FORM 4: LAC ENGAGEMENT REPORT

This form should be accomplished by each LAC Member at the end of every LAC
session.

NAME OF MEMBER: AL-ASSAM S. DIEGO LAC SESSION ID.: 304631

REGION: XII DATE OF LAC SESSION:

OCTOBER 26, 2020 @ 1:30PM

DIVISION: COTABATO CITY NUMBER OF LAC SESSION: 3

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)

Comments /
Remarks (For
example, if you
disagree or strongly
disagree, please
SD D N A SA indicate why.)

THE LAC SESSION

1. I learned a lot from my / .

colleagues in this LAC
session.

2. The LAC session /

deepened my
understanding of the SLM
content.

3. My perspective on the /
topic/s covered has
changed as a result of the
LAC session.

4. I participated actively in the /

 LAC session by sharing my
assignment and insights,
asking questions, and
giving
feedback on what
colleagues shared.

5. I interacted with different /

people during the LAC
session.

ACTION PLAN

6. I feel motivated to apply in /

my region/division/district
what I have learned in this
lesson.

7. I intend to apply what I /

have learned from the
lesson in my
region/division/district

Part B
Please provide the information requested.

1. I need further clarification and/or resources on the following topics:

2. I encountered the following problems or challenges:

3. Other comments/suggestions: