FORM 1: LAC PROFILE

This form should be accomplished by the LAC Facilitator and its members at the first
LAC session

REGION: VI-Western Visayas

LAC ID (name or number): M004-02 Number of LAC members: 2

Name of LAC Facilitator:

Designation/Position: Teacher III
EVELYN D. GABASA

LAC Members: BABES VILLANUEVA AND ANA LIZA CARTEL

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

Email, Phone,
1. Evelyn D. Teacher Bago 096118610
Female Zoom, Google
Gabasa III City 12
meet, FB

2. Ana Liza L. Teacher Bago 094601799

Female FB, Phone
Cartel III City 90

Email, Phone,
3. Babes T. Bago 099595017
Female Teacher I Zoom, Google
Villanueva City 23
meet, FB