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Brigada Eskwela Forms

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Republic of the Philippines DEPARTMENT OF EDUCATION BRIGADA ESKWELA 2012 CONSOLIDATED REPORT School_ID School_Name NUMBER OF VOLUNTEERS Private Sector Community Government Agencies/National & Local Corporation Parents Alumni TOTAL - - - - - - - - - - - - - - - - - - Approved by: Schools Division Superintendent Region NCR Division of MANDALUYONG Total No. Of Volunteers Total No. Of Hours Rendered (Labor) SGC, Gawad Kalinga, Individual/ Community Organizations (Youth and Congressional Officials and Staff Provincial Officials City/ Municipal Officials Barangay Officials SK Officials Provincial/ City/ Municipal Firemen/ PNP Marine, Airforce, Barangay Workers Others (Student/ Pupil)
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Page 1: Brigada Eskwela Forms

BE division_form 1Republic of the PhilippinesDEPARTMENT OF EDUCATION

BRIGADA ESKWELA 2012

CONSOLIDATED REPORT

School_ID School_Name

NUMBER OF VOLUNTEERS

Private Sector Community Government Agencies/National & Local

Corporation Parents Alumni

TOTAL - - - - - - - - - - - - - - - - - -

Approved by:

Schools Division Superintendent

Region NCR

Division of MANDALUYONG

Total No. Of Volunteers

Total No. Of Hours

Rendered (Labor)

NGO (PTA, SGC, Gawad

Kalinga, etc.)

Private Individual/ Community

Member

Religious Organizations

(Youth and Adult)

Congressional Officials and

Staff

Provincial Officials

City/ Municipal Officials

Barangay Officials

SK Officials

Provincial/ City/

Municipal Employees

Firemen/PNP

AFP (PA, Marine, Airforce,

etc.)

Barangay Workers

Others (Student/

Pupil)

Page 2: Brigada Eskwela Forms

BE division_form 1.1Republic of the Philippines

DEPARTMENT OF EDUCATION

BRIGADA ESKWELA 2012

CONSOLIDATED REPORT

School_ID School_Name

Resources Generated

TOTAL AMOUNT Equipment Material / In-Kind

TOTAL - - - - -

Prepared by: Approved by:

ASP Division Coordinator Schools Division Superintendent

Region NCR

Division of MANDALUYONG

Cash (in Peso)

Amount (in Peso)

Amount (in Peso)

Construction/ Repair of Classroom/CR and Other

Construction/ Repair

Amount (in Peso)

Page 3: Brigada Eskwela Forms

Republic of the PhilippinesDepartment of Education

SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL

BRIGADA ESKWELAPHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM

(To be accomplished by the School Physician Facilities Coordinator)

FACILITIES

CONDITION (CHECK ONE) REMARKS

SATISFACTORY UNSATISFACTORYIF UNSATISFACTORY, DESCRIBE THE PROBLEM

F Roofs / gutters F CeilingsF WallsF BlackboardsF Chairs / desks / tablesF

F SignagesF School gardenF LightingF WindowsF DoorsF Comfort roomsF School groundsF School canteen / clinicF School fenceF Other, please specify:

Prepared by: Noted:

ERNESTO JOSE Z. ALBEA

School Physical Facilities Coordinator Date of Inspection TIC / Head Teacher / Principal

Region NCRDivision MANDALUYONG

School Year 2012-2013

Instructions: Conduct an ocular inspection of the schools physical 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 forms for each classroom or school facility.)

NATURE OF IMPROVEMENT NEEDED (E.G. REPAIR, REPAINTING,

REPLACEMENT, ETC.)

