Brigada Eskwela Blank Forms

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    BE Form 01

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    School !ear """""""""

    BRIGADA ESKWELA

    PHYSICAL FACILI IES AND !AIN ENANCE NEEDS ASSESS!EN FOR!

    Instruction# $onduct an ocular inspection of the school ph%sical listed belo&' hen pro)ide the needed information to facilitate theimpro)ement to be done on these identi*ed facilities' (If needed %ou ma% use separate forms for each classroom or school facilit% '

    FACILI IES

    CONDI ION(Chec" O#e) Rema$"%

    Na&'$e of m $o*eme#&

    Nee+e+(e,-, $e a $.$e a #& #-.

    $e laceme#&.e&c)

    !a&e$ alRe%o'$ce%

    Nee+e+ (I#+ ca&e" #+ a#+ /'al &0)

    !a# o1e$Nee+e+(I#+ ca&e

    /'a#& &0 a#+#a&'$e of la2o$

    %e$* ce% #ee+e+)Sa& %fac&o

    $0U#%a& %fac&

    o$0

    If U#%a& %fac&o$0.

    +e%c$ 2e &he$o2lem

    • Roofs+,utters• $eilings• -alls• Blac.boards• $hairs+des.s+tables• -ater facilities+

    Drainage S%stem• Signages• School garden• /ighting• -indo&s• Doors

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    • $omfort Rooms• School ,rounds• School $anteen+$linic• School Fence+ &all• Electricit%• Alternati)e gate• Reference aterials• /aborator% e uipment

    Prepared b%# 2oted#

    """"""""""""""""""""""""""""""" """"""""""""""""" """"""""""""""""""""""""""""""""""""

    School Ph%sical Facilities $oordinator Date of Inspection School 3ead

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    BE Form 04

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School AddressSchool !ear """""""""

    BRIGADA ESKWELASCHOOL WORK PLAN

    Instruction# /ist do&n all the speci*c acti)ities that %ou &ill be underta.ing in relation to the conduct of Brigada Es.&ela in %our schooland *ll in the re uired information' Add another sheet if needed' 5nce completed6 submit a cop% to the adopt7A7School Program coordinator orBrigada Es.&ela coordinator of %our di)ision on or before """""""""'

    KRA Ac& * & e% mel #e Pe$%o#3%Re% o#% 2le

    !a&e$ al%Nee+e+

    B'+-e&

    1'Ad)ocac% andar.eting

    4'Resourceobili8ation

    9' Implementation

    :' onitoring andE)aluation

    ;' Reporting

    Prepared b%# 2oted b%#

    """"""""""""""""""""""""""""""""""" """"""""""""""""""""""""" """""""""""""""""""""""""""""

    Signature o)er Printed name Date Prepared ASP Di) ision $oordinator+ BE coordinator

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    BE Form 09

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    School !ear """""""""

    BRIGADA ESKWELARESOURCE !OBILI4A ION FOR!

    Instruction#

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    La2o$S" ll%6Vol'#&ee$%

    Nee+e+5'a#& &0

    Ke0Pe$%o#%6O$-a# 7a& o#

    &o2e a e+

    S&$a&e- e%6Pla#of

    Ac& o#Pe$%o# Re% o#% 2le S&a&'% Rema$"%

    Prepared b%# 2oted#

    """"""""""""""""""""""""""""""""""""""""""" """""""""""""""""""""""""""""""""""""""""""""""

    Resource obili8ation $ommittee $hairperson School 3ead

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    BE Form 0:

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    School !ear """""""""

    BRIGADA ESKWELADAILY A ENDANCE OF VOLUN EERS

    Date# """""""""""""""""""" Instruction# =olunteers themsel)es should personall% *ll in the details re uired b% this form under the super)ision of an% of the

    committee members' >For the last column6 indicate if masonr%6 carpentr%6 plumbing6 painting6 electrical6 gardening+landscaping6 ordinar%labours or others'

    NA!E POSI ION6DESIGNA ION

    ADDRESS6ORGANI4A ION6

    AFFILIA ION

    CON ACNU!BER

    I!E SIGNA URE

    O ALNU!BERS

    OFHOURSSERVED

    8NA UREOF

    VOLUN EERSERVICES

    RENDEREDIN OU

    2oted# """"""""""""""""""""""""""""""""""""""""""" """""""""""""""""""""""""""""""""

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    School 3ead Date

    BE Form 0;

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    School !ear """""""""

    BRIGADA ESKWELARECORD OF DONA IONS RECEIVED

    I E!S6 !A ERIALS 5UAN I Y DA ERECIEVED

    NA!E OF DONOR ASSU!ED COS OF I E!SPe$ U# & o&al

    O AL

    Prepared b%# 2oted b%#

    """""""""""""""""""""""""""""""""""""""""""""""" """"""""""""""""""""""""""""""""""""""""""""""

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    $ommittee on Documentation $hair+ ember School 3ead

    BE Form 0?

