Brigada Report Forms
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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.