ALS Assessment Form 2

RECORD OF MODULE USE AND MONITORING OF LEARNER’S PROGRESS

Name: ………………………………………………………………. Community Learning Center: ……………………..................................
Level: BLP Lower Elem. Advanced Elem. JHS Learning Facilitator: ………………………………………………………..
Learning
Scores on the Other Related Learner’s Self- Facilitator’s Learning
Pre-Test Post-Test
Learning
Activities Assessment
Title of Module Strand Date Result Result Activities Assessment of on Learner’s
Facilitator’s
(mm/dd/yyyy) Accomplished Accomplished Performance Performance Remarks
StartedFinishe 1 2 3 4 5 Mastered Not Mastered
d

10

11

12

13

14

15

Certified by Learning Facilitator: __________________________________________ Date: __________________

(Signature over Printed Name)
ALS Assessment Form 2