Brigada Eskwela Report Form 7

BE Form 01
Republic of the Philippines

Department of Education
Region I
Division of Ilocos Sur
SAN VICENTE DISTRICT
SAN VICENTE INTEGRATED SCHOOL
Secondary
School Year 2013-2014
BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accoml!"he# b$ %he Re"o&rce 'ob!l!(a%!o) *omm!%%ee+
Instruction: *o)#&c% a) oc&lar !)"ec%!o) o, %he "chool ,ac!l!%!e" l!"%e# belo-. The) ro/!#e %he )ee#e# !),orma%!o) %o ,ac!l!%a%e %he !mro/eme)% %o be #o)e o) %he"e !#e)%!,!e#
,ac!l!%!e".
(I, )ee#e#0 $o& ma$ &"e "eara%e ,orm ,or each cla""room or "chool ,ac!l!%$.+
FACILITIES
Condition
(Check One
Re!"rks
N"ture o#
I!$ro%e!ent Needed
(e&'& re$"ir(
re$"intin'(
re$)"ce!ent( etc&
M"teri") Resources
Needed
(Indic"te kind "nd
*u"ntit+
M"n$o,er Needed
(Indic"te *u"ntit+ "nd
n"ture o# )"-or
ser%ices needed S"tis#"ctor+
.ns"tis#"ctor+
I# uns"tis#"ctor+(
descri-e the $ro-)e!&
Roo,"12&%%er" 1
*e!l!)2" 1
Wall" 1
Blac3boar#" 1
*ha!r"1#e"3"1%able" 1
Wa%er ,ac!l!%!e" 1
Dra!)a2e S$"%em
1
L!2h%!)2 1
W!)#o-" 1 D&"%$ *lea)!)2 Ra2"0 -a%er0 la&)#r$
"oa
4
Door" 1
School 2ro&)#" 1 Wee#$ The -ee#" are %o be
&lle# o&%1remo/e#
Gra"" c&%%er 3
5%her". Floor 1 D&"%$ *lea)!)2 16 bo7e" ,loor -a7 4
8reare# b$9 :o%e# b$9
/.LIMAR R& 0.1.IN2 'a$ 240 2013 0EATRI3 R& RIOTOC
AS81BE School *oor#!)a%or Da%e o, I)"ec%!o) School 8r!)c!al I
BE Form 03
Region I
Secondary
BRIGADA ESKWELA
RESO.RCE MO0ILI3ATION FORM
(To be accoml!"he# b$ %he Re"o&rce 'ob!l!(a%!o) *omm!%%ee+
Instruction: ;"!)2 %he comle%e# BE Form 019 Physical Facilities Needs Assessment Form a" ba"!"0 "&mmar!(e %he re"o&rce" (ma%er!al" a)# ma)o-er+ )ee#e# a)# l!"% #o-)
%he o%e)%!al "o&rce or ar%)er" %o be %ae#. A## a##!%!o)al "hee% !, )ee#e#. The S%a%&" a)# Remar3" col&m)" "ho&l# be &#a%e# re2&larl$ %o #e%erm!)e
ro2re"" !) ac<&!r!)2 re"o&rce" )ee#e#.
M"teri")s Needed 1u"ntit+
4e+ Persons 5
Or'"ni6"tions to -e T"$$ed
Str"te'ies5P)"n o#
Action
Person Res$onsi-)e St"tus Re!"rks
Floor -a7
16 bo7. Floor
-a7
All *la""room" (Gra#e =0 4
Year III-I>+
8&rcha"e#
All homeroom A#/!"er" (Gra#e
=0 4 Year III-I>+
For clea)!)2
So,% broom ? c.
All *la""room" (Gra#e =0 4
Year III-I>+
8&rcha"e#
All homeroom A#/!"er"(Gra#e
=0 4 Year III-I>+
For clea)!)2 %he
"&rro&)#!)2"
Labor S3!ll"1>ol&)%eer"
:ee#e#
@&a)%!%$
Ke$ 8er"o)" 1 5r2a)!(a%!o)"
%o be Tae#
S%ra%e2!e"18la) o, Ac%!o) 8er"o) Re"o)"!ble S%a%&" Remar3"
BE Form 0?
Region I
Secondary
BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT
(To be accoml!"he# b$ %he 8ro2ram Imleme)%a%!o) *omm!%%ee+
Instruction: L!"% #o-) all %he ac%!/!%!e" %ha% )ee#" %o be &)#er%a3e) ,or each #a$ o, %he br!2a#e E"3-ela -ee3. A% %he e)# o, each #a$0 lea"e mar3 %he aror!a%e col&m) %ha%
corre"o)#" %o %he "%a%&" o, each ac%!/!%$. *!%e rea"o)" ,or )o)-comle%!o).
Ac%!/!%!e"
STAT;S
RE'ARKS1RE*5''E:DATI5:S
*omle%e# S%ar%e# b&% )o% $e% comle%e# :o%e #o)e
Da$ 1 A 'a$ 200 2013
I)"ec%!o) o, ,ac!l!%!e" a)#
"&rro&)#!)2" o, *herr$ Blo""om"
room.
1
Da$ 2 B 3 A 'a$ 21-220 2013
*lea)!)2 a)# re-"%r&c%&r!)2 %he
room a)# clea)!)2 %he -!)#o-
bla#e"
1
Da$ 4 A 'a$ 230 2013
*lea)!)20 ,!7!)2 a)# la)%!)2 a%
%he ,ro)%a2e o, %he room.
1
Da$ 6 A 'a$ 240 2013
'a3!)2 %he reor%
1
BE Form 2
Region I
Secondary
BRIGADA ESKWELA
