Download - Brigada Eskwela Forms
BE division_form 1Republic of the PhilippinesDEPARTMENT OF EDUCATION
BRIGADA ESKWELA 2012
CONSOLIDATED REPORT
School_ID School_Name
NUMBER OF VOLUNTEERS
Private Sector Community Government Agencies/National & Local
Corporation Parents Alumni
TOTAL - - - - - - - - - - - - - - - - - -
Approved by:
Schools Division Superintendent
Region NCR
Division of MANDALUYONG
Total No. Of Volunteers
Total No. Of Hours
Rendered (Labor)
NGO (PTA, SGC, Gawad
Kalinga, etc.)
Private Individual/ Community
Member
Religious Organizations
(Youth and Adult)
Congressional Officials and
Staff
Provincial Officials
City/ Municipal Officials
Barangay Officials
SK Officials
Provincial/ City/
Municipal Employees
Firemen/PNP
AFP (PA, Marine, Airforce,
etc.)
Barangay Workers
Others (Student/
Pupil)
BE division_form 1.1Republic of the Philippines
DEPARTMENT OF EDUCATION
BRIGADA ESKWELA 2012
CONSOLIDATED REPORT
School_ID School_Name
Resources Generated
TOTAL AMOUNT Equipment Material / In-Kind
TOTAL - - - - -
Prepared by: Approved by:
ASP Division Coordinator Schools Division Superintendent
Region NCR
Division of MANDALUYONG
Cash (in Peso)
Amount (in Peso)
Amount (in Peso)
Construction/ Repair of Classroom/CR and Other
Construction/ Repair
Amount (in Peso)
Republic of the PhilippinesDepartment of Education
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
BRIGADA ESKWELAPHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplished by the School Physician Facilities Coordinator)
FACILITIES
CONDITION (CHECK ONE) REMARKS
SATISFACTORY UNSATISFACTORYIF UNSATISFACTORY, DESCRIBE THE PROBLEM
F Roofs / gutters F CeilingsF WallsF BlackboardsF Chairs / desks / tablesF
F SignagesF School gardenF LightingF WindowsF DoorsF Comfort roomsF School groundsF School canteen / clinicF School fenceF Other, please specify:
Prepared by: Noted:
ERNESTO JOSE Z. ALBEA
School Physical Facilities Coordinator Date of Inspection TIC / Head Teacher / Principal
Region NCRDivision MANDALUYONG
School Year 2012-2013
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.)
NATURE OF IMPROVEMENT NEEDED (E.G. REPAIR, REPAINTING,
REPLACEMENT, ETC.)
MATERIALS RESOURCES NEEDED (INDICATE KIND AND
QUANTITY)
MANPOWER NEEDED (INDICATE QUANTITY NAD NATURE
OF LABOR SERVICES NEEDED)
Water facilities / Drainage System
Appendix BBE Form 01
Republic of the Philippines
Department of Education
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
BRIGADA ESKWELASCHOOL WORK PLAN
(To be accomplished by the School Head)
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
Region NCR
Division MANDALUYONG
School Year 2012-2013
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.
Appendix CBE Form 02
Republic of the Philippines
Department of Education
BRIGADA ESKWELARESOURCE MOBILIZATION FORM
(To be accomplished by the Resource Mobilization Committee)
MATERIALS NEEDED QUANTITY STRATEGIES / PLAN OF ACTION PERSON RESPONSIBLE STATUS REMARKS
QUANTITY STRATEGIES / PLAN OF ACTION PERSON RESPONSIBLE STATUS REMARKS
Prepared by: Noted:
ERNESTO JOSE Z. ALBEA
Resource Mobilzation Committee Chairperson] TIC / Head Teacher / Principal
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013
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 / ORGANIZATIONS TO BE
TAPPED
LABOR SKILLS / VOLUNTEERS NEEDED
KEY PERSONS / ORGANIZATIONS TO BE
TAPPED
Appendix DBE Form 03
Republic of the Philippines
Department of Education
BRIGADA ESKWELADAILY ATTENDANCE OF VOLUNTEERS
Date: MAY 25, 2012 (FRIDAY)
NAME POSITIONS / DESIGNATIONADDRESS / ORGANIZATION CONTACT NUMBERTIME
IN OUT
Noted:
ERNESTO JOSE Z. ALBEA
School Head Date
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013
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.
