MONITORING FORM BRIGADA ESKWELA 2016

School Head:______________________________ School:____________________________ Date:_______________

No. of Teachers: _________ No. of Present: ___________ No. of Absent ________

A. FACILITIES/ AMENITIES

Number of Classroom/Facilities Remarks

New

Construction

Replacement

Repair

Repainting

Equipments Started/ Complete/Not

Done

1.Roofs/rain gutter

2.Walls/ Ceilings

3.School Building directory

4. Windows and Doors

5. Chairs/Desks Tables, and Blackboards

6. Comfort Rooms

7. Leaking Pipes

8. School Grounds/Landscaping

9. School Signs/signage’s

10. Electrical

11.Fire extinguisher (Suspended outside)

12. School free from any sharp objects

13.Prepare directory of identified classroom for evacuation

14. Drainage

15. Signage’s for on-going construction/condemned buildings

16. Exit plan/signage of high story building

17 Post directory of emergency contact

18. Establish early warning devices in case of emergency

19. School equip with first aid kits

20. Vegetable garden

21. Nursery (with seed box, seedlings of fruits & forest trees)

21. No. of trees planted

22. Waste depository (with segregation)

23. Storage room (with segregation of contents)

24.Disaster Organizational Chart

Others specify

B. VOLUNTER SERVICES (Use separate sheets of daily attendance)

Type of Volunteer A. (PRIVATE SECTOR)

Name of Individual/ Organization

Number of Volunteers

Day 1

Day 2 Day 3 Day 4 Day 5 Day 6 Total

1. NGO

2. PTA

3. SGC

4. Gawad Kalinga

5. Corporation

6. Other (Pls. Specify)

B. (COMMUNITY)

1. Parents

2. Alumni 3. Private Individual / Community Members 4. Religious Organization (Youth and Adult)

Others (Pls. Specify)

Name of Individual/ Organization

Day 1

Day 2 Day 3 Day 4 Day 5 Day 6 Total

C. (Gov’t Agencies)LOCAL & NATIONAL

1. Congressional Officials and Staff

2. Provincials Officials

3. City Officials

4. Barangay Officials

5. SK Officials

6. Provincial /City Employees

7. Fireman / PNP etc.

8. AFP (PA, Marine, etc)

9. Barangay Workers

10. Other Volunteers ( Pls. Specify)

TOTAL

C. DONATIONS / MATERIAL RESOURCES GENERATED (Use separate sheet, if needed)

Type of Donations Source Estimated Cost

Total

D. ENROLMENT (BEFORE AND DURING BRIGADA ESKWELA)

Day 1 Day 2 Day 3 Day 4 Day 5

M F T M F T M F T M F T M F T

Kinder

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

TOTAL

Observation: _______________________________________________________________________________________

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Suggestion and recommendation: ______________________________________________________________________

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Attested by: Monitored by:

_____________________________ _______________________________

School Head Name & Signature Name & Signature

NOTED:

ROSALIE M. PASAOL, Ed. D., CESO V

Schools Division Superintendent