RPL Form 1
RPL Form 1
RPL Form 1
(1) About Me
Directions: Kindly write your hobbies, strengths, interests, weaknesses, ambition/s, and a simple
sentence about your family on the spaces provided.
Interest/s (Hilig):
Weakness/es (Kahinaan):
_
_
Page 1 of 10/2020
(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
experience/s?
(Karanasan) i (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:
C. Science (Agham)
Using/Operating Simple
Machines (e.g.,
inclined plane; wheel
and axle)
Using Electronic Devices
(e.g., electric bike )
Natural Calamities (e.g.,
typhoon, earthquake)
Human-induced Calamities
(e.g., fire; war)
Others, please specify:
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)
Others, please specify:
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)
Others, please specify:
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)
Others, please specify:
(Learner’s Signature over Printed Name) (ALS Teacher’s Signature over Printed Name)
Date: Date: