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Republic of the PhilippinesDepartment of Education
Region XIII / CaragaDivision of Agusan del Norte
GNHS-SANGAY NHS ANNEXSY 2012-2013
BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM(To be accomplished by the Resource Mobilization Committee)
FACILITIES
Condition
RemarksMaterial Resources Needed Manpower Needed
(Check One)
Satisfactory Unsatisfactory If unsatisfactory, describe the problem. (Indicate kind and quantity)
Roofs/gutters
Ceilings
Walls
Blackboards
Chairs/desks/tables
Water facilities / Drainage System
Lighting
Windows
Doors
School grounds
Others. Floor
Prepared by: Noted by:
BRYAN C. GERMANO MARIA CRISTINA A. QUIDLATSchool Physical Facilities Coordinator Date of Inspection School Head
Instruction: Conduct an ocular inspection of the school facilities listed below. Then provide the needed information to facilitate the improvement to be done on these identified facilities. (If needed, you may use separate form for each classroom or school facility.)
Nature of Improvement Needed
(e.g. repair, repainting, replacement, etc.)
(Indicate quantity and nature of labor services needed)
BE Form 01
Republic of the PhilippinesDepartment of Education
Region XIII / CaragaDivision of Agusan del Norte
GNHS-SANGAY NHS ANNEXSY 2012-2013
BRIGADA ESKWELA
SCHOOL WORK PLAN(To be accomplished by the School Head)
KRA Activities Timeline Person/s Responsible Materials Needed Budget
Roofs/guttersCeilingsWallsBlackboardsChairs/desks/tablesLightingWindowsDoorsSchool groundsOthers. Floor
Prepared by: Noted by:
MARIA CRISTINA A. QUIDLATDate of Inspection School Head
Instruction: List down all the specific activities that you will be undertaking in relation to the conduct of Brigada Eskwela in your school and fill in the required information. Add another sheet if needed. Once completed, submit a copy to the Adopt-A-School Program coordinator or Brigada Eskwela coordinator of your school/division on or before January 31.
BE Form 02
Republic of the PhilippinesDepartment of Education
Region XIII / CaragaDivision of Agusan del Norte
GNHS-SANGAY NHS ANNEXSY 2012-2013
BRIGADA ESKWELA
RESOURCE MOBILIZATION FORM(To be accomplished by the Resource Mobilization Committee)
Materials Needed Quantity Strategies/Plan of Action Person Responsible Status Remarks
Labor Skills/Volunteers Needed Quantity Strategies/Plan of Action Person Responsible Status Remarks
Prepared by: Noted by:
MARIA CRISTINA A. QUIDLATResource Mobilization Committee Chairperson School Head
Instruction: Using the completed BE Form 01: Physical Facilities Needs Assessment Form as basis, summarize the resources (materials and manpower) needed and list down the potential source or partners to be tapped. Add additional sheet if needed. The Status and Remarks columns should be updated regularly to determine progress in acquiring resources needed.
Key Persons / Organizations to be Tapped
Key Persons / Organizations to be Tapped
BE Form 03
Republic of the Philippines
Department of Education
Region XIII / Caraga
Division of Agusan del Norte
GNHS-SANGAY NHS ANNEXSY 2012-2013
BRIGADA ESKWELA
DAILY ATTENDANCE OF VOLUNTEERSDate: _________________________
NAMETIME
SIGNATURE
TOTAL *NATURE OF POSITION/ ADDRESS/ CONTACT NUMBER OF VOLUNTEER
DESIGNATION ORGANIZATION/AFFILIATION NUMBERIN OUT
HOURS SERVICESSERVED RENDERED
Noted: MARIA CRISTINA A. QUIDLATSchool Head Date
Instructions: Volunteers themselves should personally fill in the details required by this form under the supervision of any of the committee members. *For the last column, indicate if masonry, carpentry, plumbing, painting, electrical, gardening/landscaping, ordinary labor, or others.
