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FORM 4: LAC ENGAGEMENT REPORT

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

NAME OF MEMBER: Annallene Marielle F. Riano LAC SESSION ID.: Room 10

REGION: IV_A CALABARZON DATE OF LAC SESSION:

DIVISION: Bacoor City NUMBER OF LAC SESSION:

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
SD D N A SA 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 elaboration and clarification about the significant of this course and its
contribution in this coming school year.

2. I encountered the following problems or challenges:

The only challenge I encountered is how to understand the module/ topic in a deeper
way.

3. Other comments/suggestions:
I hope to see more examples in each output.

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