Republic of the Philippines

Department of Education
Region III – Central Luzon
City of Balanga National High School

FORM 4: LAC ENGAGEMENT REPORT

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

NAME OF MEMBER: LAC SESSION ID.:LDM 2 Module 3A

REGION: III DATE OF LAC SESSION: SEPTEMBER 18,

2020

DIVISION: DIVISION OF BALANGA CITY NUMBER OF LAC SESSION:

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

Comments / Remarks
(For example, if you disagree
or strongly disagree, please
SD D N A SA 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 the LAC

Phase III, Doña Francisca Subdivision Talisay Balanga City, Bataan

School ID: 322901
Email Address: cobhs@ymail.com
Tel. No.: (047) 237-7360
 session.

ACTION PLAN

6. I feel motivated to apply in 

my region/division/district
what I have learned in this
lesson.

7. I intend 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 encountered the following problems or challenges:

3. Other comments/suggestions:

Phase III, Doña Francisca Subdivision Talisay Balanga City, Bataan

School ID: 322901
Email Address: cobhs@ymail.com
Tel. No.: (047) 237-7360