Republic of the Philippines BE division_form 1

DEPARTMENT OF EDUCATION
Region NCR
Division of MANDALUYONG

BRIGADA ESKWELA 2012

CONSOLIDATED REPORT

NUMBER OF VOLUNTEERS
Total No. Of
Total No. Of Hours
School_ID School_Name NGOPrivate
(PTA, Sector Community
Private Religious Government Agencies/National & Local
Provincial/ AFP (PA, Volunteers Rendered
Congressional City/ Others
SGC, Gawad Individual/ Organizations Provincial Barangay SK City/ Marine, (Labor)
Corporation Parents Alumni Officials and Municipal Firemen Barangay (Student/
Kalinga, Community (Youth and Officials Officials Officials Municipal Airforce,
Staff Officials /PNP Workers Pupil)
etc.) Member Adult) Employees etc.)

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

Approved by:

Schools Division Superintendent

 Republic of the Philippines BE division_form 1.1
DEPARTMENT OF EDUCATION
Region NCR
Division of MANDALUYONG

BRIGADA ESKWELA 2012

CONSOLIDATED REPORT

Resources Generated

School_ID School_Name Construction/ Repair of TOTAL AMOUNT

Cash Amount Amount Amount
Equipment Material / In-Kind Classroom/CR and Other
(in Peso) (in Peso) (in Peso) (in Peso)
Construction/ Repair

TOTAL - - - - -

Prepared by: Approved by:

ASP Division Coordinator Schools Division Superintendent

Appendix B Republic of the Philippines
BE Form 01 Department of Education
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013

BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplished by the School Physician Facilities Coordinator)

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.)

CONDITION (CHECK ONE) REMARKS NATURE OF IMPROVEMENT NEEDED MATERIALS RESOURCES

MANPOWER NEEDED
FACILITIES (E.G. REPAIR, REPAINTING, NEEDED (INDICATE KIND AND
SATISFACTORY UNSATISFACTORY IF UNSATISFACTORY, DESCRIBE THE PROBLEM (INDICATE QUANTITY NAD NATURE OF
REPLACEMENT, ETC.) QUANTITY)
LABOR SERVICES NEEDED)
F Roofs / gutters
F Ceilings
F Walls
F Blackboards
F Chairs / desks / /tables
Water facilities
F Drainage System
F Signages
F School garden
F Lighting
F Windows
F Doors
F Comfort rooms
F School grounds
F School canteen / clinic
F School fence
F Other, please specify:

Prepared by: Noted:

ERNESTO JOSE Z. ALBEA

School Physical Facilities Coordinator Date of Inspection TIC / Head Teacher / Principal
Appendix C Republic of the Philippines
BE Form 02 Department of Education
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013

BRIGADA ESKWELA
SCHOOL WORK PLAN
(To be accomplished by the School Head)

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.

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
Appendix D Republic of the Philippines
BE Form 03 Department of Education
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013

BRIGADA ESKWELA
RESOURCE MOBILIZATION FORM
(To be accomplished by the Resource Mobilization Committee)

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 /
MATERIALS NEEDED QUANTITY ORGANIZATIONS TO BE STRATEGIES / PLAN OF ACTION PERSON RESPONSIBLE STATUS REMARKS
TAPPED

KEY PERSONS /
LABOR SKILLS /
QUANTITY ORGANIZATIONS TO BE STRATEGIES / PLAN OF ACTION PERSON RESPONSIBLE STATUS REMARKS
VOLUNTEERS NEEDED
TAPPED

Prepared by: Noted:

ERNESTO JOSE Z. ALBEA

Resource Mobilzation Committee Chairperson] TIC / Head Teacher / Principal
Appendix E Republic of the Philippines
BE Form 04 Department of Education
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013

BRIGADA ESKWELA
DAILY ATTENDANCE OF VOLUNTEERS
Date: MAY 25, 2012 (FRIDAY)

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.

TIME TOTAL NUMBER

NATURE OF VOLUNTEER
NAME POSITIONS / DESIGNATIONADDRESS / ORGANIZATION CONTACT NUMBER OF HOURS
IN OUT SERVICES RENDERED
SERVED

Noted:

ERNESTO JOSE Z. ALBEA

School Head Date
Appendix F Republic of the Philippines
BE Form 05 Department of Education
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013

BRIGADA ESKWELA
RECORD OF DONATIONS RECEIVED
(To be accomplished by the Documentation Committee)

ASSUMED COST OF ITEMS

ITEM/S OR MATERIALS QUANTITY DATE RECEIVED NAME OF DONOR
PER UNIT TOTAL

Prepared by: Noted:

ERNESTO JOSE Z. ALBEA

Commitee on Documentation Chair / Member School Head
Appendix G Republic of the Philippines
BE Form 06 Department of Education
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013

BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT
(To be accomplished by the Program Implementation Committee)

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

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.

STATUS
ACTIVITIES REMARKS / RECOMMENDATIONS
COMPLETEDSTARTED BUT NOT YET COMPLETEDNOT DONE

Prepared by: Noted by:

ERNESTO JOSE Z. ALBEA

Program Implentation Committed Chair / Member Date Prepared School Head
Appendix H Republic of the Philippines
BE Form 07 Department of Education
.
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013

BRIGADA ESKWELA
SCHOOL ACCOMPLISHED REPORT
(To be accomplished by the School Head)

DIVISION: MANDALUYONG REGION: NCR

SCHOOL: ILAYA BARANGKA INTEGRATED SCHOOL SCHOOL ID: 136668
SCHOOL ADDRESS: LION'S ROAD, BARANGKA ILAYA, MANDALUYONG CITY
(Please check appropriate box)
Level: Type of School:
Elementary Central School
High School Non-Central School (C
Multigrade
Primary School / Incomp
Integrated School
School Head: ERNESTO JOSE Z. ALBEA Contact Number: 0927-7500452
PTCA President: GODOFREDO C. CALSADO Contact Number:

A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
WHAT WAS DONE?
OTHERS
REPAIRED REPAINTED REPLACED
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
BE Form 07
DEPARTMENT OF EDUCATION

C. VOLUNTEER SERVICES
NAME OF INDIVIDUALS NUMBER OF VOLUNTEERS
TYPE OF VOLUNTEER ORGANIZATION
DAY 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 07
DEPARTMENT OF EDUCATION

D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED. Refer to Guide for Computing Labor Cost. (Use separate s
TOTAL NUMBER OF TOTAL NUMBER OF HOURS
TYPE OF SERVICE TOTAL ESTIMATED COSTS
VOLUNTEERS RENDERED
Masonry
Carpentry
Plumbing
Electrical / Electronic
Landscaping / Gardening
Painting
Ordinary Labor
Others
TOTAL

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

WHAT IS/ARE ITS IMPORTANT

CONTRIBUTION TO THE
WHAT HAPPENED? WHO WERE INVOLVED? WHEN? OPERATION OF THE SCHOOLS OR
TO THE EXISTING NEEDS OF THE
SCHOOL?

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

E. LESSONS LEARNED / BEST PRACTICES

 BE Form 07
DEPARTMENT OF EDUCATION

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.

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.