1. FORM 3: LAC Session Report
This form should be accomplished by the LAC Facilitator at the end of every LAC session.
LAC ID: REGION
LAC FACILITATOR: LAC SESSION NO.:
DATE AND TIME OF SESSION: VENUE/PLATFORMOF SESSION:
Number of members present (attach attendance document):
Materials and resources:
___ Self-Learning Module
___ Activity sheets
___ Digital resources
___ Online resources
___ Smartphone
___ PC
___ LAC session guide
___ Others. Please specify:
_______________________________________
Part A
Please indicate the extent to which you agree with each of the following statements by
ticking the appropriate box.
(SD = Strongly Disagree; D = Disagree; N = Neutral; A = Agree; SA = Strongly agree)
SD D N A SA
Comments / Remarks
(For example, if you disagree or
stronglydisagree, please indicate
why.)
MEMBER PARTICIPATION
1. All of the members came
prepared for the LAC
session
2. All of the members had an
2. opportunity to share and
discuss their assignment,
insights, and ideas
3. Memberslistenedtoeach
other’sinsightsandideas.
4. The members’assignments
showedanunderstandingof
the lessonsinthe SLM.
5. The membersdemonstrated
engagementinand/or
enthusiasmforthe learning
tasksduringthe session
(includingprovidingfeedback
on eachother’sassignment).
FACILITATION
6. I managedthe sharingand
discussionduringthe LAC
sessionbykeepingthe
discussionfocusedonthe
lessonortopic.
7. I encouragedall the members
to activelyparticipate inthe
LAC session(i.e.,forthe
teachersto share theirwork
and ideas/insights).
8. I providedusefulfeedbackon
the teachers’assignments.
Part B
Please provide the information requested.
1. The best part of the session (i.e. what went well):
3. 2. Problems or challenges encountered and how they were resolved:
3. Other topics discussed apart from the recommended topics, if any:
4. Recommendations/Plans for next LAC session:
