0% found this document useful (0 votes)
20 views2 pages

Form 1. LAC Profile

Download as docx, pdf, or txt
Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1/ 2

FORM 1: LAC PROFILE

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

REGION: 1

LAC ID (name or number): Number of LAC members: 10

Name of LAC Facilitator: Designation/Position: TEACHER III


RIO VIERRA M. CARAGAY

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

RODEL B. MALE TEACHER III URDANETA 0995027540 PHONE,


MADRIAGA CITY 2 MESSENGER,
FB, GOOGLE

LUDIVINA C. FEMALE TEACHER III URDANETA 0947575297 PHONE,


SALVADOR CITY 8 MESSENGER,
FB, GOOGLE

MARISSA M. FEMALE TEACHER III URDANETA 0950319679 PHONE,


MANLONGAT CITY 6 MESSENGER,
FB, GOOGLE

REVILLA M. FEMALE TEACHER III URDANETA 0951475939 PHONE,


BERGAÑO CITY 6 MESSENGER,
FB, GOOGLE

WILSON M. MALE TEACHER III URDANETA 0975920750 PHONE,


PASCUA CITY 6 MESSENGER,
FB, GOOGLE,
ZOOM

AILEEN A. FEMALE TEACHER III URDANETA 0916798756 PHONE,


MANUEL CITY 9 MESSENGER,
FB,

COLA G. FEMALE TEACHER III URDANETA 0919779021 PHONE,


SUBIDO CITY 8 MESSENGER,
FB, GOOGLE,
ZOOM

NIEVES D. FEMALE TEACHER III URDANETA 0920430651 PHONE,


POLANCO CITY 8 MESSENGER,

RIO VIERRA FEMALE SHS-TEACHER III URDANETA 0912032161 PHONE,


M. CARAGAY CITY 3 MESSENGER,
FB, GOOGLE,
ZOOM

SHAIRA C. FEMALE TEACHER I URDANETA 0945755416 PHONE,


DELA CRUZ CITY 1 MESSENGER,
FB, GOOGLE,
ZOOM

You might also like