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BE Form 01 Republic of the Philippines Department of Education Region IV Division of Oriental Mindoro PUERTO GALERA NATIONAL HIGH SCHOOL SAN ISIDRO EXTENSION School Year 2011-2012 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.) FACILITIES Condition (Check One) Remarks 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) Satisfactory Unsatisfactory If unsatisfactory, describe the problem. Roofs/gutters / Ceilings / Dusty Cleaning Rags, water,1 pc. laundry soap, 1 pc. Plastic pail 5 Walls / Blackboards / Chairs/desks/tables / Need to be repainted Repainting 3 Liters paint, 2 bottles thinner, 2 pcs. Paint brush, 5 pcs sand paper 15 Water facilities / Drainage System / No water supply available. Lighting / Windows / Dusty Cleaning Rags, water, laundry soap, 1 pc. 5

Brigada Eskwela Report 09-Dynes

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Page 1: Brigada Eskwela Report 09-Dynes

BE Form 01

Republic of the PhilippinesDepartment of Education

Region IVDivision of Oriental Mindoro

PUERTO GALERA NATIONAL HIGH SCHOOL SAN ISIDRO EXTENSIONSchool Year 2011-2012

BRIGADA ESKWELAPHYSICAL 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.)

FACILITIES

Condition(Check One)

Remarks 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)Satisfactory

UnsatisfactoryIf unsatisfactory,

describe the problem.Roofs/gutters /Ceilings / Dusty Cleaning Rags, water,1 pc. laundry

soap, 1 pc. Plastic pail5

Walls /Blackboards /Chairs/desks/tables / Need to be repainted Repainting 3 Liters paint, 2 bottles

thinner, 2 pcs. Paint brush, 5 pcs sand paper

15

Water facilities / Drainage System

/ No water supply available.

Lighting /Windows / Dusty Cleaning Rags, water, laundry

soap, 1 pc. Plastic pail5

Doors /School grounds / Weedy The weeds are to be

pulled out/removedGrass cutter 10

Others. Floor / Dusty Cleaning 20 boxes floorwax 5Prepared by: Noted by:

DINAH B. DUMLAO May 22,2009 RIZALINA T. MANZANOMaster Teacher I Date of Inspection Secondary School Principal II

Page 2: Brigada Eskwela Report 09-Dynes

BE Form 03Republic of the PhilippinesDepartment of Education

Region IDivision of Ilocos Norte

DON SALUSTIANO AQUINO MEMORIAL NATIONAL HIGH SCHOOLSchool Year 2009-2010

BRIGADA ESKWELARESOURCE 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 QuantityKey Persons / Organizations

to be TappedStrategies/Plan of Action Person Responsible Status Remarks

Paint 3 gal. I-Cherry Blossoms Fund Purchased Miss Dinah B. Dumlao For repaintingPaint brush 4 pcs. I-Cherry Blossoms Fund Purchased Miss Dinah B. Dumlao For repaintingThinner 2 bot. I-Cherry Blossoms Fund Purchased Miss Dinah B. Dumlao For repaintingSand Paper 5 pcs. I-Cherry Blossoms Fund Purchased Miss Dinah B. Dumlao For cleaningPlastic pail

2 pc I-Cherry Blossoms Fund Purchased

Miss Dinah B. DumlaoFor cleaning, forwatering plants

Floor wax 20 box. Floor wax

I-Cherry Blossoms Fund Purchased

Miss Dinah B. DumlaoFor cleaning

Soft broom1 pc. Jerry Tadeo

PurchasedMiss Dinah B. Dumlao

For cleaning the surroundings

Labor Skills/Volunteers Needed

QuantityKey Persons / Organizations

to be TappedStrategies/Plan of Action Person Responsible Status Remarks

Painting of the cabinets, blackboards, chairs and bulletin boards

5

Raffy GeronimoKarl Loie BataraFerlyn Cayaban

Jerald Jhun AgustinRandell Dan B. Luna

Text the parents of these students

Miss Dinah B. Dumlao Job well done

Prepared by: Noted by:

DINAH B. DUMLAO May 22,2009 RIZALINA T. MANZANOMaster Teacher I Date of Inspection Secondary School Principal II

Page 3: Brigada Eskwela Report 09-Dynes

BE Form 06

Republic of the PhilippinesDepartment of Education

Region IDivision of Ilocos Norte

DON SALUSTIANO AQUINO MEMORIAL NATIONAL HIGH SCHOOLSchool Year 2009-2010

BRIGADA ESKWELADAILY 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.

ActivitiesSTATUS

REMARKS/RECOMMENDATIONSCompleted Started but not yet completed Note done

Day 1 – May 18,2009 Inspection of facilities and surroundings of Cherry Blossoms room.