MATERIALS RESOURCES NEEDED (INDICATE KIND AND

QUANTITY)

MANPOWER NEEDED (INDICATE QUANTITY NAD NATURE

OF LABOR SERVICES NEEDED)

Water facilities / Drainage System

Appendix BBE Form 01

Page 4: Brigada Eskwela Forms

Republic of the Philippines

Department of Education

SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL

BRIGADA ESKWELASCHOOL WORK PLAN

(To be accomplished by the School Head)

KRA ACTIVITIES TIMELINE PERSON/S RESPONSIBLE MATERIALS NEEDED BUDGET

1. Advocacy and Marketing

2. Resource Mobilization

3. Implementation

4. Monitoring and Evaluation

5. Reporting

Prepared by:

ERNESTO JOSE Z. ALBEA

Signature over Printed Name Date Prepared ASP Division Coordinator/BE Coordinator

Region NCR

Division MANDALUYONG

School Year 2012-2013

Instructions: List down all the specific activities that you will be undertaking in relation to the conduct of Brigada Eskwela in your schools and fill in the required information. Add another sheet if needed. Once completed, submit a copy to the Adopt-A-School Program coordinator

of Brigada Eskwela coordinator of your division on or before January 31.

Appendix CBE Form 02

Page 5: Brigada Eskwela Forms

Republic of the Philippines

Department of Education

BRIGADA ESKWELARESOURCE MOBILIZATION FORM

(To be accomplished by the Resource Mobilization Committee)

MATERIALS NEEDED QUANTITY STRATEGIES / PLAN OF ACTION PERSON RESPONSIBLE STATUS REMARKS

QUANTITY STRATEGIES / PLAN OF ACTION PERSON RESPONSIBLE STATUS REMARKS

Prepared by: Noted:

ERNESTO JOSE Z. ALBEA

Resource Mobilzation Committee Chairperson] TIC / Head Teacher / Principal

Region NCR

Division MANDALUYONG

SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL

School Year 2012-2013

Instructions: Using the completed BE Form 01: Physical Facilities Need 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

LABOR SKILLS / VOLUNTEERS NEEDED

KEY PERSONS / ORGANIZATIONS TO BE

TAPPED

Appendix DBE Form 03

Page 6: Brigada Eskwela Forms

Republic of the Philippines

Department of Education

BRIGADA ESKWELADAILY ATTENDANCE OF VOLUNTEERS

Date: MAY 25, 2012 (FRIDAY)

NAME POSITIONS / DESIGNATIONADDRESS / ORGANIZATION CONTACT NUMBERTIME

IN OUT

Noted:

ERNESTO JOSE Z. ALBEA

School Head Date

Region NCR

Division MANDALUYONG

SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL

School Year 2012-2013

Instructions: Volunteers themselves should personally fill in the data 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.

TOTAL NUMBER OF HOURS

SERVED

NATURE OF VOLUNTEER SERVICES RENDERED

Appendix EBE Form 04

Page 7: Brigada Eskwela Forms

Republic of the Philippines

Department of Education

BRIGADA ESKWELARECORD OF DONATIONS RECEIVED

(To be accomplished by the Documentation Committee)

ITEM/S OR MATERIALS QUANTITY DATE RECEIVED NAME OF DONORASSUMED COST OF ITEMS

PER UNIT TOTAL

Prepared by: Noted:

ERNESTO JOSE Z. ALBEA

Commitee on Documentation Chair / Member School Head

Region NCR

Division MANDALUYONG

SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL

School Year 2012-2013

Appendix FBE Form 05

Page 8: Brigada Eskwela Forms

Republic of the Philippines

Department of Education

BRIGADA ESKWELADAILY ACCOMPLISHMENT REPORT

(To be accomplished by the Program Implementation Committee)

DAY 1 2 3 4 5 6 DATE: May ___, 2012

ACTIVITIESSTATUS

REMARKS / RECOMMENDATIONSCOMPLETEDSTARTED BUT NOT YET COMPLETEDNOT DONE

Prepared by: Noted by:

ERNESTO JOSE Z. ALBEA

Program Implentation Committed Chair / Member Date Prepared School Head

Region NCR

Division MANDALUYONG

SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL

School Year 2012-2013

Instructions: List down all the activities that needs to be undertaken for each day of the Brigada Eskwela. At the end of each day, please mark the appropriate column that corresponds to the status of each activity. Cite reasons for non-completion.

