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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 2014-2015

BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplished by the Resource Mobilization Committee)
Instruction: Conduct an ocular inspection of the school 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 form for each classroom or school facility.)
Condition
(Check One)

Remarks

FACILITIES
Satisfactory
Roofs/gutters
Ceilings
Walls
Blackboards
Chairs/desks/tables
Water facilities /
Drainage System
Lighting
Windows

/
/
/
/
/
/

Doors
School grounds

Unsatisfactory

If unsatisfactory,
describe the problem.

Nature of
Improvement Needed
(e.g. repair,
repainting,
replacement, etc.)

Material Resources
Needed
(Indicate kind and
quantity)

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

Others. Floor

Dusty

Cleaning

Rags, water, laundry


soap

Weedy

Grass cutter

Dusty

The weeds are to be


pulled out/removed
Cleaning

15 boxes floor wax

Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator

Noted by:
May 24, 2014
Date of Inspection

BEATRIZ R. RIOTOC
School Principal II

BE Form 03

Republic of the Philippines


Department of Education
Region I
Division of Ilocos Sur
SAN VICENTE DISTRICT
SAN VICENTE INTEGRATED SCHOOL
Secondary
School Year 2014-2015

BRIGADA ESKWELA
RESOURCE MOBILIZATION FORM
(To be accomplished by the Resource Mobilization Committee)
Instruction: Using the completed BE Form 01: Physical Facilities Needs 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.
Materials Needed

Quantity

Floor wax

15 box. Floor
wax

Soft broom

6 pc.

Labor Skills/Volunteers
Needed

Quantity

Key Persons /
Organizations to be Tapped
All Classrooms (Grade 7, 8
Year III-IV)
All Classrooms (Grade 7, 8
Year III-IV)

Key Persons / Organizations


to be Tapped

Strategies/Plan of
Action
Purchased
Purchased

Strategies/Plan of Action

Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator

Person Responsible

Status

All homeroom Advisers (Grade


7, 8 Year III-IV)
All homeroom Advisers(Grade
7, 8 Year III-IV)

For cleaning
For cleaning the
surroundings

Person Responsible

Status

Noted by:
May 24, 2014
Date of Inspection

Remarks

BEATRIZ R. RIOTOC
School Principal II

Remarks

BE Form 06

Republic of the Philippines


Department of Education
Region I
Division of Ilocos Sur
SAN VICENTE DISTRICT
SAN VICENTE INTEGRATED SCHOOL
Secondary
School Year 2014-2015

BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT
(To be accomplished by the Program Implementation Committee)
Instruction: List down all the activities that needs to be undertaken for each day of the brigade Eskwela week. At the end of each day, please mark the appropriate column that
corresponds to the status of each activity. Cite reasons for non-completion.
Activities
Day 1 May 19, 2014
Inspection of facilities and
surroundings of every classrooms.
Day 2 & 3 May 20-21, 2014
Cleaning and re-structuring the
room and cleaning the window
blades
Day 4 & 5 May 22-23, 2014
Cleaning, fixing and planting at
the frontage of the room.
Day 6 May 24, 2014
Making the report

Completed

STATUS
Started but not yet completed

REMARKS/RECOMMENDATIONS

/
/

Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator

Note done

Noted by:
May 24, 2014
Date of Inspection

BEATRIZ R. RIOTOC
School Principal II

BE Form 2

Republic of the Philippines


Department of Education
Region I
Division of Ilocos Sur
SAN VICENTE DISTRICT
SAN VICENTE INTEGRATED SCHOOL
Secondary
School Year 2014-2015

BRIGADA ESKWELA
SCHOOL WORK PLAN
(To be accomplished by the School Head)
Instruction: List down all the specific activities 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 school/division
on or before January 31.
KRA

Activities

Timeline

Persons/Responsible

1. Advocacy and Marketing

Inform the students and parents


during the enrolment.

April-May, 20014

Teacher
Parents
Students

2. Resource Mobilization

Make a listing of donated materials.


Conduct a physical inspection of the
physical facilities.

April-May, 2014

Teacher

3. Implementation

Conduct the Brigada Eskwela


program.

May 20-24, 2014

4. Monitoring and Evaluation

Check the outputs and account the


persons involved in the program.

May 23, 2014

5. Reporting

Prepared the report on the finished


work.