BE Form 04
Republic of the PhilippinesDepartment of Education
Region XIII - CaragaDivision of Agusan del Norte
GNHS-SANGAY NHS ANNEXSY 2012-2013
BRIGADA ESKWELA
RECORD OF DONATIONS RECEIVED(To be accomplished by the Documentation Committee)
ITEM/S OR MATERIALS QUANTITY NAME OF DONOR
ASSUMED COST DATE OF ITEMS
RECEIVEDPER UNIT TOTAL
Prepared by: Noted:
BE Form 05
MARIA CRISTINA A. QUIDLATCommittee on Documentation Chair/Member School Head
Republic of the PhilippinesDepartment of Education
Region XIII - CaragaDivision of Agusan del Norte
GNHS-SANGAY NHS ANNEXSY 2012-2013
BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT(To be accomplished by the Program Implementation Committee)
ACTIVITIES
STATUS
Completed Note done
Prepared by:
Chair/Member, Program Implementation Committee Date Prepared
Instruction: List down all the activities that needs to be undertaken for each day of the Brigada Eskwela week. At the end of each day, please mark the appropriate column that corresponds to the status of each activity. Cite
reasons for non-completion.
Started but not yet
completed
BE Form 06
Republic of the PhilippinesDepartment of Education
Region XIII - CaragaDivision of Agusan del Norte
GNHS-SANGAY NHS ANNEXSY 2012-2013
BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT(To be accomplished by the Program Implementation Committee)
Noted by:
MARIA CRISTINA A. QUIDLATSchool Head
List down all the activities that needs to be undertaken for each day of the Brigada Eskwela week. At the end of each day, please mark the appropriate column that corresponds to the status of each activity. Cite
reasons for non-completion.
REMARKS/ RECOMMENDATIONS
Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)
Level: Type of School:
CONTACT NUMBER:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Painting Materials Stakeholder & PTCA P 590.00
TOTAL P 590.00Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)
Level: Type of School:
DIVISION: AGUSAN DEL NORTE REGION: XIII / CARAGA
SCHOOL: GNHS - SANGAY NHS ANNEX SCHOOL ID:
SCHOOL ADDRESS: SANGAY, BUENAVISTA, AGUSAN DEL NORTE
SCHOOL HEAD: MARIA CRISTINA A. QUIDLAT
PTA PRESIDENT: TEOFILO C. TADLIP
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: BALANACAN ELEMENTARY SCHOOL SCHOOL ID:
SCHOOL ADDRESS: BALANACAN, MOGPOG, MARINDUQUE
Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Carpentry and Painting Materials Stakeholder & PTCA P 17,401.89
TOTAL P 17,401.89 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs
SCHOOL HEAD: ACELA L. LAVIÑA CONTACT NUMBER:09213034002
PTCA PRESIDENT: JULIUS MARCIANO
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: BINTAKAY ELEMENTARY SCHOOL SCHOOL ID: 107940
SCHOOL ADDRESS: BINTAKAY, MOGPOG, MARINDUQUE
SCHOOL HEAD: EVANGELINE M. NARDO CONTACT NUMBER:09215126695
PTCA PRESIDENT: EUFRONIANO PRIVADO
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Cash/ Carpentry & Painting Materials Stakeholders & PTCA P 5,082.00
TOTAL P 5,082.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: BOCBOC ELEMENTARY SCHOOL SCHOOL ID: 109941
SCHOOL ADDRESS: BOCBOC, MOGPOG, MARINDUQUE
SCHOOL HEAD: DELIA A. LAMOC CONTACT NUMBER:09065243512
PTCA PRESIDENT: DEXTER M. MAUZAR SR.
