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Appendix B BE Form 01 Republic of the Philippines DEPARTMENT OF EDUCATION Region IV MIMAROPA Division of Oriental Mindoro Pinamalayan West District MARAYOS ELEMENTARY SCHOOL Pinamalayan BRIGADA ESKWELA PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM (To be accomplished by the School Physical Facilities Coordinator) 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.) FACILITIES Condition (Check One) Remarks 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) Satisfacto ry Unsatisfact ory If unsatisfactory, describe the problem. Roofs/gutters / Need repair Repainting Paint Walls / Need repair Repainting Paint Blackboards / Need repair Replaced/ Repainting Paint, Plywood Chairs/desks/tables / Needing repair/replace Replaced/ constructed Paint, wood, plywood Water facilities / Drainage System / Needing repair/replace Replaced/ constructed Water supply material Signages / Needs construction Construction Plywood,paint School Garden /

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BE Form 03

Appendix BBE Form 01

Republic of the Philippines

DEPARTMENT OF EDUCATION

Region IV MIMAROPA

Division of Oriental Mindoro

Pinamalayan West District

MARAYOS ELEMENTARY SCHOOL

Pinamalayan

BRIGADA ESKWELA

PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM

(To be accomplished by the School Physical Facilities Coordinator)

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.)

FACILITIESCondition

(Check One)RemarksNature 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)

SatisfactoryUnsatisfactoryIf unsatisfactory, describe the problem.

Roofs/gutters/Need repairRepaintingPaint

Walls/Need repairRepaintingPaint

Blackboards/Need repairReplaced/RepaintingPaint, Plywood

Chairs/desks/tables/Needing repair/replaceReplaced/constructedPaint, wood, plywood

Water facilities / Drainage System/Needing repair/replaceReplaced/constructedWater supply material

Signages /Needs constructionConstructionPlywood,paint

School Garden/

Lighting/Needing repair/constructionReplaced/constructionBulb, wires and other electrical materials

Doors/For repair and repaintingRepair/RepaintingPaint, plywood

Comfort Rooms./For repair and repaintingRepair/RepaintingTiles, cement, paint

School grounds/Need maintenancemaintenanceGrass cutter

School Canteen/Clinic/Needing repair/replaceReplaced/constructed

School Fence/RepaintingPaint

Prepared by:

Noted by:

BABILYN P. GAMIER

MAY 18, 2015

MARITES P. PEREZSchool Physical Facilities Coordinator

Date of Inspection

PrincipalAppendix CBE Form 2

Republic of the Philippines

DEPARTMENT OF EDUCATION

Region IV MIMAROPA

Division of Oriental Mindoro

Pinamalayan West District

MARAYOS ELEMENTARY SCHOOL

Pinamalayan

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.

KRAActivitiesTimelinePerson/s ResponsibleMaterials NeededBudget

1. Advocacy and Marketing

Inspecting School Physical FacilitiesApril 2015School Head, Teachers

2. Resource Mobilization

Soliciting materials needed for the Brigada EskwelaMay 2015School Head, TeachersCommunication Letters300.00

3. Implementation

Conduct Brigada Eskwela, as indicated in the Program of works and other timelineMay 18-23,2015School Head, TeachersConstruction, repair painting materials-

4. Monitoring and Evaluation

Assign teachers and parents for proper distribution of works neededMay 18-23,2015School Head, Teachers, Parents--

5. Reporting

Narrative Reports preparation

Pictures and Brigada ReportsJune 2015

School Head, Teachers

Prepared by:

Noted by:

MARITES P. PEREZ

May 23, 2015

Principal I

Date of Inspection

ASP Division Coordinator /BE CoordinatorAppendix DBE Form 03

Republic of the Philippines

DEPARTMENT OF EDUCATION

Region IV MIMAROPA

Division of Oriental Mindoro

Pinamalayan West District

MARAYOS ELEMENTARY SCHOOL

Pinamalayan

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 NeededQuantityKey Persons / Organizations to be TappedStrategies/Plan of ActionPerson ResponsibleStatusRemarks

