Download pdf - Brigada Eskwela Blank Forms

8/9/2019 Brigada Eskwela Blank Forms

1/15

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


2/15

• $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


3/15

BE Form 04



(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


4/15

BE Form 09





BRIGADA ESKWELARESOURCE !OBILI4A ION FOR!

Instruction#


5/15

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


6/15

BE Form 0:





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# """"""""""""""""""""""""""""""""""""""""""" """""""""""""""""""""""""""""""""


7/15

School 3ead Date

BE Form 0;





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


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


8/15

$ommittee on Documentation $hair+ ember School 3ead

BE Form 0?





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 >


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

Program Implementation $ommittee $hair+ ember School 3ead


9/15

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

BE Form @





BRIGADA ESKWELASCHOOL ACCO!PLISH!EN REPOR

DIVISION? Ilocos Sur REGION? ISCHOOL? S$355/ ID#SCHOOL ADDRESS? (Plea%e chec" a $o $ a&e 2o@)

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'#


10/15

BE Form 0@





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& #-%


11/15

BE Form 0@





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


12/15

BE Form 0@





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


13/15

BE Form 0@




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


14/15

BE Form 07




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 e@ %& #-

#ee+% of &he %chool•


15/15

BE Form 0@




F, LESSONS LEARNED

G. SUGGESTIONS TO STRENGTHEN BRIGADA ESKWELA PROJECT

P$e a$e+ 20?

School Hea+

Da&e?