Appendix GBE Form 06

Page 9: Brigada Eskwela Forms

Republic of the Philippines

Department of Education

BRIGADA ESKWELASCHOOL ACCOMPLISHED REPORT

(To be accomplished by the School Head)

(Please check appropriate box)

Level: Type of School:

Elementary Central School

High School Non-Central School (C

Multigrade

Primary School / Incomp

Integrated School

Contact Number:

A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)

WHAT WAS DONE?

REPAIRED REPAINTED REPLACEDOTHERS

BRIEF DESCRIPTIONS

1. Roofs

2. Ceilings

3. Walls

4. Windows and Doors

5. Chairs / Desks, Tables and Blackboards

6. Comfort Rooms

7. Leaking Pipes

8. School Grounds . Landscaping

9 School Signs

10. Others (Specify)

B. DONATIONS / MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)

TYPE OF DONATIONS SOURCE ESTIMATED COST

TOTAL

Region NCR

Division MANDALUYONG

SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL

School Year 2012-2013

DIVISION: MANDALUYONG REGION: NCR

SCHOOL: ILAYA BARANGKA INTEGRATED SCHOOL SCHOOL ID: 136668

SCHOOL ADDRESS: LION'S ROAD, BARANGKA ILAYA, MANDALUYONG CITY

School Head: ERNESTO JOSE Z. ALBEA Contact Number: 0927-7500452

PTCA President: GODOFREDO C. CALSADO

Appendix HBE Form 07.

Page 10: Brigada Eskwela Forms

C. VOLUNTEER SERVICES

TYPE OF VOLUNTEER

NAME OF INDIVIDUALS NUMBER OF VOLUNTEERS

ORGANIZATIONDAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 TOTAL

(Use separate sheets, if needed)

1. PTCA Member

2. Barangay Officials

3. Municipality / City Government Officials

4. Provincial Government Officials

5. NGOs / Civic Organizations

6. Private Citizens

7. Private Companies / Corp

8. Other government offices

9.Parents

10. Teachers

11. Pupils / Students

12. Others: (specify)

13. Prominent Volunteers

TOTAL

BE Form 07DEPARTMENT OF EDUCATION

Page 11: Brigada Eskwela Forms

D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED. Refer to Guide for Computing Labor Cost. (Use separate

TYPE OF SERVICE TOTAL ESTIMATED COSTS

Masonry

Carpentry

Plumbing

Electrical / Electronic

Landscaping / Gardening

Painting

Ordinary Labor

Others

TOTAL

D. SIGNIFICANT EVENTS / EXPERIENCES (Use separate sheets, if needed)

WHAT HAPPENED? WHO WERE INVOLVED? WHEN?

E. ISSUES AND CONCERNS (Describe briefly problems encountered and how resolved)

E. LESSONS LEARNED / BEST PRACTICES

TOTAL NUMBER OF VOLUNTEERS

TOTAL NUMBER OF HOURS RENDERED

WHAT IS/ARE ITS IMPORTANT CONTRIBUTION TO THE

OPERATION OF THE SCHOOLS OR TO THE EXISTING NEEDS OF THE

SCHOOL?

BE Form 07DEPARTMENT OF EDUCATION

Page 12: Brigada Eskwela Forms

G. EVIDENCES / ATTACHMENTS

a. Photos (before, during and after)

b. Photocopy of all completed BE Forms (check if attached)

_______________ Form 01 _______________ Form 05

_______________ Form 02 _______________ Form 06

_______________ Form 03

_______________ Form 04

Prepared by: Date:

ERNESTO JOSE Z. ALBEA

School Head / Principal

Submit a copy of this completed form to ADOPT-A-SCHOOL PROGRAM DISTRICT COORDINATOR or District Supervisor on or before June 15.

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 on your school.

BE Form 07DEPARTMENT OF EDUCATION


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