SCHOOL 7OR4 PLAN
(To be accoml!"he# b$ %he School Cea#+
Instruction: L!"% #o-) all %he "ec!,!c ac%!/!%!e" %ha% $o& -!ll be &)#er%a3!)2 !) rela%!o) %o %he co)#&c% o, Br!2a#a E"3-ela !) $o&r "chool a)# ,!ll !) %he re<&!re# !),orma%!o).
A## a)o%her "hee% !, )ee#e#. 5)ce comle%e#0 "&bm!% a co$ %o %he A#o%-A-School 8ro2ram coor#!)a%or or Br!2a#a E"3-ela coor#!)a%or o, $o&r "chool1#!/!"!o)
o) or be,ore Da)&ar$ 31.
KRA Ac%!/!%!e" T!mel!)e 8er"o)"1Re"o)"!ble 'a%er!al" :ee#e# B&#2e%
1. A#/ocac$ a)# 'ar3e%!)2
I),orm %he "%&#e)%" a)# are)%"
#&r!)2 %he e)rolme)%.
Ar!l-'a$0 20013
Teacher
8are)%"
S%&#e)%"
2. Re"o&rce 'ob!l!(a%!o)
'a3e a l!"%!)2 o, #o)a%e# ma%er!al".
*o)#&c% a h$"!cal !)"ec%!o) o, %he
h$"!cal ,ac!l!%!e".
Ar!l-'a$0 2013 Teacher L!"% o, #o)a%e# ma%er!al"
3. Imleme)%a%!o)
*o)#&c% %he Br!2a#a E"3-ela
ro2ram.
'a$ 20-240 2013
Teacher
8are)%"
S%&#e)%"
4. 'o)!%or!)2 a)# E/al&a%!o)
*hec3 %he o&%&%" a)# acco&)% %he
er"o)" !)/ol/e# !) %he ro2ram.
'a$ 230 2013
Teacher
8are)%"
S%&#e)%"
6. Reor%!)2
8reare# %he reor% o) %he ,!)!"he#
-or3.
'a$ 240 2013 Teacher
E)co#!)20 r!)%!)2 o, %he
reor%
8h. 60.00
BE Form 0=
Region I
BRIGADA ESKWELA
SCHOOL ACCOMPLISHMENT REPORT
(To be accoml!"he# b$ %he School Cea#+
DI>ISI5:9 Iloco" S&r REGI5:9 I
S*C55L9 S*C55L I.D.
School A##re""9
(8lea"e chec3 aror!a%e bo7+
Le/el9
( + Eleme)%ar$
( + C!2h School
T$e o, School9
( + *e)%ral School
( + :o)- *e)%ral School (comle%e+
( + '&l%!2ra#e
( + 8r!mar$ School1 I)comle%e
( + I)%e2ra%e#
S*C55L CEAD9 *5:TA*T :;'BER9
8TA 8RESIDE:T9 *5:TA*T :;'BER9
A& SCOPE OF REPAIR AND MAINTENACE 7OR4 COMPLETED ( P)e"se check "$$ro$ri"te co)u!n
Wha% -a" #o)eE
Rea!re# Rea!)%e# Relace# 5%her" (Br!e, De"cr!%!o)+
1. Roo,"
2. *e!l!)2"
3. Wall"
4.W!)#o-" a)# Door"
6. *ha!r"1De"3"0 Table"0 a)# Blac3boar#"
?.*om,or% Room"
=. Lea3!)2 8!e"
4. School Gro&)#"1 La)#"ca!)2
F. School S!2)"
10. 5%her" (Sec!,$+
0& DONATIONS5 MATERIAL RESO.RCES 2ENERATED (.se se$"r"te sheets( i# needed
T+$e o# Don"tions Source Esti!"ted Cost
Tot")
C& 8OL.NTEER SER8ICES
T$e o, >ol&)%eer :ame o,
I)#!/!#&al"1
5r2a)!(a%!o)
:&mber o, >ol&)%eer"
Tot")
Da$ 1 Da$ 2 Da$ 3 Da$ 4 Da$ 6 Da$ ?
1. 8TA 'ember"
2. Bara)2a$ 5,,!c!al"
3. '&)!c!al1 *!%$ Go/er)me)% 5,,!c!al"
4. 8ro/!)c!al Go/G%. 5,,!c!al"
6. :G5G"0 *!/!c 5r2a)!(a%!o)"
?. 8r!/a%e *!%!(e)"
=. 8r!/a%e *oma)!e"1 *or.
4. 5%her 2o/er)me)% o,,!ce"
F. 8are)%"
10. Teacher"
11. 8&!l"1 S%&#e)%"
12. 5%her"9 ("ec!,$+ (8r!/a%e
I)#!/!#&al0 Al&m)!0 SK o,,!c!al"0
8:8+
13. 8rom!)e)% >ol&)%eer"
TOTAL
D. SIG:IFI*A:T E>E:TS 1 EH8ERIE:*ES
Wha% hae)e#E Who -ere !)/ol/e#E Whe)
Wha% !"1are !mor%a)% co)%r!b&%!o) %o %he oera%!o) o,
%he "chool or %o %he e7!"%!)2 )ee#" o, %he "choolE
E. ISS;ES A:D *5:*ER:S (De"cr!be br!e,l$ roblem" e)co&)%ere# a)# ho- re"ol/e#+
E LESS5:S LEAR:ED 1 BEST 8RA*TI*ES
F. S;GGESTI5:S T5 STRE:GTCE: BRIGADA ESKWELA
D. ESTI'ATED *5ST 5F >5L;:TEER SER>I*ES RE:DERED
T$e o, Ser/!ce To%al :&mber o,
>ol&)%eer"
To%al :&mber o, Co&r"
Re)#ere#
To%al E"%!ma%e# *o"%
*are)%r$
5r#!)ar$ Labor
G. E>IDE:*ES 1 ATTA*C'E:TS
a. 8ho%o" (be,ore0 #&r!)20 a,%er+
b. 8ho%oco$ o, all comle%e# BE Form" (chec3 !, a%%ach+
IIIIII Form 01 IIIIIII Form 06
IIIIII Form 02 IIIIIII Form 0?
IIIIII Form 03
IIIIII Form 04

