Republic of the Philippines

Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Polangui General Comprehensive High School
Polangui, Albay

LAC DOCUMENTATION TOOL

(for the assigned LAC Documenter to accomplish)

Date : ______________________________________________
Venue: _____________________________________________
Start Time: _________________________________________
End Time: __________________________________________
Name of LAC Facilitator: _____________________________

Objectives:
1.
2.

Topic/s: ____________________________________________

Discussion Highlights
(Must include agreements from the previous LAC session, results of monitoring and evaluation,
and areas for plan adjustment)

A. Monitoring and Evaluation Report

Good Practices Shared

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________

Challenges Shared
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________

B. Lessons Learned and Insights or Realizations

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________________________________

Centro Occidental, Polangui, Albay

Contact Number/s
301865@deped.gov.ph
 Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Polangui General Comprehensive High School
Polangui, Albay

C. Major Points

Topic: _____________________________________________________

Major Points Matters Arising and Agreements or What

to Do Next

D. Next Steps

Attendees

Name Designation/Position LAC Role

Documented by:

________________________________
Signature Over Printed Name

Date:

LAC EVALUATION TOOL

(for the assigned LAC Members and Leaders/Heads to accomplish)

Centro Occidental, Polangui, Albay

Contact Number/s
301865@deped.gov.ph
 Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Polangui General Comprehensive High School
Polangui, Albay

Name of Facilitator: ______________________________________________

Sex: ____________________________________________________________
Position: ________________________________________________________
Designation: _____________________________________________________
Disability: _______________________________________________________
Ethnic Group: ___________________________________________________

Rating Scale

1 – Observed 0% to 20% of the time

2 – Observed 21% to 40% of the time
3 – Observed 41% to 60% of the time
4 – Observed 61% to 80% of the time
5 – Observed 81% to 100% of the time

Rate how well the LAC Session matches the following descriptions.

Description 1 2 3 4 5 Remarks
1. Introduction procedures are appropriate.

2. Topic is clearly defined.

3. Instructions are clear and appropriate.

4. Presentation flow is chronological and

systematic.
5. erbal and nonverbal communication are
used effectively.
6. There is mastery of content.

7. There are evidence of ICT integration.

8. Rapport is establish resulting to a warm

and friendly learning atmosphere.
Overall Rating

LAC REFLECTION JOURNAL

Centro Occidental, Polangui, Albay

Contact Number/s
301865@deped.gov.ph
 Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Polangui General Comprehensive High School
Polangui, Albay

Date : _______________________________________________
Name: ______________________________________________
Position: _____________________________________________
Designation: __________________________________________
Age: _____________________________
Sex: _____________________________

Individual Actionable Agreements from LAC:

______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

a. Key Take Aways

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

b. Challenges

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

c. Suggestions for Improvement

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Overall Impression:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Centro Occidental, Polangui, Albay

Contact Number/s
301865@deped.gov.ph