You are on page 1of 3

LEARNING ACTION CELL DOCUMENTATION FORM

District: Governor Generoso South District


Learning Group: _____________________
Date: __________________ Time Started: ____________ Time Ended: ___________
Venue (School): _________________________________________

Attendance
Role Name Signature
LAC Facilitator
LAC Documenter
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member
Member

Agenda/Topics
Discussion:

Resolution/Agreements/Future Direction(s):

Photo Documentation
Prepared by:

______________________ _________________________
LAC Documenter LAC Facilitator

Noted: Prepared by:

_______________________ _________________________
LAC Coordinator LAC Leader

You might also like