ALS Assessment Form 1

INDIVIDUAL LEARNING AGREEMENT

Name of Learner: ____________________________________________ Community Learning Center: ___________________________
Level: BLP LE AE JHS 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: ______________________________________
 ALS Assessment Form 1

INDIVIDUAL LEARNING AGREEMENT

The Individual Learning Agreement (ILA) is a plan that will be developed by the Learning
Facilitator and each Learner. The plan records what the learner wants to learn (learning goals)
and how (learning activities and strategies) and when (timeline) the learner wants to achieve the
learning goals. Furthermore, this form guides the Learning Facilitator in the review of learning
goals of the Learner—whether these were achieved, not achieved, or modified. It also helps the
Learning Facilitator provide appropriate learning interventions to the Learner.

This form can be accomplished in Filipino or in English.

The learning facilitator may assist the learner or complete this form if the latter is not
confident to do so at the start of and during the learning sessions. The form should be reviewed
and updated at least once a month or as deemed necessary. The learning goals should also be
identified solely by the learner or with the assistance of the learning facilitator. The latter should
not solely decide on the learning goals.

This form is an important tool in planning and assessment. It is an agreement between

the learning facilitator and the learner through which the latter agrees to work towards achieving
the learning goals and the learning facilitator agrees to help the learner by providing learning
interventions through various learning activities.

On the other side, the purpose of the Review of Learning Goals is to assess the learning
progress of the learner and determine whether the learning goals should be modified.

Please note that the form is a tool to record learning goals and planned learning activities.
The actual process of identifying this information will require a process of dialogue and
instructional counseling between the learner and the learning facilitator.

This form adds to the information collected in the Record of Module Use and Monitoring
of Learner’s Progress (ALS Assessment Form 2) and should be included in the learner’s working
portfolio (work folder).

The form should also be included as one of the selected items for the presentation
portfolio if/when the learner decides to have his or her portfolio assessed as part of the expanded
A&E certification system.

How to Use this Form

In this form, the Learning Facilitator and the Learner will develop a plan that the latter
wants to learn (learning goals) and how (learning activities and strategies) and when (timeline)
the learner wants to achieve the learning goals. Furthermore, this form guides the Learning
Facilitator in the review of learning goals of the Learner—whether these were achieved, not
achieved, or modified. This may be written in Filipino or in English.
 ALS Assessment Form 1
· The learning facilitator should explain the purpose of the Individual Learning Agreement
to the learner.
· The learning facilitator should assist the learner through a small group or one-on-one
discussion in identifying the latter’s learning goals. In doing so, the information from the
Checklist of Competencies (RPL Form 4) shall be used.
· The learning facilitator should provide advice to the learner on the suitable learning
modules and help the learner select from the complete list.
· The learning facilitator should help the learner set a completion date for the selected
learning goals.

· The learning facilitator and the learner should review and update the ILA at least once a
month or as deemed necessary to account for new learning goals, learning strategies,
or timelines.

· When the learning goals are completed, the learning facilitator should assess the
learning progress of the learner and determine whether the learning goals should be
modified.

· Please note that at first, the identified learning goals might be rather general (e.g.,
graduate from high school). Through a process of probing and instructional counseling,
the facilitator should be able to help the learner break this large goal into more precise
sub-goals (e.g., strengthen my Mathematics skills — in particular, learn how to multiply
fractions and compute percentages). Throughout the course of his or her learning
journey under the ALS Program, the learner will likely develop self-confidence and
awareness and ability to document more precise, shorter-term learning goals, hence the
importance of updating the ILA at least once a month to capture these learning
refinements.

The learner and the learning facilitator should affix their signatures at the bottom of the
form along with the specific date the form was accomplished
ALS Assessment Form 1
 ALS Assessment Form 2

RECORD OF MODULE USE AND MONITORING OF LEARNER’S PROGRESS

In this form, the learner records each learning module he or she completed, the
learning strand to which the learning module belongs, the date of accomplishment, the
results of the pre-test and post-test, and other related activities accomplished. The learner
is asked to reflect on his or her performance, identify personal strengths and weaknesses,
and suggest ways to overcome difficulties that may have been encountered. The learning
facilitator will also evaluate the learner’s performance and provide feedback on the
learner’s level of mastery of the module contents.

This form can be accomplished in Filipino or in English.

The learning facilitator may assist the learner or complete this form if the latter is
not confident to do so during the conduct of the learning sessions. The form should be
reviewed and updated at least once a month or as deemed necessary.

The information will enable the learning facilitator to help the learners develop their
skills in self-directed learning. This form shall be used as reference document when
reviewing the Individual Learning Agreement (ALS Assessment Form 1).

The form should be reviewed by the learning facilitator and the learner each time
a new set of learning module is issued. The learning facilitator should discuss the learner’s
progress and suggest ways for improvement.

The form should be included in the learner’s working portfolio (work folder).

The form should also be included as one of the selected items for the presentation
portfolio if/when the learner decides to have the portfolio assessed as part of the
expanded A&E certification system.

How to Use this Form

In this form, the Learner records each learning module completed, the learning
strand to which the learning module belongs, the results of the pre-test and post-test, and
other activities the learner has completed. The learner is also required to assess his or
her performance by identifying personal strengths and weaknesses and suggest ways to
overcome such. This record can be written in English or in Filipino.
 ALS Assessment Form 2

For each completed learning module, the learner with the assistance of the
learning facilitator should write the following:

a. Title of the Learning Module

b. Learning Strand (the module belongs)
c. Date Started and Finished
d. Pre-test and Post-test Results
e.g., total number of correct answers 7
total number of items 10

e. Other Related Activities Accomplished (e.g., reading materials, experiments)

f. Learner’s Self-assessment of Performance (The learners are asked to write
down what they enjoyed or did not enjoy, difficulties they encountered, and the
possible ways of solving these problems in the next module.)
g. The learning facilitator should review the learner’s completed module activities
and provide oral and written feedback to the learner.
h. Facilitator’s Assessment on Learner’s Performance (The learning facilitator
should also assess if the learner mastered or did not master the contents of a
specific module. As a guide, if the learner got an average percentage of 75 and
above in module assessment activities, the learner most likely has mastered
the lesson. If the learner got an average percentage of 74 and below, the
learner did not fully understand the module contents and would benefit from
individual remediation lessons from the learning facilitator.)
i. Learning Facilitator’s Remarks (The learning facilitator will provide remarks on
the learner’s performance after accomplishing the module.)

The learner and the learning facilitator should affix their signatures at the bottom
of the form with the specific date the form was accomplished.
 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
Title of Learning Module Date Accomplished Performance Assessment
LS Panimulang Pagtatapos Remarks
(Iba pang (Pagtatasa sa (Pagtatasa ng
(Pamagat ng Modyul) (Petsa) Pagtataya) na (Puna ng Learning
Pagtataya
Gawaing Sarili sa Learning
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: ______________________________________
ALS Assessment Form 2