BE Form 07

SCHOOL:
SCHOOL ADDRESS:
(Please Check
appropriate box)
SCHOOL HEAD:
PTA PRESIDENT:

Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Cebu Province
CAWAYAN NATIONAL HIGH SCHOOL
Cawayan, Dalaguete, Cebu
BRIGADA ESKWELA
May 30-June 4 , 2016
SCHOOL ACCOMPLISMENT REPORT
(To be accomplished by the School
Head)
SCHOOL ID:

Elementary ) Secondary
CONTACT NUMBER:
CONTACT NUMBER:

A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED BASED on SIP &

DepEd Memo No. 41, s. 2015, Annex C (all accomplishments supported with
pictures) (Please check appropriate column)
What was done?
Equipmen
t

New
Constructio
n

Replaced

Repaired
Repainted

Other
s

1. Roofs/rain gutter
2. Walls/Ceilings
3. School Building Directory
4. Windows and Doors
5. Chairs/Desks Tables, and Blackboards
6. Comfort Rooms
7. Leaking Pipes
8. School Grounds/Landscaping
9. School Signs/signages
10.Electrical
11.Fire extinguisher (suspended outside)
12. School free from any sharp objects
13.Prepare directory of identified
classroom for evacuation
14.Drainage
15.Signages for on-going
construction/condemn
ed buildings
16.Exit plan/signage of high story building
17 Post directory of emergency contact
18. Establish early warning devices in case of emergency

19.School equip with first aid kits

20.Vegetables garden
21.No. of trees planted
22.Waste depository (with segregation)
23. Storage room(with segregation of contents)
24. Disaster Organizational Chart
25. Others specify

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

Estimated
Type of Donations
Source
Cost

Total

C. VOLUNTER SERVICES (Use separate sheets of daily attendance)

Number of
Type of Volunteer
Name of
Volunteers
Individual/ Day Day Day Day Day Day Total
Organizatio
1
2
3
4
5
6
n
A. (PRIVATE SECTOR)
1. NGO
2. PTA
3. SGC
4. Gawad Kalinga
5. Corporation
6. Etc.
B. (COMM
UNITY)
1.
Parents
2. Alumni
3. Private Individual / Community Members
4. Religious Organization (Youth and Adult)
C. (Govt Agencies)LOCAL & NATIONAL
1. Congressional Officials and Staff
2. Provincials Officials
3. City Officials
4. Barangay Officials
5. SK Officials
6. Provincial /City Employees
7. Fireman / PNP etc.
8. AFP (PA, Marine, etc)
9. Barangay Workers
10.
Other
Volunteers
TOTAL
D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED. (Use separate sheets, if
needed)
Total
Total
Type of Services
Rate per Rate per Number
Number
Total Estimated
of
Day
Hour
Volunteers
of Hours
Costs
Rendered
Masonry
360
45
Carpentry
360
45
Plumbing
360
45
Electrical/Electronic
360
45
Landscaping
360
45
Painting
360
45
Ordinary Labor
280
35
Others
280
35
Total
E. IMPACT OF BRIGADA ESKWELA (Enrollment Rate) % of
increase/Decrease Enrolment June 15, 2015 minus
Enrolment Yearend March 2014-15 =

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

What happened?
Who were involved? When?
What is/are its important
contribution to the
operation of
the school or to the existing

needs of the school?

G. ISSUES AND CONCERN (Describe briefly problems encountered and how resolved)

H. LESSON LEARNED / BEST PRACTICES

I.

SUGGESTION TO STRENGTHEN BRIGADA ESKWELA PROGRAM

J. EVIDENCES / ATTACHMENTS
a. Photos (before, during and after)
b. Photocopy of all completed BE Forms:
1. Form 01
3. Form 03
5. Form 05
2. Form 02
4. Form 04
6. Form 06
Prepared by:

Date:

__________________________________
_____________
______________
Name of School Head with Signature
and
Designation
Submit this Report to Division Office on or before June 19, 2015 (Two (2) folders)

Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Cebu Province
CAWAYAN NATIONAL HIGH SCHOOL
Cawayan, Dalaguete, Cebu
BE Form 01
BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESMENT FORM
(To be accomplished by the School Physical Facilities Coordinator)
Instruction: Conduct an ocular inspection of the school physical facilities listed below. Then provide the needed information to facilitate
to be done on these identified facilities. (If needed, you may use separate form for each classroom or school facility.)
Remark
Nature of
Material
FACILITIES
Condition (Check One) s
improvement
Resources
Needed
Needed
(e.g.
repair,
Satisfacto Unsatisfacto
repairing,
(Indicate kind and
ry
ry
If Unsatisfactory,
replacement, etc.)
quantity)
describe the
problem
Roofs/gutters
Ceilings/walls
Windows and doors
Blackboards/tables
Chairs/desks/tables
Comfort rooms
Liking pipes
School ground/landscaping
School signs/signages
electrical
Fire suppression/extinguisher
School free from sharp objects
Prepare directory of identified classroom for
evacuation
Drainage System
Signages for on-gong construction/condemn
building
Exit plan/signages of high story building
Post of directory of emergency contact
Establish early warning devices in case of
emergency

the improvement
Manpower Needed
(Indicate quantity
and nature of
labor
services needed)

School equip with 1st aid kit

Other specify
Prepared by:
______________________________
School Physical Facilities Coordinator

________________
Date of Inspection

Noted:
_____________________________
TIC/Head Teacher/Principal

Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Cebu Province
CAWAYAN NATIONAL HIGH SCHOOL
Cawayan, Dalaguete, Cebu
BE Form 02 BRIGADA ESKWELA SCHOOL WORK PLAN
(to be accomplished by the School Head)
Instruction: List down all the specific 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 division on or before January 31.
Persons
Budg
KRA
Activities
Timeline
Responsible
Materials Needed
et
1. Advocacy and Marketing

2. Resource Mobilization

3. Implementation

4. Monitorin
g
and
Evaluatio
n

5. Reporting

Prepared by:
_________________________
Signature over Printed Name

_________________
Date Prepared

Noted by:
______________________________
TIC/Head Teacher/Principal

Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Cebu Province
CAWAYAN NATIONAL HIGH SCHOOL
Cawayan, Dalaguete, Cebu

BE Form 03
RESOURCE MOBILIZATION FORM
(TO BE ACCOMPLISHED BY THE Resource Mobilization Committee)

BRIGADA ESKWELA

Instruction: using the completed BE For, 01: Physical Facilities Needs Assessments Form as basis, summarize the resource (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

Labor
Skills/Volunteers

Quantity

Needed

Prepared by:

Strategies/Plan of
Key
Action
Persons/Organizations
to
be Tapped

Strategies/Plan of
Key
Action
Persons/Organizations
to
be Tapped

Noted:

Person Responsible

Status

Remarks

Person Responsible

Status

Remarks

______________________________________
Resource Mobilization Committee Chairperson

_______________________________
TIC/Head Teacher/Principal

Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Cebu Province
CAWAYAN NATIONAL HIGH SCHOOL
Cawayan, Dalaguete, Cebu
BE Form 04
DAILY ATTENDANCE OF VOLUNTEERS

BRIGADA ESKWELA

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.
SIGNATUR TOTAL NUMBER
E
OF

TIME
NAME

POSITION/DESIGNATI ADDRESS/ORGANIZATION/AFFILI CONTACT

ON
ATION
NUMBER

Noted:
__________________________

_____________________

IN

OUT

HOURS SERVED

NATURE OF
VOLUNTEER
SERVICE
RENDERED

School Head

Date

Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Cebu Province
CAWAYAN NATIONAL HIGH SCHOOL
Cawayan, Dalaguete, Cebu

BE Form 05
BRIGADA ESKWELA
RECORDS OF DONATIONS
RECEIVED
(To be accomplished by the Documentation Committee)
NAME OF DONOR
ITEMS OR MATERIALS

QUANTIT DATE
Y
RECEIVED

Prepared by:
_____________________________________
Committee on Documentation Chair/Member
Noted:
_____________________________________
School Head

ASSUMED COST OF
ITEMS
PER UNIT

TOTAL

Republic of the Philippines

Department of Education
Region VII, Central Visayas
Division of Cebu Province
CAWAYAN NATIONAL HIGH SCHOOL
Cawayan, Dalaguete, Cebu

BE Form 06
DAILY ACCOMPLISHEMENT REPORT
(To be accomplished by the Program Implementation
Committee)
Day
1

BRIGADA
ESKWELA

Date

Instruction: list down all the activities that needs to be undertaken for each of the Brigada Eskwela week. At the end of each day, please mark the
appropriate column that corresponds to status of each activity. Cite reason for non-completion.
STATUS
Activities

Prepared by:
_________________________________________
Program Implementation Committee Chair/Member
Noted by:
_________________________________________

Completed

Status but not yet Not done

completed

REMARKS/RECOMMENDATIONS

School Head