Republic of the Philippines

Department of Education
REGION III
Schools Division of Bulacan
DON NEMENCIO CLEMENA MEMORIAL SCHOOL

FORM 1: LAC PROFILE

This form should be accomplished by the LAC Facilitator and its members at the first
LAC session.

REGION: III

LAC ID: I LOVE DNCMS Number of LAC members:4

Name of LAC Facilitator: Designation/Position: Master Teacher II

MARY ANN S. CERVANTES

LAC Members
NAME Male/ DESIGNATION DIVISION/S Contact details (email, mobile number) Preferred contact mode
Female / POSITION (email, phone, Skype,
Zoom, Google Meet,
Viber, FB)

CYNTHIA S. Femal MT I Bulacan [email protected] email, phone,

CERVANTES e 09166981129 Zoom, Google
Meet, FB

JORDAN S. Femal Teacher III Bulacan [email protected] email, phone, FB,

VENTURA e 09328472661 Google Meet

MICHELLE S. Femal Teacher III Bulacan [email protected] Zoom, Google

OCAMPO e 09232592561 Meet, FB

LAURIANE Femal Teacher I Bulacan [email protected] phone, Zoom,

JANE C. e 09995323062 Google Meet
SANTOS

Prepared by:

JORDAN S. VENTURA
LAC Documenter

FORM 2: LAC Facilitator Information Sheet

Bulihan Centro, Plaridel, Bulacan

email: [email protected]
Tel. No. (044) 769-7033
 Republic of the Philippines
Department of Education
REGION III
Schools Division of Bulacan
DON NEMENCIO CLEMENA MEMORIAL SCHOOL
This form should be accomplished by the designated LAC Facilitator on or before the first LAC
session.

Region: III

Division: Bulacan

NAME: MARY ANN S. Male/Female: Date of Birth: Age:

CERVANTES Female September 15,1972 47

Contact details: Email: Mobile Number: Facebook Name:

[email protected] 09328565073 aniecervantes

Preferred contact mode: (Indicate all: email, phone, Skype, Viber, WhatsApp, Zoom, Google meet,
FB, Messenger, etc.)
email, phone, Zoom, Google Meet, Messenger

Bulihan Centro, Plaridel, Bulacan

email: [email protected]
Tel. No. (044) 769-7033
 Republic of the Philippines
Department of Education
REGION III
Schools Division of Bulacan
DON NEMENCIO CLEMENA MEMORIAL SCHOOL
FORM 4: LAC ENGAGEMENT REPORT
This form should be accomplished by each LAC Member at the end of every LAC session.

NAME OF MEMBER: Lauriane Jane C. Santos LAC SESSION ID.: I LOVE DNCMS

REGION: III DATE OF LAC SESSION: September 2,2020

DIVISION: BULACAN NUMBER OF 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)

Comments / Remarks (For

example, if you disagree or strongly
SD D N A SA disagree, please 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.

Bulihan Centro, Plaridel, Bulacan

email: [email protected]
Tel. No. (044) 769-7033
 Republic of the Philippines
Department of Education
REGION III
Schools Division of Bulacan
DON NEMENCIO CLEMENA MEMORIAL SCHOOL

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:

____________________________
Signature Over Printed Name

Bulihan Centro, Plaridel, Bulacan

email: [email protected]
Tel. No. (044) 769-7033
 Republic of the Philippines
Department of Education
REGION III
Schools Division of Bulacan
DON NEMENCIO CLEMENA MEMORIAL SCHOOL

LDM2 COURSE FOR TEACHERS SESSION 1 GUIDE

TOPIC: SCHOOL ORIENTATION ON LEARNING DELIVERY MODALITIES (LDM 2)
COURSE FOR TEACHERS

LAC Components Suggested Period

Getting Started 

Small Group sharing -

*In small LACs (2-5
members only), you can skip
this and go directly to Big
Group/Plenary sharing

Small Groups report

Big Group/Plenary sharing

Big Group/Plenary
Synthesis

Looking forward to the next

session

Completion of reports

TOTAL
Prepared by: Noted by:

MARY ANN S. CERVANTES MANNY R. VALERIO

LAC Facilitator Principal I/ LAC Leader

LEARNING ACTION CELL ON THE ORIENTATION ON

LEARNING DELIVERY MODALITIES (LDM 2)

Bulihan Centro, Plaridel, Bulacan

email: [email protected]
Tel. No. (044) 769-7033
 Republic of the Philippines
Department of Education
REGION III
Schools Division of Bulacan
DON NEMENCIO CLEMENA MEMORIAL SCHOOL
COURSE FOR TEACHERS
SEPTEMBER 2, 2020
ATTENDANCE

NAME OF TEACHER SIGNATURE

FORM 3: LAC Session Report

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

LAC ID: I LOVE DNCMS REGION: III

LAC FACILITATOR: MARY ANN S. CERVANTES LAC SESSION NO.:

DATE AND TIME OF SESSION: September 2,2020, VENUE/PLATFORM OF SESSION: Google

8:00 - 10:00 AM Meet

Number of members present (attach attendance document): 17

Materials and resources:
 
_/__ Self-Learning Module
__/_ Activity sheets
__/_ Digital resources
_/__ Online resources
_/__ Smartphone
__/_ PC
__/_ LAC session guide
___ Others. Please specify:

Bulihan Centro, Plaridel, Bulacan

email: [email protected]
Tel. No. (044) 769-7033
 Republic of the Philippines
Department of Education
REGION III
Schools Division of Bulacan
DON NEMENCIO CLEMENA MEMORIAL SCHOOL
_______________________________________
 
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

  SD D N A SA (For example, if you

disagree or strongly
disagree, please
indicate why.)

MEMBER PARTICIPATION            
1. All of the members came
       /  
prepared for the LAC session

2. All of the members had an

opportunity to share and discuss       /   
their assignment, insights, and ideas

3. Members listened to each

      /   
other’s insights and ideas.

4. The members’ assignments

showed an understanding of the       /  
lessons in the SLM.

5. The members demonstrated

engagement in and/or enthusiasm for
the learning tasks during the session       /  
(including providing feedback on
each other's assignment).

FACILITATION          

Bulihan Centro, Plaridel, Bulacan

email: [email protected]
Tel. No. (044) 769-7033
 Republic of the Philippines
Department of Education
REGION III
Schools Division of Bulacan
DON NEMENCIO CLEMENA MEMORIAL SCHOOL

6. I managed the sharing and

discussion during the LAC session
      /  
by keeping the discussion focused
on the lesson or topic.

7. I encouraged all the members

to actively participate in the LAC
      /  
session (i.e., for the teachers to share
their work and ideas/ insights).

8. I provided useful feedback on

      /  
the teachers’ assignments.
 
Part B
Please provide the information requested.
 
1. The best part of the session (i.e. what went well):
the sharing of ideas
 

2. Problems or challenges encountered and how they were resolved:

internet connection only
 
 
3. Other topics discussed apart from the recommended topics, if any:
None
 
 
4. Recommendations/Plans for next LAC session:
Be ready for the next session
 
 

MARY ANN S. CERVANTES

LAC facilitator

Bulihan Centro, Plaridel, Bulacan

email: [email protected]
Tel. No. (044) 769-7033