adopt-a-school quarterly.xlsx

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ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT As of ______________ 2013 Region: aspsch_form Division School: Address: School ID: Contract Nos.: Email Address: INFRASTRUCTURE, PHYSICAL FACILITIES, FURNITURE, AND REAL ESTATE DONATIONS PARTICULARS QTY. AMOUNT DONOR PRIVATE SECTOR LGU 1. CLASSROOM New constructe.g. 1 storey, 2classroom 2 ### ABC Corporation Rehabilitatio 2 classroom 2 200,000.00 DEF Enterprises 2. FURNITURE e.g. Teacher's Table 3 16,000.00 ABC Corporation armchair 10 9,000.00 ABC Corporation 3. TOILET & WASH FACILITIES New constructToilets 1 30,000.00 Governor Renovation/ReWash Facilities 2 10,000.00 Mayor 4. MAINTENANCE e.g. construction materials, Paints 2 gallons paints 2 1,000.00 5. REAL STATE e.g. land 1 hectare 100,000.00 6. OTHERS PLS SPECIFY construction of concrete fence 1 6,000.00 PTA TOTAL ### *Please attach the following d Prepared by: Noted by: 1. Deed of Donation 2. Deed of Acceptance School Head/Principal/OIC ASP Divi Approved by:

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Page 1: ADOPT-A-SCHOOL QUARTERLY.xlsx

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of ______________ 2013

Region: aspsch_form 01DivisionSchool:Address:School ID:Contract Nos.: Email Address:

INFRASTRUCTURE, PHYSICAL FACILITIES, FURNITURE, AND REAL ESTATE

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

1. CLASSROOM New construction e.g. 1 storey, 2classroom 2 1,300,000.00 ABC Corporation March 8, 2012 Rehabilitation/Repair 2 classroom 2 200,000.00 DEF Enterprises February 22, 20122. FURNITURE e.g. Teacher's Table 3 16,000.00 ABC Corporation January 10, 2012

armchair 10 9,000.00 ABC Corporation January 10, 2012

3. TOILET & WASH FACILITIES New construction Toilets 1 30,000.00 Governor February 24, 2012 Renovation/Repair Wash Facilities 2 10,000.00 Mayor February 24, 20124. MAINTENANCE e.g. construction materials, Paints

2 gallons paints 2 1,000.00 February 10, 2012

5. REAL STATE e.g. land 1 hectare 100,000.00 January 12, 2012

6. OTHERS PLS SPECIFY construction of concrete fence 1 6,000.00 PTA March 15, 2012

TOTAL 1,672,000.00

*Please attach the following document Prepared by: Noted by:1. Deed of Donation2. Deed of Acceptance

School Head/Principal/OIC ASP Division Coordinator Approved by:

Page 2: ADOPT-A-SCHOOL QUARTERLY.xlsx

Schools Division Superintendent

Page 3: ADOPT-A-SCHOOL QUARTERLY.xlsx

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of ______________ 2013

Region: aspsch_form 01DivisionSchool:Address:School ID:Contract Nos.: Email Address:

INFRASTRUCTURE, PHYSICAL FACILITIES, FURNITURE, AND REAL ESTATE

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

1. CLASSROOM

2. FURNITURE

3. TOILET & WASH FACILITIES

4. MAINTENANCE

5. REAL STATE

6. OTHERS PLS SPECIFY

TOTAL

*Please attach the following document Prepared by: Noted by:1. Deed of Donation2. Deed of Acceptance

School Head/Principal/OIC ASP Division CoordinatorApproved by:

Page 4: ADOPT-A-SCHOOL QUARTERLY.xlsx

Schools Division Superintendent

Page 5: ADOPT-A-SCHOOL QUARTERLY.xlsx

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of ______________ 2013

Region: aspsch_form 01DivisionSchool:Address:School ID:Contract Nos.: Email Address:

HEALTH AND NUTRITION

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

1. FEEDING PROGRAM

2. MEDICAL/DENTAL MISSION/CHECK-UPS

3. DEWORMING INTERVENTION

4. HEALTH SUPPLIES

5. OTHERS PLS SPECIFY

TOTAL

*Please attach the following document Prepared by: Noted by:1. Deed of Donation2. Deed of Acceptance

School Head/Principal/OIC ASP Division CoordinatorApproved by:

