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FORM 3: LAC Session Report

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

LAC ID: GALIMUYOD-SIGAY-G- REGION: I


DELPILAR_SDOILOCOSSUR_LACGROUP8

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)

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

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

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


4. Recommendations/Plans for next LAC session:

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