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BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplished by the Resource Mobilization Committee)
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.)
Condition
(Check One)
Remarks
FACILITIES
Satisfactory
Roofs/gutters
Ceilings
Walls
Blackboards
Chairs/desks/tables
Water facilities /
Drainage System
Lighting
Windows
/
/
/
/
/
/
Doors
School grounds
Unsatisfactory
If unsatisfactory,
describe the problem.
Nature of
Improvement Needed
(e.g. repair,
repainting,
replacement, etc.)
Material Resources
Needed
(Indicate kind and
quantity)
Manpower Needed
(Indicate quantity and
nature of labor
services needed)
Others. Floor
Dusty
Cleaning
Weedy
Grass cutter
Dusty
Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator
Noted by:
May 24, 2014
Date of Inspection
BEATRIZ R. RIOTOC
School Principal II
BE Form 03
BRIGADA ESKWELA
RESOURCE MOBILIZATION FORM
(To be accomplished by the Resource Mobilization Committee)
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.
Materials Needed
Quantity
Floor wax
15 box. Floor
wax
Soft broom
6 pc.
Labor Skills/Volunteers
Needed
Quantity
Key Persons /
Organizations to be Tapped
All Classrooms (Grade 7, 8
Year III-IV)
All Classrooms (Grade 7, 8
Year III-IV)
Strategies/Plan of
Action
Purchased
Purchased
Strategies/Plan of Action
Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator
Person Responsible
Status
For cleaning
For cleaning the
surroundings
Person Responsible
Status
Noted by:
May 24, 2014
Date of Inspection
Remarks
BEATRIZ R. RIOTOC
School Principal II
Remarks
BE Form 06
BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT
(To be accomplished by the Program Implementation Committee)
Instruction: List down all the activities that needs to be undertaken for each day of the brigade 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.
Activities
Day 1 May 19, 2014
Inspection of facilities and
surroundings of every classrooms.
Day 2 & 3 May 20-21, 2014
Cleaning and re-structuring the
room and cleaning the window
blades
Day 4 & 5 May 22-23, 2014
Cleaning, fixing and planting at
the frontage of the room.
Day 6 May 24, 2014
Making the report
Completed
STATUS
Started but not yet completed
REMARKS/RECOMMENDATIONS
/
/
Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator
Note done
Noted by:
May 24, 2014
Date of Inspection
BEATRIZ R. RIOTOC
School Principal II
BE Form 2
BRIGADA ESKWELA
SCHOOL WORK PLAN
(To be accomplished by the 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.
KRA
Activities
Timeline
Persons/Responsible
April-May, 20014
Teacher
Parents
Students
2. Resource Mobilization
April-May, 2014
Teacher
3. Implementation
5. Reporting
Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator
Materials Needed
Budget
Teacher
Parents
Students
Teacher
Parents
Students
Teacher
Php. 50.00
Noted by:
May 24, 2014
Date of Inspection
BEATRIZ R. RIOTOC
School Principal I
BE Form 07
Republic of the Philippines
Department of Education
Region I
Division of Ilocos Sur
SAN VICENTE DISTRICT
BRIGADA ESKWELA
SCHOOL ACCOMPLISHMENT REPORT
(To be accomplished by the School Head)
DIVISION: Ilocos Sur
SCHOOL: San Vicente Integrated School
School Address: Poblacion, San Vicente, Ilocos Sur
(Please check appropriate box)
Level:
( ) Elementary
( ) High School
REGION: I
SCHOOL I.D. 320905
Type of School:
( ) Central School
( ) Non- Central School (complete)
( ) Multigrade
( ) Primary School/ Incomplete
( ) Integrated
CONTACT NUMBER: 09175710809
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENACE WORK COMPLETED ( Please check appropriate column)
What was done?
Repaired
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)
Repainted
Replaced
Source
Estimated Cost
Total
C. VOLUNTEER SERVICES
Type of Volunteer
Name of
Individuals/
Organization
1. PTA Members
2. Barangay Officials
3. Municipal/ City Government Officials
4. Provincial Govt. 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) (Private
Individual, Alumni, SK officials,
PNP)
13. Prominent Volunteers
TOTAL
Number of Volunteers
Day 1
7
7
0
0
0
0
0
0
13
5
50
10
Day 2
2
0
0
0
0
0
0
0
0
1
10
4
Day 3
3
0
0
0
0
0
0
0
0
1
5
1
Day 4
2
0
0
0
0
0
0
0
2
1
5
1
Day 5
2
0
0
0
0
0
0
0
0
1
5
1
Day 6
3
0
0
0
0
0
0
0
5
2
5
1
92
17
10
11
16
Total
19
7
0
0
0
0
0
0
20
11
80
18
155
Prepared by:
Date:
E. ISSUES AND CONCERNS (Describe briefly problems encountered and how resolved)
The common problem encountered was the funding needs of the program. But through the resourcefulness
of the persons involved, it was
May 24, 2014
properly solved.
BEATRIZ R. RIOTOC
School Principal II
Form 5
BRIGADA ESKWELA
Quantity
Date Received
Name of Donor
Assumed Cost
Per Unit (Php)
Of Items
Total(Php)
Total
Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator
Noted by:
May 24, 2014
Date of Inspection
BEATRIZ R. RIOTOC
School Principal II
REPORT ON
BRIGADA ESKWELA
May 19-24, 2014
Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator
Noted by:
BEATRIZ R. RIOTOC
Principal II
Submitted to:
SAMUEL R. LAZO, Ed. D.
ES-I EPP/TLE
Form 4
Republic of the Philippines
Department of Education
Region I
Division of Ilocos Sur
SAN VICENTE DISTRICT
BRIGADA ESKWELA
DAILY ATTENDANCE OF VOLUNTEERS
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.
NAME
POSITIONS /
DESIGNATION
ADDRESS /
ORGANIZATION
Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator
CONTACT
NUMBER
TIME
IN
OU
T
TOTAL
NUMBER OF
HOURS
SERVED
NATURE OF
VOLUNTEER
SERVICES
RENDERED
Noted by:
May 24, 2014
Date of Inspection
BEATRIZ R. RIOTOC
School Principal II