Form 1: Lac Profile: Mary Ann C. Cantileer
Form 1: Lac Profile: Mary Ann C. Cantileer
Form 1: Lac Profile: Mary Ann C. Cantileer
This form should be accomplished by the LAC Facilitator and its members at the first LAC session.
REGION:
NCR
LAC Members
NAME Male/ DESIGNATION DIVISION Contact details (email, mobile number) Preferred contact
Female / POSITION /S mode (email,
phone, Skype,
Zoom, Google
Meet, Viber, FB)
Region: NCR
NAME: Allan G. Salonatin Male/Female: Male Date of Birth: Jan. 27, 1981 Age: 40
Preferred contact mode: (Indicate all: email, phone, Skype, Viber, WhatsApp, Zoom, Googlemeet, FB,
email Messenger, etc.)
DATE AND TIME OF SESSION: March 22, 2021/1:00 – 3:00 VENUE/PLATFORM OF SESSION: Google Meet
pm
Part A
Please indicate the extent to which you agree with each of the following statements by ticking the appropriate
box.
MEMBER PARTICIPATION
FACILITATION
Part B
Please provide the information requested.
DATE AND TIME OF SESSION: March 23, 2021/ 1:00 – 3:00 pm VENUE/PLATFORM OF SESSION: Google Meet
Part A
Please indicate the extent to which you agree with each of the following statements by ticking the appropriate
box.
Comments / Remarks
(For example, if you disagree or
S strongly disagree, please indicate
SD D N A A why.)
MEMBER PARTICIPATION
FACILITATION
Part B
Please provide the information requested.
DATE AND TIME OF SESSION: March 24, 2021/1:00 – 3:00 pm VENUE/PLATFORM OF SESSION: Google Meet
Part A
Please indicate the extent to which you agree with each of the following statements by ticking the appropriate
box.
Comments / Remarks
(For example, if you disagree or
S strongly disagree, please indicate
SD D N A A why.)
MEMBER PARTICIPATION
FACILITATION
Part B
Please provide the information requested.
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,
S if you disagree or strongly disagree, please
SD D N A A indicate why.)
ACTION PLAN
Part B
Please provide the information requested.
3.Other comments/suggestions:
We were all pleased with the ideas and insights of the group. We learned so much from the ideas
given by the presenters.
FORM 4: LAC ENGAGEMENT REPORT
This form should be accomplished by each LAC Member at the end of every LAC session.
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)
ACTION PLAN
3.Other comments/suggestions:
We enjoyed watching the video presented by Mam Cantiller that we will be used in assessing of learning
resources (Non DepEd LR Portal).
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)
ACTION PLAN
Part B
Please provide the information requested.
We are very grateful for the presentation and talk of LAC in-charge for this day. We are satisfied on their
ideas.
3.Other comments/suggestions:
We successfully finished the three-day LAC session joyfully and in good physical condition . We enjoyed
each others insights and expertise. Thanks be to God.