FORM 1: LAC PROFILE

This form should be accomplished by the LAC Facilitator and its members at the first LAC
session.

REGION: 1

LAC ID (name or number): Number of LAC members: 10

Name of LAC Facilitator: Designation/Position: TEACHER III

RIO VIERRA M. CARAGAY

LAC Members:
NAME Male/ Female DESIGNATION/ DIVISION/S Contact details Preferred contact
POSITION (email, mobile mode (email,
number) phone, Skype,
Zoom, Google
Meet, Viber, FB)

RODEL B. MALE TEACHER III URDANETA 0995027540 PHONE,

MADRIAGA CITY 2 MESSENGER,
FB, GOOGLE

LUDIVINA C. FEMALE TEACHER III URDANETA 0947575297 PHONE,

SALVADOR CITY 8 MESSENGER,
FB, GOOGLE

MARISSA M. FEMALE TEACHER III URDANETA 0950319679 PHONE,

MANLONGAT CITY 6 MESSENGER,
FB, GOOGLE

REVILLA M. FEMALE TEACHER III URDANETA 0951475939 PHONE,

BERGAÑO CITY 6 MESSENGER,
FB, GOOGLE

WILSON M. MALE TEACHER III URDANETA 0975920750 PHONE,

PASCUA CITY 6 MESSENGER,
FB, GOOGLE,
ZOOM

AILEEN A. FEMALE TEACHER III URDANETA 0916798756 PHONE,

MANUEL CITY 9 MESSENGER,
FB,

COLA G. FEMALE TEACHER III URDANETA 0919779021 PHONE,

SUBIDO CITY 8 MESSENGER,
 FB, GOOGLE,
ZOOM

NIEVES D. FEMALE TEACHER III URDANETA 0920430651 PHONE,

POLANCO CITY 8 MESSENGER,

RIO VIERRA FEMALE SHS-TEACHER III URDANETA 0912032161 PHONE,

M. CARAGAY CITY 3 MESSENGER,
FB, GOOGLE,
ZOOM

SHAIRA C. FEMALE TEACHER I URDANETA 0945755416 PHONE,

DELA CRUZ CITY 1 MESSENGER,
FB, GOOGLE,
ZOOM