Department of Education

Region VII
Division of Dumaguete City
Taclobo National High School

FORM 1: LAC PROFILE

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

REGION: VII

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

Name of LAC Facilitator: Designation/Position:

LAC Members
NAME M/F DESIGNA Contact details Preferred contact mode (email,
TION / (email, mobile phone, Skype, Zoom, Google
POSITIO number) Meet, Viber, FB)
N