FORM 2: LAC Facilitator Information Sheet

This form should be accomplished by the designated LAC Facilitator on or before the first LAC session.

Region: III
Contact details
Division: TARLAC

NAME: Male/Female: Date of Birth: Age: Email: Mobile Facebook (Indicate all: email,
Number: Name: phone, Skype, Viber,
WhatsApp, Zoom,
Googlemeet, FB,
Messenger, etc.)

MARIEL T. SICAT Female October 19, 1979 40 Mariel.sicat@d 09071984844 Majejaji Zoom, Googlemeet,
eped.gov.ph Tamayo sicat FB, Messenger,

SHIRLEY C. RIVERA Female February 4, 1870 50 Shirley.rivera00 09500444922 Shi Rivera Phone, FB
3@deped.gov. Messenger, Viber,
ph email, Googlemeet

BELINDA M. MATIAS Female August 26, 1978 42 Belinda.matias 09774404042 Matias Phone. FB
003@deped.go Macasio Messenger,
v.ph Belinda Googlemeet

RHODORA C. Female September 6, 19 48 Estrada96dhan 09166862291 Rhodora

ESTRADA g@gmail.com Castro Estrada
ABIGAIL L. Female June 3, 1983 37 abigail.cayabya 09423180176 Abigail Cayabyab FB/ Google Meet
CAYABYAB b@deped.gov.
ph
09423180176

CATHERINE M. Female catherine.leano 09434982299 Catherine FB/ Google Meet

LEAÑO 003@deped.go Manipon
v.ph Leano
09434982299

LUZMINDA T. Female April 10, 1981 39 luzminda.miran 09072610029 Luzminda FB/ Google Meet
MIRANDA da@deped.gov Tejada
.ph Miranda
09072610029

ARLENE M. RAZON Female January 2, 1970 50 arlene.razon@ 09995874784 Arlene Razon FB/ Google Meet
deped.gov.ph
09995874784

MELANIE M. Female April 30, 1980 40 Melanie.marara 09436630451 Melanie Fb, google meet,
MARARAC c001@deped.g Mararac viber
ov.ph

JEAN MARY G. Female December 11,1984 35 jeanmary.corcu 09074865166 Jean Mary FB,Google Meet
CORCUERA era@deped.go Guzman
v.ph,09074865 Corcuera
166

ERWINA C. Female erwina.campo Erwina FB,Google Meet

MELENDEZ @deped.gov.p
h
JENNIFER S. Female March 2, 1977 43 Jenniferbundali 09070205731 Jennifer S. FB,Google Meet
BUNDALIAN an123@gmail.c Bundalian
om

GLERY HALILI Male September 8, 1979 41 glery.halili@de 09238342870 Glery Halili FB,Google Meet
ped.gov.ph