FORM 1: LAC PROFILE

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

REGION: X

LAC ID (name or number): Number of LAC members: 4

Name of LAC Facilitator: Josefina P. Plantas Designation/Position:

Group leader 1/Teacher -1

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

Remedios female T-I Mis. Or. 0977250108 Messenger.

Mifranum 7 Cp#

Maricel B. female T-1 Mis. Or 0935411957 Messenger

Galendez 0 Phone no.

Honeylyn L. female T-1 Mis. Or 0906304329 Messenger

Redondo 6 Phone no.

Leoly M. female T-1 Mis. Or 0936302862 Messenger

Dablio 1 Phone no.

Ginalyn B. female T-1 Mis. Or 0915562904 Messenger

Rosal 5 Phone. no