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    BE Form 01

    Republic of the PhilippinesDepartment of Education

    Region IV-ADivision of Rizal

    DON JOSE YNARES SR. MEMORIAL NATIONAL HIGH SCHOOLSchool Year 2011-2012

    BRIGADA ESKWELAPHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM

    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 faciliti(If needed, you may use separate form for each classroom or school facility.)

    FACILITIES

    Condition(Check One)

    RemarksNature of Improvement

    Needed(e.g. repair, repainting,

    replacement, etc.)

    Material ResourcesNeeded

    (Indicate kind andquantity)

    Manpower Ne(Indicate quant

    nature of labor sneeded)Satisfactory

    UnsatisfactoryIf unsatisfactory,

    describe the problem.

    Roofs/guttersCeilings

    Walls

    Blackboards

    Chairs/desks/tablesWater facilities / Drainage

    SystemLighting

    Windows

    DoorsSchool grounds

    Others. Floor

    Prepared by: Noted by:

    BERLIN F. CELOZA May 27, 2011 DR. MARIA A. BARRAMEDA

    Teacher I Date of Inspection Secondary School Principal III

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    BE Form 03Republic of the PhilippinesDepartment of Education

    Region IV-ADivision of Rizal

    DON JOSE YNARES SR. MEMORIAL NATIONAL HIGH SCHOOLSchool Year 2011-2012

    BRIGADA ESKWELARESOURCE MOBILIZATION FORM

    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 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 QuantityKey Persons / Organizations

    to be TappedStrategies/Plan of Action Person Responsible Status Remark

    Paint

    Paint brush

    Thinner

    Sand Paper

    Plastic pail

    Floor wax

    Soft broom

    Labor Skills/VolunteersNeeded

    QuantityKey Persons / Organizations

    to be TappedStrategies/Plan of Action Person Responsible Status Remark

    Painting of the cabinets,blackboards, chairs andbulletin boards

    Prepared by: Noted by:

    BERLIN F. CELOZA May 27,2011 DR. MARIA A. BARRAMEDA

    Teacher I Date of Inspection Secondary School Principal III

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    BE Form 06

    Republic of the PhilippinesDepartment of Education

    Region IV-ADivision of Rizal

    DON JOSE YNARES SR. MEMORIAL NATIONAL HIGH SCHOOLSchool Year 2011-2012

    BRIGADA ESKWELADAILY ACCOMPLISHMENT REPORT

    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 correto the status of each activity. Cite reasons for non-completion.

    ActivitiesSTATUS

    REMARKS/RECOMMENDATCompleted Started but not yet completed Note done

    Day 1 May 23,2011

    Day 2 May 24,2011

    Day 3 May 25,2011

    Day 4 May 26,2011Day 5 May 27,2011

    PreparPrepared by: Noted by:

    BERLIN F. CELOZA May 27,2011 DR. MARIA A. BARRAMEDA

    Teacher I Date of Inspection Secondary School Principal III

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    BE Form 2Republic of the PhilippinesDepartment of Education

    Region IVDivision of Rizal

    DON JOSE YNARES SR. MEMORIAL NATIONAL HIGH SCHOOLSchool Year 2011-2012

    BRIGADA ESKWELASCHOOL WORK PLAN

    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 beforeJanuary 31.

    KRA Activities Timeline Person/sResponsible Materials Needed Budget1. Advocacy and Marketing

    Inform the students and parentsduring the enrolment.

    April-May, 2011TeacherParentsStudents

    2. Resource MobilizationMake a listing of donated materials.Conduct a physical inspection of thephysical facilities.

    April-May, 2011 Teacher

    List of donated materials

    3. ImplementationConduct the Brigada Eskwela

    program.

    May 23-27,2011TeacherParents

    Students

    4. Monitoring and EvaluationCheck the outputs and account thepersons involved in the program.

    May 227, 2011TeacherParentsStudents

    5. ReportingPrepared the report on the finishedwork.

    May 27, 2011 Teacher

    Encoding, printing of thereport

    P 100.00

    Prepared by: Noted by:

    BERLIN F. CELOZA May 27,2011 DR. MARIA A. BARRAMEDA

    Teacher I Date of Inspection Secondary School Principal III

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    Form 5Republic of the PhilippinesDepartment of Education

    Region IV-ADivision of Rizal

    DON JOSE YNARES SR. MEMORIAL NATIONAL HIGH SCHOOLSchool Year 2011-2012

    BRIGADA ESKWELA

    RECORD OF DONATIONS RECEIVED

    Items or Materials Quantity Date Received Name of Donor Assumed Cost Of Items

    Per Unit (Php) Total(Php)

    Prepared by: Noted by:

    BERLIN F. CELOZA May 27, 2011 DR. MARIA A. BARRAMEDATeacher I Date of Inspection Secondary School Principal III

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    Republic of the PhilippinesDepartment of Education

    Region IV-ADivision of RIZAL

    DON JOSE YNARES SR. MEMORIAL NATIONAL HIGH SCHOOL

    School Year 2011-2012

    REPORT ON BRIGADA ESKWELAMay 23-27, 2011

    Submitted by:

    BERLIN F. CELOZAFACULTY PRESIDENT/SSG ADVISER

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    G. EVIDENCES / ATTACHMENTSa. Photos (before, during, after)b. Photocopy of all completed BE Forms (check if attach)

    ______ Form 01 _______ Form 05______ Form 02 _______ Form 06______ Form 03______ Form 04

    Prepared by:

    BERLIN F. CELOZATeacher I

    Name and Designation

    Date:

    May 27, 2011

    Submit copy of this completed form to ADOPT-A-SCHOOL PROGRAM DISTRICT COORDINATOR or District Supervisor on or before June 15.