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
TOTAL Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Paint, Cement, Nails, Bamboos and Water hose PTCA P 1,829.00
TOTAL P 1,829.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: BUTANSAPA ELEMENTARY SCHOOL SCHOOL ID: 109942
SCHOOL ADDRESS: BUTANSAPA, MOGPOG, MARINDUQUE
SCHOOL HEAD: NIMPA M. LUISAGA CONTACT NUMBER:09276400184
PTCA PRESIDENT:RICARDO JAQUECA
Repaired Repainted Replaced Others (Brief
Description)
Elementary High School Central SchoolNon-Central School (complete)MultigradePrimary School / IncompleteIntegrated SchoolP Elementary PHigh School Central SchoolNon-Central School (complete)MultigradePrimary School / IncompleteIntegrated School
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Voluntary LGU, PTCA P 1,550.00
TOTAL P 1,550.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: CAPAYANG ELEMENTARY SCHOOL SCHOOL ID:
SCHOOL ADDRESS: CAPAYANG, MOGPOG, MARINDUQUE
SCHOOL HEAD: JOSEPHINE V. MARCIANO
PTCA PRESIDENT:LIBRADO M. LAWIG
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: GUISIAN ELEMENTARY SCHOOL SCHOOL ID: 109944
SCHOOL ADDRESS: GUISIAN, MOGPOG, MARINDUQUE
SCHOOL HEAD: AUREA L. MAZO CONTACT NUMBER: 09064761216
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Construction Materials, Snacks & Cash School Head, PTCA &
P 6,290.00 LGU
TOTAL P 6,290.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
PTCA PRESIDENT:ZENAIDA M. JAYAG
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: DANAO ELEMENTARY SCHOOL SCHOOL ID: 169007
SCHOOL ADDRESS: DANAO, MOGPOG, MARINDUQUE
SCHOOL HEAD: GINA M. MAPACPAC CONTACT NUMBER: 09214575814
PTCA PRESIDENT:JULIETA L. MATRE CONTACT NUMBER: 09193186497
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Bamboo, nails PTCA P 559.00
TOTAL P 559.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
PTCA PRESIDENT: CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
TOTAL Appendix II
BE Form 07
DIVISION: MARINDUQUE REGION:
SCHOOL: HINANGGAYON ELEMENTARY SCHOOL SCHOOL ID:
SCHOOL ADDRESS: HINANGGAYON, MOGPOG, MARINDUQUE
SCHOOL HEAD: CONTACT NUMBER:
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Gasoline with 27 oil, Construction Materials LGU / PTCA P 3,126.00 Structural materials
TOTAL P 3,126.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: INO ELEMENTARY SCHOOL SCHOOL ID: 169001
SCHOOL ADDRESS: INO, MOGPOG, MARINDUQUE
SCHOOL HEAD:MELINDA M. DELA CRUZ CONTACT NUMBER: 09186428537
PTCA PRESIDENT:JULIETA L. MATRE CONTACT NUMBER: 09294182178
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: LAMESA ELEMENTARY SCHOOL SCHOOL ID: 109947
SCHOOL ADDRESS: LAMESA, MOGPOG, MARINDUQUE
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Painting materials & snacks PTCA P 1,750.00
TOTAL P 1,750.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs
SCHOOL HEAD:MA. MARGARITA L. REANZARES CONTACT NUMBER: 09263225760
PTCA PRESIDENT:MYRNA DEL MUNDO CONTACT NUMBER: 09275400778
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: LAON ELEMENTARY SCHOOL SCHOOL ID: 109948
SCHOOL ADDRESS: LAON, MOGPOG, MARINDUQUE
SCHOOL HEAD:LEO L. MAPACPAC CONTACT NUMBER: 09198887860
PTCA PRESIDENT:DELSON LEAL CONTACT NUMBER: 09093374543
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
TOTAL Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Gasoline, Faucet & foods for snacks Cash / PTCA P 2,185.00
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: MAGAPUA ELEMENTARY SCHOOL SCHOOL ID: 109949
SCHOOL ADDRESS: MAGAPUA, MOGPOG, MARINDUQUE
SCHOOL HEAD:ODALISA J. JALAC CONTACT NUMBER:09082355301
PTCA PRESIDENT:ELEAZAR PALUSTRE CONTACT NUMBER: 09287292095
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
TOTAL P 2,185.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Construction materials PTCA / LGU P 4,180.00
TOTAL P 4,180.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: MENDEZ ELEMENTARY SCHOOL SCHOOL ID: 109951
SCHOOL ADDRESS: MENDEZ, MOGPOG, MARINDUQUE
SCHOOL HEAD:ELENITA M. MOTOL
PTCA PRESIDENT:ELISA M. MAMPLATA
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Construction Materials PTCA P 40,204.00
TOTAL P 40,204.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: MOGPOG CENTRAL SCHOOL SCHOOL ID: 109952
SCHOOL ADDRESS:RIZAL ST. GITNANG BAYAN, MOGPOG, MARINDUQUE
SCHOOL HEAD:RAYMUNDO L. LARRAQUEL JR. CONTACT NUMBER:09183053502
PTCA PRESIDENT: CORAZON O. MALABANA
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: NANGKA ELEMENTARY SCHOOL SCHOOL ID: 109953
SCHOOL ADDRESS:NANGKA, MOGPOG, MARINDUQUE
SCHOOL HEAD:EDNA R. RIEGO CONTACT NUMBER:0920727795548
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary P
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Paint brushes, gasoline & snacks LGU / PTCA P 1,500.00
TOTAL P 1,500.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
PTCA PRESIDENT: FLORINA L. TAN
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: PAYE ELEMENTARY SCHOOL SCHOOL ID: 109954
SCHOOL ADDRESS:PAYE, MOGPOG, MARINDUQUE
SCHOOL HEAD:ROMULO O. MANOOS CONTACT NUMBER:09207639100
PTCA PRESIDENT: CESAR S. JALOS
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Construction materials PTCA P 3,761.00
TOTAL P 3,761.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Painting Materials PTCA P 522.00
TOTAL P 522.00 Appendix II
BE Form 07
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: PILI ELEMENTARY SCHOOL SCHOOL ID: 109955
SCHOOL ADDRESS:PILI, MOGPOG, MARINDUQUE
SCHOOL HEAD:HERMIGILDA P. JAWILI CONTACT NUMBER:09197793200
PTCA PRESIDENT: RIZA ABLING
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
TOTAL Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: PUTING BUHANGIN ELEMENTARY SCHOOL SCHOOL ID: 109956
SCHOOL ADDRESS:PUTING BUHANGIN, MOGPOG, MARINDUQUE
SCHOOL HEAD:REYNALDO ILAGAN JR.