Construction of School Canteen

17 tinsPaint

Latex, gloss

LGU-Mayor

RequestsSolicitationPrincipal SolicitedComplete

Construction of 1 Classroom Comfort Room

Plywoods, nails

OthersMOOE-DepedRequests

SolicitationPrincipalSolicitedComplete

Repainting of School Buildings and Classrooms18 tins PaintMunicipal LGU Requests

SolicitationPrincipal And teachers and ParentsSolicitedComplete

Elevation of PathwaysCement and SandParentsRequests

SolicitationPrincipal And teachers and ParentsSolicitedComplete

Repair and Improvement of Hand washing Facilities. Cement, water supply materialsParents, DepEDRequests

SolicitationPrincipal And teachers and ParentsSolicitedComplete

Repair of Classroom doors & windowsPlywoods, woodsParentsRequests

SolicitationPrincipal And teachers and ParentsSolicitedComplete

Installation of Water Supplies of Three ClassroomsFaucet, water supply materialsDepEDRequests

SolicitationPrincipal SolicitedComplete

Installation of Electrical Supplies of Three ClassroomsG.I wires, bulb, and other electrical suppliesDepED, ParentsRequests

SolicitationPrincipal, teachers and ParentsSolicitedComplete

Installation / drilling of one (1) jetmatic pumpJetmatic pump, pipeBarangay, LGURequests

SolicitationPrincipal, teachers and ParentsSolicitedComplete

Landscaping & maintenance of flower boxes & Gulayan sa PaaralanPlants, cements, rocksParents, Teachers, PrincipalRequests

SolicitationPrincipal, teachers and ParentsSolicitedComplete

Putting up of School SignagesPlywoods, paintParents, Teachers, PrincipalRequests

SolicitationPrincipal, teachers and ParentsSolicitedComplete

Construction of Two Hand washing FacilitiesCement, Paint, faucet and other water suppliesDepEdRequests

SolicitationPrincipal, teachers and ParentsSolicitedComplete

Labor Skills/Volunteers NeededQuantityKey Persons / Organizations to be TappedStrategies/Plan of ActionPerson ResponsibleStatusRemarks

Foreman1All persons involvedMeetingPrincipalAll Persons

Painter3Will be from PTAWith the brgyTeachersagreed

Carpenter3NGOs, LGUPeopleBrgy. CaptTo help in the

Helpers10

Prepared by:

Noted by:

ROMELIZA V. PEREZ

May 23, 2015

MARITES P. PEREZResource Mobilization Committee ChairpersonDate of Inspection Principal IAppendix G

BE Form 06

Republic of the Philippines

DEPARTMENT OF EDUCATION

Region IV MIMAROPA

Division of Oriental Mindoro

Pinamalayan West District

MARAYOS ELEMENTARY SCHOOL

Pinamalayan

BRIGADA ESKWELA

DAILY ACCOMPLISHMENT REPORT

(To be accomplished by the Program Implementation Committee)

DAY 1 2 3 4 5 6DATE: May 18 , 2015

Instruction: List down all the activities that needs to be undertaken for each day of the Brigada 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.

ActivitiesSTATUSREMARKS/RECOMMENDATIONS

CompletedStarted but not yet completedNot done

Construction of School Canteen/

Construction of 1 Classroom Comfort Room/

Elevation of Pathways/

Repainting of School Buildings and Classrooms/

Repair and Improvement of Hand washing Facilities. /

Repair of Classroom doors & windows/

Installation of Water Supplies of Three Classrooms/

Installation of Electrical Supplies of Three Classrooms/

Installation / drilling of one (1) jetmatic pump/

Landscaping & maintenance of flower boxes & Gulayan sa Paaralan/

Putting up of School Signages/

Construction of Two Hand washing Facilities/

Prepared by:ROMELIZA V. PERE May 23,2015Program Implementation Committee Chair/Member

Date Prepared

Noted by:

MARITES P. PEREZ Principal I