TOTAL NUMBER OF HOURS
SERVED
NATURE OF VOLUNTEER SERVICES RENDERED
Appendix EBE Form 04
Republic of the Philippines
Department of Education
BRIGADA ESKWELARECORD OF DONATIONS RECEIVED
(To be accomplished by the Documentation Committee)
ITEM/S OR MATERIALS QUANTITY DATE RECEIVED NAME OF DONORASSUMED COST OF ITEMS
PER UNIT TOTAL
Prepared by: Noted:
ERNESTO JOSE Z. ALBEA
Commitee on Documentation Chair / Member School Head
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013
Appendix FBE Form 05
Republic of the Philippines
Department of Education
BRIGADA ESKWELADAILY ACCOMPLISHMENT REPORT
(To be accomplished by the Program Implementation Committee)
DAY 1 2 3 4 5 6 DATE: May ___, 2012
ACTIVITIESSTATUS
REMARKS / RECOMMENDATIONSCOMPLETEDSTARTED BUT NOT YET COMPLETEDNOT DONE
Prepared by: Noted by:
ERNESTO JOSE Z. ALBEA
Program Implentation Committed Chair / Member Date Prepared School Head
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013
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.
Appendix GBE Form 06
Republic of the Philippines
Department of Education
BRIGADA ESKWELASCHOOL ACCOMPLISHED REPORT
(To be accomplished by the School Head)
(Please check appropriate box)
Level: Type of School:
Elementary Central School
High School Non-Central School (C
Multigrade
Primary School / Incomp
Integrated School
Contact Number:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
WHAT WAS DONE?
REPAIRED REPAINTED REPLACEDOTHERS
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
Region NCR
Division MANDALUYONG
SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL
School Year 2012-2013
DIVISION: MANDALUYONG REGION: NCR
SCHOOL: ILAYA BARANGKA INTEGRATED SCHOOL SCHOOL ID: 136668
SCHOOL ADDRESS: LION'S ROAD, BARANGKA ILAYA, MANDALUYONG CITY
School Head: ERNESTO JOSE Z. ALBEA Contact Number: 0927-7500452
PTCA President: GODOFREDO C. CALSADO
Appendix HBE Form 07.
C. VOLUNTEER SERVICES
TYPE OF VOLUNTEER
NAME OF INDIVIDUALS NUMBER OF VOLUNTEERS
ORGANIZATIONDAY 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 07DEPARTMENT OF EDUCATION
D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED. Refer to Guide for Computing Labor Cost. (Use separate
TYPE OF SERVICE TOTAL ESTIMATED COSTS
Masonry
Carpentry
Plumbing
Electrical / Electronic
Landscaping / Gardening
Painting
Ordinary Labor
Others
TOTAL
D. SIGNIFICANT EVENTS / EXPERIENCES (Use separate sheets, if needed)
WHAT HAPPENED? WHO WERE INVOLVED? WHEN?
E. ISSUES AND CONCERNS (Describe briefly problems encountered and how resolved)
E. LESSONS LEARNED / BEST PRACTICES
TOTAL NUMBER OF VOLUNTEERS
TOTAL NUMBER OF HOURS RENDERED
WHAT IS/ARE ITS IMPORTANT CONTRIBUTION TO THE
OPERATION OF THE SCHOOLS OR TO THE EXISTING NEEDS OF THE
SCHOOL?
BE Form 07DEPARTMENT OF EDUCATION
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.
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.
BE Form 07DEPARTMENT OF EDUCATION