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    School !ear """""""""

    BRIGADA ESKWELADAILY ACCO!PLISH!EN REPOR

    DA! 1 4 9 : ;?

    DA E# """""""""""""""""

    Instruction# /ist do&n all the acti)ities that needs to be underta.en for each da% of the Brigada Es.&ela &ee.' At the end of each da%6please mar. the appropriate column that corresponds to the status of each acti)it%' $ite reasons for non7completion'

    Ac& * & e%

    S A USRE!ARKS6RECO!!ENDA IONS

    Com le&e+S&a$&e+ 2'& #o&

    0e&com le&e+

    No& +o#e

    Da0 9Da0 :Da0 ;Da0 <Da0 =Da0 >

    Prepared b%# 2oted b%#

    """""""""""""""""""""""""""""""""""""""""""""""" """"""""""""""""""""""""""""""""""""""""""""""

    Program Implementation $ommittee $hair+ ember School 3ead

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    Date Prepared# """"""""""""

    BE Form @

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    School !ear """""""""

    BRIGADA ESKWELASCHOOL ACCO!PLISH!EN REPOR

    DIVISION? Ilocos Sur REGION? ISCHOOL? S$355/ ID#SCHOOL ADDRESS? (Plea%e chec" a $o $ a&e [email protected])

    Le*el? 0 e of School? Eleme#&a$0 Ce#&$al School H -h School No# Ce#&$al School(Com le&e) !'l& -$a+e P$ ma$0 School(Com le&e) I#&e-$a&e+

    SCHOOL HEAD? $52 A$ 25'#

    P A PRESIDEN ? $52 A$ 25'#

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    BE Form [email protected]

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    School !ear """""""""

    A, SCOPE OR REPAIR AND !AIN ENANCE WORK CO!PLE ED (Plea%e chec" a $o $ a&e col'm#)Wha& 1a% +o#e

    Re a $e+ Re a #&e+ Re lace+ O&he$%(B$ ef De%c$ & o#)9,Roof%:,Ce l #-%;,Wall,Comfo$& Room%

    ,Lea" #- P e%,School G$o'#+%6La#+%ca #-,School % -#%

    9 , Al&e$#a& *e -a&e%6 2ac"+oo$ -a&e%99,Elec&$ c fa#%9:,L -h& #-%

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    BE Form [email protected]

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    School !ear """""""""

    B, DONA IONS6!A ERIALS RESOURCES GENERA ED (U%e %e a$a&e %hee&%. f #ee+e+) %pe of Donations So'$ce% E%& ma&e+ Co%&

    O AL

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    BE Form [email protected]

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    School !ear """""""""

    C, VOLUN EERS SERVICE

    0 e of Vol'#&ee$ Name of #+ * +'al%6o$-a# 7a& o#

    N'm2e$ of Vol'#&ee$%

    Da0 9 Da0 : Da0 ; Da0 < Da0 = Da0 > O AL

    O AL

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    BE Form [email protected]

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    D, ES I!A ED COS OF VOLUN EER SERVICES RENDERED0 e of Se$* ce o&al N'm2e$ of Vol'#&ee$% o&al N'm2e$ of Ho'$%

    Re#+e$e+o&al E%& ma&e+ Co%&%

    Ca$ e#&$0!a%o#$0Ga$+e# #-6 La#+%ca #-Pa #& #-Wel+ #-Elec&$ cal6 Elec&$o# c%Pl'm2 #-O$+ #a$0 La2o$

    O AL

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    BE Form 07

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    E, SIGNIFICAN EVEN S 6 E PERIENCES

    Wha& ha e#e+ Who 1e$e #*ol*e+ Whe#

    Wha& %6a$e m o$&a#&co#&$ 2'& o# &o &he o e$a& o#

    &o &he %chool o$ &o [email protected] %& #-

    #ee+% of &he %chool•

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    BE Form [email protected]

    Republic of the PhilippinesDepartment of Education

    Region ISCHOOLS DIVISION OF ILOCOS SUR

    (Name of School)(School Address

    F, LESSONS LEARNED

    G. SUGGESTIONS TO STRENGTHEN BRIGADA ESKWELA PROJECT

    P$e a$e+ 20?

    School Hea+

    Da&e?