PTCA PRESIDENT: LINO L. ILAGAN SR.
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: SAYAO ELEMENTARY SCHOOL SCHOOL ID: 109957
SCHOOL ADDRESS:SAYAO, MOGPOG, MARINDUQUE
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Construction materials PTCA, LGU, NGO's P 10,877.00
TOTAL P 10,877.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs
SCHOOL HEAD: FLORDELIZA L. PIEDRAGOZA CONTACT NUMBER: 09052220176
PTCA PRESIDENT: ABELARDO MEDINA
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: SILANGAN ELEMENTARY SCHOOL SCHOOL ID: 109958
SCHOOL ADDRESS:SILANGAN, MOGPOG, MARINDUQUE
SCHOOL HEAD: NOLASCO N. MALAGOTNOT CONTACT NUMBER: 09098390757
PTCA PRESIDENT: ALBERTO IBAHAN
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Paint, gasoline & G.I. set LGU, PTCA P 1,100.00
TOTAL P 1,100.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
nails and snacks PTCA P 450.00
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: SUMANGGA ELEMENTARY SCHOOL SCHOOL ID: 169002
SCHOOL ADDRESS:SUMANGGA, MOGPOG, MARINDUQUE
SCHOOL HEAD: ALITA L. MARCIANO CONTACT NUMBER: 09207076371
PTCA PRESIDENT: ERLINDA DAMAYAN
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
PHigh School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
TOTAL P 450.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
TOTAL Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: HINADHARAN PRIMARY SCHOOL SCHOOL ID:
SCHOOL ADDRESS:HINADHARAN, MOGPOG, MARINDUQUE
SCHOOL HEAD: DAISY R. QUEZADA CONTACT NUMBER: 09275400790
PTCA PRESIDENT: JULITO C. MAGYAYA
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
Snacks PTCA P 200.00
TOTAL P 200.00 Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
SCHOOL ID:
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: JANAGDONG PRIMARY SCHOOL SCHOOL ID: 169008
SCHOOL ADDRESS:JANAGDONG, MOGPOG, MARINDUQUE
SCHOOL HEAD: LYRA J. NUÑEZ CONTACT NUMBER: 0918650320
PTCA PRESIDENT: MAURITO NARZOLES
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: MALAYAK PRIMARY SCHOOL
SCHOOL ADDRESS:MALAYAK, MOGPOG, MARINDUQUE
SCHOOL HEAD: MORALES
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
TOTAL Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
SCHOOL ID:
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
PTCA PRESIDENT: BELEN MOTAR
Repaired Repainted Replaced Others (Brief
Description)
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: MAMPAITAN PRIMARY SCHOOL
SCHOOL ADDRESS:MAMPAITAN, MOGPOG, MARINDUQUE
SCHOOL HEAD: CARINA M. MAGANTE CONTACT NUMBER: 09085833067
PTCA PRESIDENT: JOAQUIN NARDO
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
TOTAL Appendix II
BE Form 07DEPARMENT OF EDUCATION
BRIGADA ESKWELA SCHOOL ACCOMPLISHMENT REPORT(to be accomplished by the School Head)
(Please check appropriate box)Level: Type of School:
CONTACT NUMBER:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
1. Roofs 2. Ceilings3. Walls4. Windows and Door5. Chairs/Desks, Tables, and Blackboards6. Comfort Rooms7. Leaking Pipes8. School Grounds / Landscaping9. School Signs10. Others (specify)
B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost
TOTAL
DIVISION: MARINDUQUE REGION: IV-B MIMAROPA
SCHOOL: TARUG PRIMARY SCHOOL SCHOOL ID: 109959
SCHOOL ADDRESS:TARUG, MOGPOG, MARINDUQUE
SCHOOL HEAD: NOEL M. MALAPAD
PTCA PRESIDENT: OLIVA M. NATALL
Repaired Repainted Replaced Others (Brief
Description)
Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P Elementary
High School
Central School
Non-Central School (complete)
Multigrade
Primary School / Incomplete
Integrated School
P
BE Form 07DEPARMENT OF EDUCATION
C. VOLUNTEER SERVICES/ CONSOLIDATED RESULT
Type of Volunteer
Number of Volunteers
Total Organization Day Day Day Day Day Day
(Use separate sheets if 1 2 3 4 5 6
needed)
1 PTCA Member 100 174 185 133 217 8 817
2 Barangay Officials 28 69 57 37 39 8 238
30 0 0 0 0 0 0
40 0 0 0 0 0 0
5Red Cross Volunteers 15 14 13 18 10 0 70
6 Private Citizens 1 3 3 0 0 0 7
7 Prival Companies/Corp 0 0 0 0 0 0 0
8 Other government offices 0 0 0 0 0 0 0
9 Parents 41 112 98 107 138 31 527
10 Teachers 113 167 154 155 147 67 803
11 Pupils/Student 98 180 168 236 173 70 925
12 Others: (specify) 3 6 4 3 1 10 27
13 Prominent Volunteers 0 2 0 0 0 0 2
TOTAL 399 727 682 689 725 194 3416
Name of Individuals
Municipal/City Government Officials
Provincial Government Officials
NGOs/Civic Organizations
BE Form 07DEPARMENT OF EDUCATION
(Use separate sheets, if needed)
Type of Service Total Estimated Costs
Masonry 29 119 5,455.00
Carpentry 71 236 14,231.00
Plumbing 1 8 250.00
Electrical/Electronic 6 40 1,350.00
Landscaping/Gardening 299 909 29,957.50
Painting 47 231 2,332.00
Ordinary Labor 185 291 18,400.44
Others 144 453 11,725.00
TOTAL 782 2287 83,700.94
What happened? When?
1 Brigada Eskwela PTCA Officers May 18-222
LGU, NGO's 2009
- Financial shortage for the materials needed
- the teaching staff and the SH voluntarily offered financial assistance and tapped also choose persons
who have willingness to assist the school specifically the stakeholders.
E. LESSONS LEARNED/BEST PRACTICES
Getting in touch with the stakeholders is one of the best way to remedy some problems in school which
should not be addressed anymore to the Department of Education.
D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED: Refer to Guide for Computing Labor Cost.
Total Number of Volunteers
Total Number of Hours Rendered
D. SIGNIFICANT EVENT / EXPENSES (Use separate sheets, if needed)
Who where involved
What is/are its important contribution to the operation of the school or to the
existing needs of the school?
Internal and External Stakeholders contributed funds for improving the public education system of the school, district and the Division.
Buildings and classrooms were transform into a condusive learning and members place after the Brigada Eskwela
E. ISSUES AND CONCERNS (Describe briefly problems encountered and how resolved)
BE Form 07DEPARMENT OF EDUCATION
F. SUGGESTIONS TO STRENGTHEN BRIGADA ESKWELA PROJECT (include support needed from
Central, Region, and Division Office that can increase the impact of Brigada Eskwela Project in
your school.)
1 Massive information campaign of Republic Act 8525 specifically the 150% tax incentives for
private sector
2 Release funds for every school to be use for repair and maintenance of school buildings and
materials.
G. EVIDENCES / ATTACHMENTS
a. Photos (before, during and after)
b. Photocopy of all completed BE Forms (checked if attached)
Form 01 Form 05
Form 02 Form 06
Form 03
Form 04
Date:
Prepared by:
ROMULO O. MANOOS
DISTRICT COORDINATOR
Submit copy of this completed form to ADOPT-A-SCHOOL PROGRAM DISTRICT COORDINATOR or
District Supervisor on or before June 15
Name and Designation BRIGADA ESKWELA/ADOPT-A-SCHOOL PROGRAM