ALS Assessment Form 1

INDIVIDUAL LEARNING AGREEMENT

Name of Learner: ____________________________________________ Community Learning Center: ___________________________
Level:BLPLEAEJHS SHS Name of Learning Facilitator: ___________________________

Direction: Write your learning goals, your leaning activities or strategies in order to attain these goals, and the timeline.

Review of Learning Goals

Learning Activities or Timeline Learning Facilitator’s
Pagsusuri sa Kasanayang
Learning Goals Strategies (Kailan mo ito Advice
Natutunan)
(Kasanayang Gusto Kong (Mga Pamamaraan sa gustong (Payo ng Learning
Achieved Not Date of
Matutunan) Pagkatuto) matutunan? (Nakamtan) Achieved Review Facilitator)
(Hindi (Petsa ng
Nakamtan) Pagusuri)

____________________________________________ __________________________________________________
(Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)
Date: ___________________________________________ Date: _____________________________________________