8reare# b$9
9999999999999999999999999999999999
School 8r!)c!al
Da%e9
Form 6
Region I
Secondary
BRIGADA ESKWELA
RECORD OF DONATIONS RECEI8ED
Ite!s or M"teri")s 1u"ntit+ D"te Recei%ed N"!e o# Donor Assu!ed Cost O# Ite!s
Per .nit (Ph$ Tot")(Ph$
Ca)# 8&m : $c& M"+ ;;( ;<:= Dr& M"ri" C& Rocero Ph$& >( <<<&<< Ph$& >( <<<&<<
20 ,ee% G.I. !e : $c& M"+ ;;( ;<:= Dr& M"ri" C& Rocero Ph$& :( <<<&<< Ph$& :( <<<&<<
Tot") Ph$& ?( <<<&<<
Region I
RE85RT 5:
BRIGADA ESKWELA BRIGADA ESKWELA
'a$ 20-240 2013
8reare# b$9
/.LIMAR R& 0.1.IN2
AS81BE School *oor#!)a%or
:o%e# b$9
0EATRI3 R& RIOTOC
8r!)c!al I
Form 4
Region I
Secondary

BRIGADA ESKWELA
DAILY ATTENDANCE OF 8OL.NTEERS
I)"%r&c%!o)"9 >ol&)%eer" %hem"el/e" "ho&l# er"o)all$ ,!ll !) %he #e%a!l" re<&!re# b$ %h!" ,orm &)#er %he "&er/!"!o) o, a)$ o, %he comm!%%ee member".
J For %he la"% col&m)0 !)#!ca%e !, ma"o)r$0 care)%r$0 l&mb!)20 a!)%!)20 elec%r!cal0 2ar#e)!)21la)#"ca!)20 or#!)ar$ labor0 or o%her".
NAME
POSITIONS 5
DESI2NATION
ADDRESS 5
OR2ANI3ATION
CONTACT
N.M0ER
TIME
TOTAL
N.M0ER OF
HO.RS
SER8ED
NAT.RE OF
8OL.NTEER
SER8ICES
RENDERED
IN
O.
T


Brigada Eskwela Report Form 7

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Brigada Eskwela Report Form 7

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BE Form 01

Republic of the Philippines

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