May 24, 2014

Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator

Materials Needed

Budget

List of donated materials

Teacher
Parents
Students
Teacher
Parents
Students
Teacher

Encoding, printing of the


report

Php. 50.00

Noted by:
May 24, 2014
Date of Inspection

BEATRIZ R. RIOTOC
School Principal I

BE Form 07
Republic of the Philippines
Department of Education
Region I
Division of Ilocos Sur
SAN VICENTE DISTRICT

SAN VICENTE INTEGRATED SCHOOL


Secondary
School Year 2014-2015

BRIGADA ESKWELA
SCHOOL ACCOMPLISHMENT REPORT
(To be accomplished by the School Head)
DIVISION: Ilocos Sur
SCHOOL: San Vicente Integrated School
School Address: Poblacion, San Vicente, Ilocos Sur
(Please check appropriate box)
Level:
( ) Elementary
( ) High School

REGION: I
SCHOOL I.D. 320905
Type of School:
( ) Central School
( ) Non- Central School (complete)
( ) Multigrade
( ) Primary School/ Incomplete
( ) Integrated
CONTACT NUMBER: 09175710809
CONTACT NUMBER:

SCHOOL HEAD: Ms. BEATRIZ R. RIOTOC


PTA PRESIDENT: Mrs. Charlie Rigunay

A. SCOPE OF REPAIR AND MAINTENACE WORK COMPLETED ( Please check appropriate column)
What was done?
Repaired
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)

Repainted

Replaced

Others (Brief Description)


Cleaned
Cleaned
Cleaned
Cleaned
Cleaned
Cleaned

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


Type of Donations

Source

Estimated Cost

Total

C. VOLUNTEER SERVICES
Type of Volunteer

Name of
Individuals/
Organization

1. PTA Members
2. Barangay Officials
3. Municipal/ City Government Officials
4. Provincial Govt. 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) (Private
Individual, Alumni, SK officials,
PNP)
13. Prominent Volunteers
TOTAL

Number of Volunteers
Day 1
7
7
0
0
0
0
0
0
13
5
50
10

Day 2
2
0
0
0
0
0
0
0
0
1
10
4

Day 3
3
0
0
0
0
0
0
0
0
1
5
1

Day 4
2
0
0
0
0
0
0
0
2
1
5
1

Day 5
2
0
0
0
0
0
0
0
0
1
5
1

Day 6
3
0
0
0
0
0
0
0
5
2
5
1

92

17

10

11

16

Total
19
7
0
0
0
0
0
0
20
11
80
18

155

D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED


Type
of Service EVENTS / EXPERIENCES
Total Number of
D. SIGNIFICANT
What happened?
Who were involved? Volunteers When
G. EVIDENCES / ATTACHMENTS
a. Photos (before, during, after)
b. Photocopy
of all and
completed
(check if attach) May 19-24,2014
Students,
teachers
parentsBE FormsTeachers
Carpentry ______ Form 01
5
_______ Form 05
actively
participated
in
the
Parents
______
Form
02
_______
Form
06
Ordinary
Labor of the Brigada
150
implementation
Students
______ Form 03
Eskwela.
______ Form 04

Total Number of Hours


Total Estimated Cost
Rendered
What is/are important contribution to the operation of
the school or to the existing needs of the school?
The implementation of the program helped in preparing
8
1250
the school for the opening of classes.
4
7500

Prepared by:
Date:
E. ISSUES AND CONCERNS (Describe briefly problems encountered and how resolved)
The common problem encountered was the funding needs of the program. But through the resourcefulness
of the persons involved, it was
May 24, 2014
properly solved.
BEATRIZ R. RIOTOC
School Principal II

E LESSONS LEARNED / BEST PRACTICES


The practices learned were resourcefulness and the implementation of the bayanihan spirit among the people in the community.
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 in
your school)
There must be an allocated funds for the implementation of the program especially for major repairs of the physical facilities of the school.

Form 5

Republic of the Philippines


Department of Education
Region I
Division of Ilocos Sur
SAN VICENTE DISTRICT

SAN VICENTE INTEGRATED SCHOOL


Secondary

School Year 2014-2015

BRIGADA ESKWELA

RECORD OF DONATIONS RECEIVED


Items or Materials

Quantity

Date Received

Name of Donor

Assumed Cost
Per Unit (Php)

Of Items
Total(Php)

Total
Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator

Noted by:
May 24, 2014
Date of Inspection

BEATRIZ R. RIOTOC
School Principal II

Republic of the Philippines


Department of Education
Region I
Division of Ilocos Sur
SAN VICENTE DISTRICT

SAN VICENTE INTEGRATED SCHOOL


School Year 2014-2015

REPORT ON
BRIGADA ESKWELA
May 19-24, 2014
Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator
Noted by:
BEATRIZ R. RIOTOC

Principal II
Submitted to:
SAMUEL R. LAZO, Ed. D.

ES-I EPP/TLE

Form 4
Republic of the Philippines
Department of Education
Region I
Division of Ilocos Sur
SAN VICENTE DISTRICT

SAN VICENTE INTEGRATED SCHOOL


Secondary
School Year 2014-2015

BRIGADA ESKWELA
DAILY ATTENDANCE OF VOLUNTEERS
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.

NAME

POSITIONS /
DESIGNATION

ADDRESS /
ORGANIZATION

Prepared by:
JULIMAR R. BUQUING
ASP/BE School Coordinator

CONTACT
NUMBER

TIME
IN

OU
T

TOTAL
NUMBER OF
HOURS
SERVED

NATURE OF
VOLUNTEER
SERVICES
RENDERED

Noted by:
May 24, 2014
Date of Inspection

BEATRIZ R. RIOTOC
School Principal II