ALS RPL Form 1

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 ALS RPL Form 1
DOCUMENTATION OF LIFE EXPERIENCES

Name: …..…………..………..…..…………………..…….. Community Learning Center: ……………………...

……………
Level: BLP Lower Elem. Advanced Elem. JHS Learning Facilitator: …..…………..………..…...
………………

(1) About Me
INSTRUCTION: Kindly write your interests, hobbies, strengths, weaknesses, ambition/s
and two (2) sentences about your family on the spaces provided.

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 ALS RPL Form 1

Hobbies (Libangan): Strengths (Kalakasan):

________________ _______________

_________________________________ _________________________________

_________________________________ _________________________________

Interests (Hilig): Weaknesses (Kahinaan):

____________________ _____________

_________________________________ _________________________________

_________________________________ _________________________________

Write something about your Write your ambition/s:

family: _____ _______________
_________________________________ _________________________________
_________________________________ _________________________________
____________ ____________

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 ALS RPL Form 1

(2) Experiences
INSTRUCTIONS: Read each of the experiences listed in the first column and check ( ) if
you had it in the second column. If not on the list, kindly check “Others” and specify on the
space provided, use separate sheet of paper if it is not enough. Specify the experience on
the third column, when it happened on the fourth column and where it happened on the fifth
column.
When did you Where did you
Experience What specific experience/s?
experience it? experience it?
A. Experiences with information
-reading news from the -during my free
-at home
Find information by reading newspaper & different websites time
(e.g., newspaper, internet)

Find information by talking

Writing information (e.g.,

note taking)
Work with numbers (e.g.,
time, counting)
Others, please specify:
______________________
When did you Where did you
Experience What specific experience/s?
experience it? experience it?
B. Experiences with the people
Communication -exchanged stories with a -Panagbenga
-Baguio City
a. verbal (e.g., talking) group of foreigners Festival 2014
b. non-verbal (e.g. body
language)
Helping (e.g., caring for the
sick, crossing the elders,
checking sister’s homework)
Others, please specify:
______________________
C. Experiences with environment
-taking care of our dog named -since 2017 -at home
Animals (e.g., feeding, “Nahi”
breeding, fishing)

Plants (e.g., gardening,

farming, logging)
Non-living Natural
Resources (e.g., mining,
water purifying, salt extraction)
Natural calamities
(e.g., earthquake, typhoon,
landslide, La Niña, El Niño)
Man-made disasters
(e.g., war, bombing)
Others, please specify:
______________________
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 ALS RPL Form 1
D. Experiences with money
-selling fruits and vegetables -every weekend -La Trinidad
since I was 10 public market
Selling (e.g., shop) years old

Buying (e.g., house, car)

Budgeting (e.g., income)

Saving (e.g., bank)

Money transfer/remittance
Payment (e.g., water bill,
electric bill, jeepney fare)
Others, please specify:
______________________
E. Experiences with food and beverage
-weighed and packed salt, -January to June -JKL Grocery,
sugar and flour for selling 2017 Kamuning
Measuring/weighing food

When did you Where did you

Experience What specific experience/s?
experience it? experience it?
Cooking (e.g., home,
restaurant)
Decorating (e.g., cakes)

Processing
(e.g., longganisa)
Bartending (e.g., wine,
cocktails)
Coffee mixing (e.g., native
coffee, cappuccino)
Serving (e.g., home,
restaurant)
Others, please specify:
______________________
F. Experiences with equipment
-operated the tarpaulin printer - July to -Rizal’s Printing
Factory machines machine December 2017 Shop, Atok
(e.g., sewing machine)

Tools (e.g., saw, iron)

Electronics (e.g., radio)

Office machines
(e.g., photocopy machine)
Vehicles (e.g., driving)
Others, please specify:
______________________
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 ALS RPL Form 1
G. Experiences with arts and crafts
-attended a music class and -February 4 to -Phil. School of
learned how to play guitar and April 8, 2018 Music, Quezon
Music (e.g., singing, playing drums City
instruments) -joined a local band -June 2018 -Young Band

Dance (e.g., cultural,

modern)
Drama (e.g., acting)
Painting (e.g., poster
making)
Jewelry Making (e.g.,
beading)
Pottery (e.g., jars, pots)

Sculpture (e.g., clay, wood))

Others, please specify:
______________________
When did you Where did you
Experience What specific experience/s?
experience it? experience it?
H. Experiences with materials
-helped my dad make our
dining table and chairs made of -2014 -at home
Wood (e.g., carving,
wood
building)

Rattan (e.g., furniture)

Metal (e.g., building,
blacksmith)
Textiles (e.g., sewing)

Leather (e.g., craft, clothing)

Rubber (e.g., tires, slippers)

Others, please specify:
_____________________
I. Experiences with community activities
-currently a member of a -since June -St. John the
Church (e.g., choir, altar church choir 2017 Baptist church
server)

Barangay (e.g., sports

festival, blood-letting)
Politics (e.g., election, rally)
Environment (e.g., clean
and green activities)
Schools (e.g., Brigada
Eskwela)
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 ALS RPL Form 1
Others, please specify:
______________________
J. Experiences with Information and Communications Technology (ICT)
-playing computer games -during my free -internet cafe
Technology (e.g., computer time
operation, cellphone repair)

Social media
(e.g., Facebook)
Graphical arts
(e.g., tarpaulin lay-out,
photography)
Others, please specify:
______________________

__________________________________________ __________________________________________
(Learner’s Signature over Printed Name) (Learning Facilitator’s Signature over Printed Name)
Date: ……………………………………………………... Date: ……………………………………………………...

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