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ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 01

As of December 31, 2018


Region: III
Division: BULACAN
School: FEDERICO C. SUNTAY ELEMENTARY SCHOOL
Address: PALAPAT, HAGONOY BULACAN
School ID: 104841
Contact Nos.: _____________________ Email Address: _________________________

LEARNING ENVIRONMENT
DONOR DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU TURN-OVER

1. CLASSROOM

- N/A
-
2. FURNITURE
N/A

3. TOILET & WASH FACILITIES


- N/A
-

4. MAINTENANCE
N/A

5. REAL STATE
N/A

6. OTHERS PLS. SPECIFY


N/A
TOTAL -

* Please attach the following documents: Prepared by: Noted by:


1. Deed of Donation
2. Deed of Acceptance MARITES S. RAMOS AMIEL BRYAN DE JESUS
Head Teacher III ASP Division Coordinator
Approved by:
ZENIA G. MOSTOLES,Ed. D CESO V
aspsch_form 01
Schools Division Superintendent
aspsch_form 01
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 02
As of December 31, 2018
Region: III
Division: BULACAN
School: FEDERICO C. SUNTAY ELEMENTARY SCHOOL
Address: PALAPAT, HAGONOY, BULACAN
School ID: 104841
Contact Nos.: _____________________ Email Address: ____________________________

LEARNING SUPPORT
DONOR DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU TURN-OVER

1. AUDIO-VISUAL N/A
EDUCATIONAL MATERIALS

2. SCHOOL SUPPLIES N/A

3. EDUCATIONAL FILM/ N/A


LIBRARIES

4. OTHERS PLS. SPECIFY


Appliance N/A

TOTAL -

* Please attach the following documents: Prepared by: Noted by:


1. Deed of Donation
2. Deed of Acceptance MARITES S. RAMOS AMIEL BRYAN DE JESUS
Head Teacher III ASP Division Coordinator
Approved by: aspsch_form 02
ZENIA G. MOSTOLES, Ed. D CESO V
Schools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 03
As of December 31, 2018
Region: III
Division: BULACAN
School: FEDERICO C. SUNTAY ELEMENTARY SCHOOL
Address: PALAPAT, HAGONOY, BULACAN
School ID: 104841
Contact Nos.: _____________________ Email Address: _________________________

TECHNOLOGY SUPPORT
DONOR DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU TURN-OVER

1. COMPUTER N/A

2. ELECTRONIC LEARNING N/A


MATERIALS

3. INTERNET CONNECTIVITY N/A

4. OTHERS PLS. SPECIFY


N/A

TOTAL

* Please attach the following documents: Prepared by: Noted by:


1. Deed of Donation
2. Deed of Acceptance MARITES S. RAMOS AMIEL BRYAN DE JESUS
Head Teacher III ASP Division Coordinator
Approved by:
ZENIA G. MOSTOLES,Ed. D CESO V aspsch_form 03
Schools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 04
As of December 31, 2018
Region: III
Division: BULACAN
School: FEDERICO C. SUNTAY ELEMENTARY SCHOOL
Address: PALAPAT, HAGONOY, BULACAN
School ID: 104841
Contact Nos.: _____________________ Email Address: _________________________

HEALTH AND NUTRITION


DONOR DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU TURN-OVER

1. FEEDING PROGRAM N/A

2. MEDICAL/DENTAL N/A
MISSION/CHECK-UPS

3. DEWORMING N/A
INTERVENTION

4. HEALTH SUPPLIES
N/A

5. OTHERS PLS. SPECIFY


N/A

TOTAL -

* Please attach the following documents: Prepared by: Noted by:


1. Deed of Donation
2. Deed of Acceptance MARITES S. RAMOS AMIEL BRYAN DE JESUS
Head Teacher III ASP Division Coordinator
Approved by:
ZENIA G. MOSTOLES,Ed. D CESO V
aspsch_form 04
Schools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 05
As of December 31, 2018
Region: III
Division: BULACAN
School: FEDERICO C. SUNTAY ELEMENTARY SCHOOL
Address: PALAPAT, HAGONOY, BULACAN
School ID: 104841
Contact Nos.: _____________________ Email Address: ___________________________

READING PROGRAM
DONOR DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU TURN-OVER

1. BOOKS N/A

2. SUPPLEMENTARY N/A
READING MATERIALS

3. OTHERS PLS. SPECIFY N/A

TOTAL -

* Please attach the following documents: Prepared by: Noted by:


1. Deed of Donation
2. Deed of Acceptance MARITES S. RAMOS AMIEL BRYAN DE JESUS
Head Teacher III ASP Division Coordinator
Approved by:
ZENIA G. MOSTOLES,Ed. D CESO V aspsch_form 05
Schools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 06
As of December 31, 2018
Region: III
Division: BULACAN
School: FEDERICO C. SUNTAY ELEMENTARY SCHOOL
Address: PALAPAT, HAGONOY, BULACAN
School ID: 104841
Contact Nos.: _____________________ Email Address: _______________________________

TRAINING AND DEVELOPMENT


DONOR DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU TURN-OVER
1. TEACHERS/PRINCIPAL TRAINING N/A

2. STUDENT/PUPILS TRAINING N/A


AND FIELD TRIP

3. OTHERS PLS. SPECIFY N/A

TOTAL -

* Please attach the following documents: Prepared by: Noted by:


1. Deed of Donation
2. Deed of Acceptance MARITES S. RAMOS AMIEL BRYAN DE JESUS
Head Teacher III ASP Division Coordinator
Approved by:
ZENIA G. MOSTOLES,Ed. D CESO V
aspsch_form 06
Schools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 07
As of December 31, 2018
Region: III
Division: BULACAN
School: FEDERICO C. SUNTAY ELEMENTARY SCHOOL
Address: PALAPAT, HAGONOY, BULACAN
School ID: 104841
Contact Nos.: ________ Email Address: ____________________________

DIRECT ASSISTANCE
DONOR DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU TURN-OVER

1. STIPEND N/A

TOTAL

* Please attach the following documents: Prepared by: Noted by:


1. Deed of Donation
2. Deed of Acceptance MARITES S. RAMOS AMIEL BRYAN DE JESUS
Head Teacher III ASP Division Coordinator
Approved by:
ZENIA G. MOSTOLES,Ed. D CESO V
aspsch_form 07
Schools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 08
As of December 31, 2018
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _____________________________

ASSITIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS


DONOR DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU TURN-OVER

1. PENCIL GRIPS

2. SPECIAL CHAIRS

3. SPELLING CHECK DEVICES

4. HEARING AIDES

5. TALKING COMPUTERS

6. SPECIALIZED KEYBOARDS

8. BRAILLE (BOOKS)

9. COMPUTERIZED SYSTEMS

10. OTHERS PLS. SPECIFY

TOTAL -

* Please attach the following documents: Prepared by: Noted by:


1. Deed of Donation
2. Deed of Acceptance MARITES S. RAMOS AMIEL BRYAN DE JESUS
Head Teacher III ASP Division Coordinator
Approved by: aspsch_form 08
ZENIA G. MOSTOLES,Ed. D CESO V
Schools Division Superintendent

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