TABLE OF CONTENTS

Item Content Page

A Self-composed PRAYER 1-2
PANATANG MAKABAYAN
B Enrolment Form 3
Attachment Form (Birth Certificate or
any Identification)
C Functional Literacy Test 4
 PIS (Personal Information Sheet)
 FLT Answer Sheet
D Attendance and Learning Log 5
E Learner’s Testimonial on the Impact of ALS in one’s life 6
F Record of Prior Learning (RPL) 7-12
 ALS RPL Form 1 (Documentation of life
Experiences)
 ALS RPL Form 2 (Record of Training/Skills)
 ALS RPL Form 3 (Summary of Work History)
 ALS RPL Form 4 (Learner’s Checklist of Skills)
G ALS Assessment 13-14
 (Individual Learning Agreement)
 Weekly Learning Log
 Review of Learning Log
I Learner’s Record of Module Use 15
J Learner’s Record of Essays 16
K Practice Test 17
L Supplemental Activities
 PERSONAL INFORMATION SHEET
A. Panuto: Sagutan ang mga sumusunod na tanong.
1.) Ano ang iyong kumpletong pangalan?
______________________ _________________ _____________________
(Unang Pangalan) (Gitnang Pangalan) (Apelyido)
 2.) Ano ang iyong kasarian? Lagyan ng tsek () ang tamang kahon.
Lalaki Babae

3.) Kailan ka isinilang o ipinanganak? ________________ __________ ____________

(Buwan) (Araw) (Taon)
4.) Saan ka nakatira?
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(Numero ng bahay/klaye) (Barangay) (Lungsod/Bayan) (Probinsya)

5.) Ano ang iyong relihiyon?_____________________________________________________

6.) Ano ang estado mo sa buhay? Lagyan ng tsek () ang tamang kahon.
Walang asawa Biyudo / Biyuda
May-asawa Hiwalay sa asawa
7.) Ano ang hanapbuhay/trabaho mo? _____________________________________________
8.) Ano ang pinakamataas na antas na natapos mo sa pag-aaral?
__________________________________________________________________________

B. Panuto: Sumulat ng isang talata na binubuo ng dalawa hanggang tatlong pangungusap tungkol sa iyong
sarili, gayundin ang mga hilig at ambisyon mo.

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ATTENDANCE AND
LEARNING LOG
Time Time Learning Activities Signature Signature/Remarks
Date In Out of Implementer
 DOKUMENTASYON NG MGA KARANASAN SA BUHAY

(1) Personal na Impormasyon

Pangalan: _________________________
Tirahan: __________________________
  AKO AT ANG AKING PAMILYA
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(2) Karanasan

 ANG AKING BUHAY

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(3) Interes at Libangan

 ANG PABORITO KONG LIBANGAN

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(4) Tungkol sa Akin

 ANG AKING KATANGIAN

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 ANG AKING PANGARAP

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(SKILL TRAINING)
Pangalan ng Program ng Pagsasanay Natutunan sa Programa Petsa ng Pagsasanay Kapakinabangan ng Pagsasanay
(Title of Training Program) (Competencies Learned) (Date of Training) (Use of Competencies)
 RPL FORM 2

TALAAN NG MGA KARANASAN SA TRABAHO

(SUMMARY OF WORK HISTORY)

Pangalan ng trabahong Pinasukan Lugar ng trabaho at Pangalan ng Gaano katagal nanatili sa Anong kasanayan at kaalaman ang
(Description of Work) Employer (Workplace and Name of trabahong ito? (How long you did kailangan sa trabahong ito? (What
the Employer) this job) skills and knowledge does the job
require?)

RPL FORM 3

Learner’s Record of
Module Use
Title of Modules Pre Post Date/ Date/ IM’s
Test Test Time Time Comment/Remarks
Result Result Started Finished