FORM 4: LAC ENGAGEMENT REPORT

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

NAME OF MEMBER: Jane P. Jose LAC SESSION ID.:

REGION: III DATE OF LAC SESSION: July 21-23, 2020
DIVISION: Zambales NUMBER OF LAC SESSION: 5

Part A
Please indicate the extent to which you agree with each of the following statement by ticking the
appropriate box . (SD = Strongly Disagree; D = Disagree; N = Neutral; A = Agree; SA = Strongly Agree)

Comments / Remarks
(For example, if you
SD D N A SA 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 LAC session.
ACTION PLAN
6. I feel motivated to apply in my
region/division/district what I
have learned in this lesson.
7. I intent 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:

2. I encounter the following problems or challenges:

3. Other comments/suggestions: