Als RPL Form 1

ALS RPL Form 1
DOCUMENTATION OF LIFE EXPERIENCE
This form documents a range of life experiences that the learner has had.
These experiences are important to be documented fully as they provide information
on the learner’s interests, hobbies, strengths, weaknesses, ambition/s, and family,
what the learner already knows and able to do.
This form can be accomplished in Mother Tongue, in Filipino or in English.
The ALS Teacher may assist the learner or complete this form if the latter is
not confident to do so at the start of the learning sessions.
This form adds to the information collected in the Summary Record of

Training (ALS RPL Form 2).
The information in this form should be used by the ALS Teacher to help the
learner develop the Individual Learning Agreement (ALS Assessment Form 1).
The form should be included in the working portfolio (work folder).
It should also be included as one of the selected items for the presentation
portfolio if/when the learner decides to have the portfolio assessed as part of the
expanded A&E certification system.
How to Use this Form

In this form, the learner with the assistance of the ALS Teacher records the
former’s life experiences. These experiences are important to be documented fully
as they provide information on the learner’s personal experiences. This may be
written in Mother Tongue, in Filipino or in English.
The form consists of two (2) parts:
a. About Me:
 The learner will write his or her interests, hobbies, strengths,
weaknesses, ambition/s, and a simple sentence about his or her
family.
b. Experiences:
 The learner will consider the following common areas of daily life
activities: communication, social activities, science, numeracy,
livelihood, intrapersonal and interpersonal relationships, and
information and communications technology.
10/2020
ALS RPL Form 1
 The learner will place a check ( ) in the second column if he or she

has had such similar life experiences. If the learner has had a
significant life experience not on the list, he or she will check
“Others” and specify the answer on the space provided. A separate
sheet of paper will be used if necessary. The specific experience
will be briefly explained in the third column; as to when it happened
will be indicated in the fourth column; and as to where it happened
will be specified in the fifth column.
The learner and the ALS Teacher should affix their signatures at the bottom of
the form with the specific date the form was accomplished.
10/2020
ALS RPL Form 1
DOCUMENTATION OF LIFE EXPERIENCE
Name of Learner: ______________________ Community Learning Center: _______________

Level: BLP LE AE JHS Name of ALS Teacher: ____________________
(1) About Me
Directions: Kindly write your hobbies, strengths, interests, weaknesses, ambition/s, and a simple
sentence about your family on the spaces provided.
Hobby/ies (Libangan): Strength/s (Kalakasan):

________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
Interest/s (Hilig): Weakness/es (Kahinaan):

________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
Ambition/s (Mithiin): Write a simple sentence about

________________________________ your family.
________________________________ (Sumulat ng pangungusap tungkol sa
________________________________ iyong pamilya.)
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
________________________________ ________________________________
Page 1 of 4 10/2020
ALS RPL Form 1
(2) Experiences
Directions: Read each of the common daily life experiences listed in the first column. Place a
check ( ) in the second column if you have ever had such similar life experiences. If you have
had a significant life experience not on the list, kindly check “Others” and specify on the space
provided. Use a separate sheet of paper if necessary. Briefly explain the experience in the third
column; indicate when it happened in the fourth column; and specified where it happened in the
fifth column.
P
u Where did
t When did you you
What specific
Experience experience it? experience
i
experience/s?
(Karanasan) (Kailan ito it?
f (Anong karanasan ito?)
naranasan?) (Saan ito
y naranasan?)
e
s
A. Communication (Komunikasyon)
Reading/Viewing (e.g.,
newspaper, internet)
Listening/Speaking (e.g.,
dialogue)
Writing (e.g., note-taking)
Others, please specify:
______________________
______________________
______________________
B. Social Activity (Panlipunang Aktibidad)
Outdoor Activities (e.g.,
engaging in sports, tree
planting, clean-up drive)
Charitable Works (e.g.,
caring for the sick; giving
donation)
_______________________
_______________________
_______________________
C. Science (Agham)
Using/Operating Simple
Machines (e.g., inclined
plane; wheel and axle)
Using Electronic Devices
(e.g., electric bike )
Page 2 of 4 10/2020
ALS RPL Form 1
Natural Calamities (e.g.,

typhoon, earthquake)
Human-induced Calamities
(e.g., fire; war)
______________________
______________________
______________________
D. Numeracy (Matematika)
Money (e.g., counting and
recording the amount of
money earned and spent)
Geometric Shapes/Figures
(e.g., lines, perimeter, angle,
polygon)
Measuring Devices (e.g.,
linear; kilo, kilometers)
Tables, Graphs, and
Statistics (e.g., collecting and
recording data;
reading/interpreting data in a
graph)
______________________
______________________
______________________
E. Livelihood (Kabuhayan)
Agri-fisheries (e.g., food
processing; farming)
Industrial Arts (e.g., welding,
plumbing)
Home Economics
(e.g., housekeeping;
bartending )
Handicraft (e,g., basket
weaving, knitting)
_______________________
_______________________
_______________________
Page 3 of 4 10/2020
ALS RPL Form 1
F. Intrapersonal and Interpersonal Relationships (Pang-unawa sa Sarili at

Pakikipagkapwa)
Positive Sense of Self (e.g.,
learning to know oneself;
self-worth; self-direction)
Family and Community
Solidarity (e.g.,
demonstrating smooth
interpersonal relationships
between and among family
and community members)
______________________
______________________
______________________
G. Information and Communications Technology (ICT) (Teknolohiya ng Impormasyon at
Komunikasyon)
Basic Hardware/Software
Operations and File
Management (e.g., operating
a computer and other
computer peripherals;
managing files in a computer)
Common Office Application
Software Packages (e.g.,
word processing;
presentation software)
Mobile Devices
(e.g., operating mobile
phones, smart
devices/wearables, digital
video cameras, etc.)
______________________
______________________
______________________
_________________________________ ___________________________________
(Learner’s Signature over Printed Name) (ALS Teacher’s Signature over Printed Name)
Date: ____________________________ Date: _______________________________
Page 4 of 4 10/2020

Als RPL Form 1 - Documentation of Life Experience

Uploaded by

Copyright:

Available Formats

Als RPL Form 1 - Documentation of Life Experience

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Als RPL Form 1 - Documentation of Life Experience

Uploaded by

Copyright:

Available Formats

DOCUMENTATION OF LIFE EXPERIENCE

This form can be accomplished in Mother Tongue, in Filipino or in English.

This form adds to the information collected in the Summary Record of

The form should be included in the working portfolio (work folder).

How to Use this Form

The form consists of two (2) parts:

 The learner will place a check ( ) in the second column if he or she

DOCUMENTATION OF LIFE EXPERIENCE

Name of Learner: ________ Community Learning Center: _

Hobby/ies (Libangan): Strength/s (Kalakasan):

Interest/s (Hilig): Weakness/es (Kahinaan):

Ambition/s (Mithiin): Write a simple sentence about

Natural Calamities (e.g.,

F. Intrapersonal and Interpersonal Relationships (Pang-unawa sa Sarili at

Date: Date: ___

You might also like