Page 6: ADOPT-A-SCHOOL QUARTERLY.xlsx

Schools Division Superintendent

Page 7: ADOPT-A-SCHOOL QUARTERLY.xlsx

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of ______________ 2013

Region: aspsch_form 01DivisionSchool:Address:School ID:Contract Nos.: Email Address:

READING PROGRAM

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

1. BOOKS

2. SUPPLEMENTARY READING MATERIALS

3. OTHERS PLS SPECIFY

TOTAL

*Please attach the following document Prepared by: Noted by:1. Deed of Donation2. Deed of Acceptance

School Head/Principal/OIC ASP Division CoordinatorApproved by:

Page 8: ADOPT-A-SCHOOL QUARTERLY.xlsx

Schools Division Superintendent

Page 9: ADOPT-A-SCHOOL QUARTERLY.xlsx

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of ______________ 2013

Region: aspsch_form 01DivisionSchool:Address:School ID:Contract Nos.: Email Address:

TRAINING AND DEVELOPMENT

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

1. TEACHERS/PRINCIPAL TRAINING

2. STUDENT/PUPILS TRAINING AND FIELD TRIP

3. OTHERS PLS SPECIFY

TOTAL

*Please attach the following document Prepared by: Noted by:1. Deed of Donation2. Deed of Acceptance

School Head/Principal/OIC ASP Division CoordinatorApproved by:

Page 10: ADOPT-A-SCHOOL QUARTERLY.xlsx

Schools Division Superintendent

Page 11: ADOPT-A-SCHOOL QUARTERLY.xlsx

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of ______________ 2013

Region: aspsch_form 01DivisionSchool:Address:School ID:Contract Nos.: Email Address:

DIRECT ASSISTANCE

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

1. DIRECT ASSISTANCE

2. OTHERS PLS SPECIFY

TOTAL

*Please attach the following document Prepared by: Noted by:1. Deed of Donation2. Deed of Acceptance

School Head/Principal/OIC ASP Division CoordinatorApproved by:

Page 12: ADOPT-A-SCHOOL QUARTERLY.xlsx

Schools Division Superintendent

Page 13: ADOPT-A-SCHOOL QUARTERLY.xlsx

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of ______________ 2013

Region: aspsch_form 01DivisionSchool:Address:School ID:Contract Nos.: Email Address:

ASSISTIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS

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

1. PENCIL GRIPS

2. SPECIAL CHAIRS

3. SPELLING CHECK DEVICES

4. HEARING AIDS

5. TALKING COMPUTERS

6. SPECIALIZED KEYBOARDS

7. TOUCH SCREEN MONITOR

8. BRAILLE (BOOKS)

9. COMPUTERIZED SYSTEMS

10. OTHERS PLS. SPECIFY

TOTAL

*Please attach the following document Prepared by: Noted by:1. Deed of Donation2. Deed of Acceptance

School Head/Principal/OIC ASP Division CoordinatorApproved by:

Page 14: ADOPT-A-SCHOOL QUARTERLY.xlsx

Schools Division Superintendent

Page 15: ADOPT-A-SCHOOL QUARTERLY.xlsx

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of ______________ 2013

Region: aspsch_form 01DivisionSchool:Address:School ID:Contract Nos.: Email Address:

LEARNING SUPPORT

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

1. AUDIO-VISUAL EDUCATIONAL MATERIALS

2. SCHOOL SUPPLIES

3. EDUCATIONAL FILM/ LIBRARIES

4. OTHERS PLS. SPECIFY

TOTAL

*Please attach the following document Prepared by: Noted by:1. Deed of Donation2. Deed of Acceptance

School Head/Principal/OIC ASP Division CoordinatorApproved by:

Page 16: ADOPT-A-SCHOOL QUARTERLY.xlsx

Schools Division Superintendent

Page 17: ADOPT-A-SCHOOL QUARTERLY.xlsx

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of ______________ 2013

Region: aspsch_form 01DivisionSchool:Address:School ID:Contract Nos.: Email Address:

LEARNING SUPPORT

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

1. COMPUTER

2. ELECTRONIC LEARNING MATERIALS

3. INTERNET CONNECTIVITY

4. OTHERS PLS. SPECIFY

TOTAL

*Please attach the following document Prepared by: Noted by:1. Deed of Donation2. Deed of Acceptance

School Head/Principal/OIC ASP Division CoordinatorApproved by:

Page 18: ADOPT-A-SCHOOL QUARTERLY.xlsx

Schools Division Superintendent