ALS Assessment Form 2

RECORD OF MODULE USE AND MONITORING OF LEARNER’S PROGRESS

Name of Learner:___________________________________________ Community Learning Center: ___________________________

Level: BLP LE AE JHS SHS Learning Facilitator: ___________________________________
Directions: Write the title of each learning module you accomplished along with the learning strand, results in the pre-test and post-
test, other activity/ies you have completed, and your own assessment.
Pre-Test Post-Test Other Related Learner’s Self- Learning
Result Result Activities Assessment of Facilitator’s
(Resulta ng (Resulta ng Learning Facilitator’s
Accomplished Performance Assessment
Title of Learning Module LS Date Panimulang Pagtatapos Remarks
(Iba pang (Pagtatasa sa (Pagtatasa ng
(Pamagat ng Modyul) (Petsa) Pagtataya) na (Puna ng Learning
Gawaing Sarili sa Learning
Pagtataya
Natapos) Pagganap) Facilitator) Facilitator)
Started Finished Not
(Simula) (Pagtapos Mastered Mastered
(Natuto) (Hindi
Natuto)

__________________________________________ __________________________________________
(Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)
Date: _____________________________________ Date: ______________________________________