Republic of the Philippines
Department of Education
Region III
Division of Mabalacat City
Doña Asuncion Lee Integrated School
REFLECTION NOTES FORM
SY 2022-2023
NAME OF TEACHER JUAN P. DELA CRUZ
POSITION Teacher I
GRADE LEVEL 1
ACTIVITY Indicate here what type of activity (LAC session /
Focus Group Discussion (FGD) / Meeting / Collegial
Discussion)
DATE QUARTER □1 □ 2 □3 □4
VENUE
NAME OF FACILITATOR/
SPEAKER/MENTOR/
COACH/COLLEAGUE
PPST INDICATOR ADDRESSED
Teacher and learner feedback to enrich teaching practice (PPST 4.4.2)
TOPIC
Sample: Strategies on how to address learners with behavioral problems
INSIGHTS/ REALIZATIONS/LESSONS LEARNED:
You may include the following here:
Significant learning
Insights or realizations gained from the facilitator, mentor, or coach
regarding new concepts learned and known concepts that were more
understood
Lessons learned based on personal situation/experience
Easy and challenging points in the application of the concepts learned
Easy points (what was easy to learn or apply to learners and why)
Challenging points (what difficult to learn or apply to learners and why)
Address: Xevera, Tabun, Mabalacat City, Pampanga
Email address: dalis@[Link]
Website: [Link]
Republic of the Philippines
Department of Education
Region III
Division of Mabalacat City
Doña Asuncion Lee Integrated School
NEXT COURSE OF ACTION
You may include the following here:
Plans for the application of the new strategies learned
Plans for addressing issue/challenges encountered
Plans to materialize the impact of what you have learned to your work as a
teacher
Prepared by:
JUAN P. DELA CRUZ
Ratee/Teacher I
Noted:
NONNAANN L. GUTIERREZ
Rater/Master Teacher I
Address: Xevera, Tabun, Mabalacat City, Pampanga
Email address: dalis@[Link]
Website: [Link]
Republic of the Philippines
Department of Education
Region III
Division of Mabalacat City
Doña Asuncion Lee Integrated School
PHOTO DOCUMENTATION OF THE CONDUCTED
ACTIVITY
Address: Xevera, Tabun, Mabalacat City, Pampanga
Email address: dalis@[Link]
Website: [Link]
Republic of the Philippines
Department of Education
Region III
Division of Mabalacat City
Doña Asuncion Lee Integrated School
CERTIFICATE AS PROOF OF ATTENDANCE
Include this if the activity is a LAC session, training, FGD with Certificate
Address: Xevera, Tabun, Mabalacat City, Pampanga
Email address: dalis@[Link]
Website: [Link]
Republic of the Philippines
Department of Education
Region III
Division of Mabalacat City
Doña Asuncion Lee Integrated School
ATTENDANCE SHEET
Address: Xevera, Tabun, Mabalacat City, Pampanga
Email address: dalis@[Link]
Website: [Link]