please indicate why.)

MEMBER PARTICIPATION

1. All of the members came prepared for 

the LAC session

2. All of the members had an opportunity

to share and discuss their assignment, 
insights, and ideas

3. Members listened to each other’s 

insights and ideas.

4. The members’ assignments showed an

understanding of the lessons in the 
SLM.

5. The members demonstrated

engagement in and/or enthusiasm for
the learning tasks during the session 
(including providing feedback on each
 other’s assignment).

FACILITATION

6. I managed the sharing and discussion 

during the LAC session by keeping the
discussion focused on the lesson or
topic.

7. I encouraged all the members to 

actively participate in the LAC session
(i.e., for the teachers to share their
work and ideas/ insights).

8. I provided useful feedback on the 

teachers’ assignments.

Part B
Please provide the information requested.

1. The best part of the session (i.e. what went well):

The best part was when all members have participated and shared their ideas.

2. Problems or challenges encountered and how they were resolved:

The problem encountered was when some members have an unstable internet connection and was dropped out
of the meeting. They just went back in the meeting and view the replay of the meeting and sent the facilitator
their inquiries on the matters that gave them confusion when they were out.

3. Other topics discussed apart from the recommended topics, if any:

Other topics include is how to construct KSAV objectives for their Learning Activity Sheets. Deped Order No. 8, s,
2015 was also shared by the facilitator.

4. Recommendations/Plans for the next LAC session:

The LAC members suggested to have a session on making on how to provide assistance to students in Distance
Learning.

Republic of the Philippines

Department of Education
 Region VII – Central Visayas
SCHOOLS DIVISION OF TOLEDO CITY
LURAY II BARANGAY HIGH SCHOOL
Luray II, Toledo City

________________________________________________________________________________________________________________________

LAC SESSION 1
PRACTICAL HOME-BASED ACTIVITY FOR DISTANCE LEARNING

ATTENDANCE SHEET
October 23, 2020
3: 00 – 5:00 PM

Teacher’s Name Time In Time Out Signature

Mariepet A. Cristuta 2:55 PM 5:05 PM SGD
Jerali R. Hermosa 2:45 PM 5:05 PM SGD
Maria Lenie S. Jumalon 2:56 PM 5:05 PM SGD
Jessica T. Roble 2:57 PM 5:05 PM SGD
Ruby N. Jurcales 2:54 PM 5:05 PM SGD
Mary Joy G. Lebumfacil 2:50 PM 5:05 PM SGD
Geceyl L. Egam 2:51 PM 5:05 PM SGD
Yvonne M. Caniedo 2:51 PM 5:05 PM SGD
Jerson C. Bayotas 2:54 PM 5:05 PM SGD
Hillary Mae M. Bucao 2:53 PM 5:05 PM SGD
Loida C. Miñoza 2:53 PM 5:05 PM SGD
Napoleon L. Prajes 2:55 PM 5:05 PM SGD
Benjamin M. Kilag 2:59 PM 5:05 PM SGD
Mary Rose L. Monilar 2:53 PM 5:05 PM SGD
Chenanie M. Delos Reyes 2:50 PM 5:05 PM SGD

Submitted by:

(SGD) MARIEPET A. CRISTUTA

Team Leader/LAC Facilitator

Republic of the Philippines

Department of Education
Region VII – Central Visayas
SCHOOLS DIVISION OF TOLEDO CITY
LURAY II BARANGAY HIGH SCHOOL
 Luray II, Toledo City
________________________________________________________________________________________________________________________

LAC SESSION 1
PRACTICAL HOME-BASED ACTIVITY FOR DISTANCE LEARNING

DOCUMENTATION
October 23, 2020
3: 00 – 5:00 PM

FORM 4: LAC ENGAGEMENT REPORT

This form should be accomplished by each LAC Member at the end of every LAC session.

NAME OF MEMBER: MARIEPET A. CRISTUTA LAC SESSION ID.: LURAY II- Team 8

REGION: REGION7 DATE OF LAC SESSION: OCTOBER 23, 2020

DIVISION: TOLEDO CITY NUMBER OF LAC SESSION: 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

SD D N A SA example, if you disagree or strongly
disagree, please 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:

I need further resources on where I could get more activity/worksheets that I can download.
2. I encountered the following problems or challenges:
I encountered problems in giving additional reliable online resources to teachers under my team who are not
of the same major as me.

3. Other comments/suggestions:
I suggest LAC groupings should be done with teachers of the same major so as they may share knowledge in
content.