HRD-L&D Fm 01

V2 | 18May2021

LEARNING ACTION PLAN FORM

Learner / Participant Office
Title of L&D Intervention
L&D Date(s) Mode of Attendance [ ] Physical [ ] Virtual
Specific Areas to Improve/Develop
LEARNING GOALS LEARNING REQUIRED KEY PERFORMANCE
CURRENT STATUS
What skills, knowledge, and attitudes do I require RESOURCES INDICATORS
to achieve competency target? [Entry must be
What skills, knowledge, and attitudes do I have
now with respect to this learning goal?
STRATEGY What resources do I need to achieve How can I demonstrate to myself and others
SMART] How will I reach my learning goal? this learning goal? that I have achieved this learning goal?

Supervisor’s Comments / Remarks

Observable behaviors demonstrated by the learner and the results
Name & Signature of the L&D Attendee

Name & Signature of the Attendee’s Supervisor