/

Day 2 – May 19,2009 Cleaning and re-structuring the room and cleaning the window blades

/

Day 3 – May 20, 2009 repainted the chairs, tables, cabinets .

/

Day 4 – May 21,2009 Cleaning, fixing and planting at the frontage of the room.

/

Day 5 – May 22,2009 Making the report

/

PreparPrepared by: Noted by:

DINAH B. DUMLAO May 22,2009 RIZALINA T. MANZANOMaster Teacher I Date of Inspection Secondary School Principal II

Page 4: Brigada Eskwela Report 09-Dynes

BE Form 2Republic of the PhilippinesDepartment of Education

Region IDivision of Ilocos Norte

DON SALUSTIANO AQUINO MEMORIAL NATIONAL HIGH SCHOOLSchool Year 2009-2010

BRIGADA ESKWELASCHOOL 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 beforeJanuary 31.

KRA Activities Timeline Person/sResponsible Materials Needed Budget1. Advocacy and Marketing

Inform the students and parents during the enrolment.

April-May, 2009TeacherParentsStudents

2. Resource MobilizationMake a listing of donated materials.Conduct a physical inspection of the physical facilities.

April-May, 2009 Teacher

List of donated materials

3. ImplementationConduct the Brigada Eskwela program.

May 18-22,2009TeacherParentsStudents

4. Monitoring and EvaluationCheck the outputs and account the persons involved in the program.

May 22, 2009TeacherParentsStudents

5. ReportingPrepared the report on the finished work.

May 25, 2009 Teacher

Encoding, printing of the report

P 100.00

Prepared by: Noted by:

DINAH B. DUMLAO May 22,2009 RIZALINA T. MANZANOMaster Teacher I Date of Inspection Secondary School Principal II

Page 5: Brigada Eskwela Report 09-Dynes

BE Form 07Republic of the PhilippinesDepartment of Education

Region IDivision of Ilocos Norte

DON SALUSTIANO AQUINO MEMORIAL NATIONAL HIGH SCHOOLSchool Year 2009-2010

BRIGADA ESKWELASCHOOL ACCOMPLISHMENT REPORT(To be accomplished by the School Head)

DIVISION: Ilocos Norte REGION: ISCHOOL: Don Salustiano Aquino Memorial National High School SCHOOL I.D.School Address: Brgy. 06, Tonoton, Piddig, Ilocos Norte(Please check appropriate box)Level: ( ) Elementary ( / ) High School

Type of School: ( ) Central School ( ) Non- Central School (complete) ( ) Multigrade ( ) Primary School/ Incomplete ( ) Integrated

SCHOOL HEAD: Mrs. RIZALINA T. MANZANO CONTACT NUMBER:PTCA PRESIDENT: Mr. Eduardo Toribio CONTACT NUMBER:

A. SCOPE OF REPAIR AND MAINTENACE WORK COMPLETED ( Please check appropriate column)What was done?

Repaired Repainted Replaced Others (Brief Description)1. Roofs2. Ceilings Cleaned3. Walls4.Windows and Doors Cleaned5. Chairs/Desks, Tables, and Blackboards / /6.Comfort Rooms7. Leaking Pipes Cleaned8. School Grounds/ Landscaping9. School Signs10. Others (Specify)

Prepared by: Noted by:

DINAH B. DUMLAO May 22,2009 RIZALINA T. MANZANOMaster Teacher I Date of Inspection Secondary School Principal II

Page 6: Brigada Eskwela Report 09-Dynes

B. DONATIONS/ MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)Type of Donations Source Estimated Cost

3 liters paint Donation/ I-Cherry Blossoms Students 390.004 paint brush Donation/ I-Cherry Blossoms Students 150.002 bots. Thinner Donation/ I-Cherry Blossoms Students 60.005 pcs. Sand Paper Donation/ I-Cherry Blossoms Students 100.002 pcs. Plastic pail Donation/ I-Cherry Blossoms Students 80.0020 boxes floor wax Donation/ I-Cherry Blossoms Students 100.001 pc. Soft broom Donation-Jerry Tadeo 50.00Total P 930.00

C. VOLUNTEER SERVICESType of Volunteer Name of

Individuals/ Organization Day 1

Number

Day 2

of

Day 3

Volunteers

Day 4 Day 5 Day 6Total

1. PTCA Members2. Barangay Officials 0 0 0 0 0 0 03. Municipal/ City Government Officials 0 0 0 0 0 0 04.Provincial Gov’t. Officials 0 0 0 0 0 0 05. NGO’s, Civic Organizations 0 0 0 0 0 0 06. Private Citizens 0 0 0 0 0 0 07. Private Companies/ Corp. 0 0 0 0 0 0 08. Other government offices 0 0 0 0 0 0 09. Parents10. Teachers 1 1 1 1 1 1 111. Pupils/ Students12. Others: (specify) (Family Members) 15 5 5 5 10 5 4513. Prominent Volunteers

TOTAL 16 6 6 6 11 6 46Prepared by: Noted by:

DINAH B. DUMLAO May 22,2009 RIZALINA T. MANZANOMaster Teacher I Date of Inspection Secondary School Principal II

Page 7: Brigada Eskwela Report 09-Dynes

D. SIGNIFICANT EVENTS / EXPERIENCES

What happened? Who were involved? WhenWhat is/are important contribution to the operation of

the school or to the existing needs of the school?

Students, teachers and parents actively participated in the implementation of the Brigada Eskwela.

TeachersParentsStudents

May 18-22,2009The implementation of the program helped in preparing the school for the opening of classes.

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 properly solved.

E LESSONS LEARNED / BEST PRACTICES

The practices learned were resourcefulness and the implementation of the “bayanihan” spirit among the people in the community.

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)

There must be an allocated funds for the implementation of the program especially for major repairs of the physical facilities of the school.

Prepared by: Noted by:

DINAH B. DUMLAO May 22,2009 RIZALINA T. MANZANOMaster Teacher I Date of Inspection Secondary School Principal II

D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED

Type of Service Total Number of Volunteers

Total Number of Hours Rendered

Total Estimated Cost

Carpentry 5 8 1250

Ordinary Labor 40 4 2000

G. EVIDENCES / ATTACHMENTS a. Photos (before, during, after) b. Photocopy of all completed BE Forms (check if attach) ______ Form 01 _______ Form 05 ______ Form 02 _______ Form 06 ______ Form 03 ______ Form 04 Prepared by:

DINAH B. DUMLAO Master Teacher I Name and Designation

Date:

May 22,2009

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

Page 8: Brigada Eskwela Report 09-Dynes

Form 5Republic of the PhilippinesDepartment of Education

Region IDivision of Ilocos Norte

DON SALUSTIANO AQUINO MEMORIAL NATIONAL HIGH SCHOOLSchool Year 2009-2010

Page 9: Brigada Eskwela Report 09-Dynes

BRIGADA ESKWELA

RECORD OF DONATIONS RECEIVED

Items or Materials Quantity Date Received Name of Donor Assumed Cost Of ItemsPer Unit (Php) Total(Php)

Paint 3 gal. May 12,2009 I-Cherry Blossoms Funds 130.00 390.00

Paint brush 4 pcs May 12,2009 I-Cherry Blossoms Funds 37.50 150.00

Paint thinner 2 bottles May 12,2009 I-Cherry Blossoms Funds 30.00 60.00

Sand paper 5 pcs. May 12,2009 I-Cherry Blossoms Funds 20.00 100.00

Plastic pail 2 pc. May 12,2009 I-Cherry Blossoms Funds 40.00 80.00

Floor wax 20 boxes May 18,2009 I-Cherry Blossoms Funds 5.00 100.00

Soft broom 1 pc. May 18,2009 Jerry Tadeo 50.00 50.00

Total 930.00

Prepared by: Noted by:

DINAH B. DUMLAO May 25 ,2009 RIZALINA T. MANZANOMaster Teacher I Date of Inspection Secondary School Principal II

Page 10: Brigada Eskwela Report 09-Dynes

Republic of the PhilippinesDepartment of Education

Region I

Page 11: Brigada Eskwela Report 09-Dynes

Division of Ilocos NorteDON SALUSTIANO AQUINO MEMORIAL NATIONAL HIGH SCHOOL

School Year 2009-2010

REPORT ON BRIGADA ESKWELAMay 18-22,2009

Submitted by:

DINAH B. DUMLAO Adviser, I-Cherry Blossoms

The students of I-Cherry Blossoms are busy repainting the chairs.

Page 12: Brigada Eskwela Report 09-Dynes

The chairs that need to be repainted

The students are using sand paper in removing dirt and old paint of the chairs

Cleaning the window blades and doors

“We need to repaint the concrete bench and make signage too.”

Page 13: Brigada Eskwela Report 09-Dynes
Page 14: Brigada Eskwela Report 09-Dynes

G. EVIDENCES / ATTACHMENTS a. Photos (before, during, after) b. Photocopy of all completed BE Forms (check if attach) ______ Form 01 _______ Form 05 ______ Form 02 _______ Form 06 ______ Form 03 ______ Form 04 Prepared by:

DINAH B. DUMLAO Master Teacher I Name and Designation

Date:

May 22,2009

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