Appendix E BE Form 01
Caraga Administrative Region Division of Agusan del Norte Jabonga District -II Libas Elementary School S! S! "#$%-"#$& "#$% -"#$&
BRIGADA ESKWELA PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplished by the School Physical Facilities Coordinator)
Conduct an ocular inspection o the school physical acilities listed belo!" Then pro#ide the needed inormation to acilitate the impro#ement to be done on these identiied acilities" ($ needed% you may use separate orms or each classroom or school acility")
Instruction Instruction::
Condition (Chec' one) .nsatisactory
emar's
oos
/
$ un unsatisactory% describe the problem" no *utter
Ceilin*s
/
repairable
FAC$&$T$ES
Satisactory
ature o $mpro#ement eeded (e"*" repair% repaintin*% replacement% etc")
+aterial esources eeded ($ndicate ,ind and -uantity)
+anpo!er eeded($ndicate -uantity and ature o &abor Ser#ices eeded)
epair
Plain $ sheet *"2
3 manpo!er or 3 days
epairs
3 men or 3 days
epaintin*
4 bundles xx5 +arine Ply!ood 10pcs latex paint 2 *als
2 men or 2 days
epair7repaintin*
*als slate paint
men or days
6alls
/
aded paint
Blac'board
/
aded paint7some to be replaced
8oors%
/
aded paint
epaintin*
Paint9(4 *als)
men 9 days
Chairs% 8es's%Tables
/
aded paint
epaintin*
Paint9(4 *als)
men 9 days
Si*na*e
/
needs to be rene!ed
School arden
/
no more plants7co#ered !ith *lass
6indo!s
/
some blade7blade holder
8oors
/
aded paint
Comort ooms
/
aded paint
School rounds
/
*rassy
School canteen7Clinic
/
aded paint
;thers% Please speciy< Path!ays = >eroes Par'7+ini9Fence
/
Faded paint
repaintin*
6ater Facilities% 8raina*e System epair% repaintin*
Bo!l% tiles
Carpenter9
cleanin*
bolos%sho#el%pic' mattoc'
1: manpo!er needed or 4 days
epaintin*7replacement
blades
4 men or 3 days
epaintin*
eplantin*
men or days
epaintin*
paint 4 *als
men or days
cleanin*
: liters *asoline7*rass cutter
4 men or 4 days
epaintin*
1 !hite enamel paint
1 man or 1 day
pin'7*reen7yello!
: men or 4 days
&i*htin*
Prepared by< ,AA> A" ;8$.E? School Physical Facilities Coordinator
oted< +ay :% 01@ 8ate o $nspection
;E&$; S" S.+A>$T School >ead
Appendix E BE Form 0
Caraga Administrative Region Division of Agusan del Norte Jabonga District -II Libas Elementary School S! "#$%-"#$&
BRIGADA ESKWELA SCHOOL WORK PLAN (To be accomplished by the School >ead)
Instruction< &ist do!n all the speciic acti#ities that you !ill be underta'in* in relation to the conduct o Bri*ada Es'!ela in your school and ill in the reuired inormation" Add another sheet i needed" ;nce completed% submit a copy to
the Adopt9A9School Pro*ram coordinator or Bri*ada Es'!ela coordinator o your di#ision on or beore anuary 41"
KRA
1" Ad#ocacy +ar'etin*
Activities
Person/s Responsible
395% Baran*ay ;icials% PTA ;icials% Parents% Teachers and School >ead " esource +obiliation Ta'en or the +;;E and solicit amount rom sta'eholders 8i#ision Personnel% +ay 11913% School >ead% Teachers 4" $mplementation Cuttin* o *rasses% repaintin*% *ardenin*% and repair o some +ay 1:91 School aculties and !indo! sta'eholders 3" +onitorin* E#aluation :" eportin*
= Call up sta'eholders and idscuss acti#ities to be done
Timeline
+ay 01@
and ollo! up sta'eholders
School >ead
consolidate the dierent accomplishment report rom th dierent +ay report rom the dierent committees 012
Prepared by< KARAH A. R!RI"#
%$School Physical Facilities Coordinator
R"$&I '. '#MAHIT
School >ead
Budget
campai*n posters and :00"00 letters und plan and :0%000"00 solicitation letters rass cutter% sho#el% 1:%000"00 paint% bolos% and others Bri*ada orms 195
2% Assi*ned chairman in the Folder and Bondpaper dierent committees
oted< April 2% 01@ 8ate Prepared
Materials Needed
100"00 00"00
Appendix 8 BE Form 04
Caraga Administrative Region Division of Agusan del Norte Jabonga District -II Libas Elementary School S! "#$%-"#$&
BRIGADA ESKWELA RESOURCE MOBILIZATION COMMITTEE (To be accomplished by the Resource Mobilization Committee)
Instruction: Using the completed BE form 01: Physical Facilities Needs Assessment form as basis summari!e the resources "materials and manpo#er$ needed an dlist do#n the potential source or partners to be tapped% Add additional sheet if needed% &he status and 'emar(s columns should be updated regularly to determine progress in ac)uiring resources needed% Materials Needed
Quantity
Key Persons/Oranizations to be Tapped
Paint Bamboo Postsl Gasoline Grass cutter/$perator
7 gals 10 pcs 6- liters %
teachers PTA members Teachers Private Sector
cement gravel/cabella Tie )ire 17
* bags/1/% cubic 1 ,l+ galloons
Gen+ PTA President Gen+ PTA President .$$#
%abor !$ills/ &olunteers Needed
cleaning the garden cutting grasses painting .ason
Quantity
Key Persons/Oranizations to be Tapped
6* * % 1%
P2s leader &eligious Sector Alumni )atchman
're(ared by)
*ARA+ A R,DRI.E/
Person Responsible
!trateies/Plan o" #ction
Present to the problem motivate/implement !A &e'uested operator honorarium present the plan &e'uested or !A
!trateies/Plan o" #ction
.otivate !all up dierent religious groups call up alumni oicials
School head Parent "ep#d (ith School )atchman
!tatus
Remar$s
Procured 7 gals complied !A complied
Accomplished Accomplished Accomplished Accomplished
PTA President
complied
Accomplished
School ead
!ash Advance
!omplied
Person responsible
PTA President 3eader Brg4 $icials Alumni President Grade 5 Teacher
noted)
R,ELI, S S.0A+I1
!tatus
complied complied complied complied
Remar$s
Accomplished Accomplished Accomplished Accomplished
'esource *obili!ation +ommittee +hairperson
,ead &eacher
Appendix E BE Form 0:
(araga Administrative Region !ivision o) Agusan del Norte *abonga !istrict +II (u,ago $lementar, 'c-ool '.. 011+01
BRIGADA ESKWELA RECORD OF DONATIONS RECEIVED
(To be accomplished by the 8ocumentation Committee) Items or Matera!s
"#a$tt%
Date Re&e'e(
Name o) Do$or
-& oil gasoline bamboo post nails paint Nipa 8umber
. liter 4 liters 23/ pcs 560 pcs 1/ (ls 10 gals 200 pcs Per chainsa# for - days
/-11 /-11 /-211 /-211 /-211 /-/11 /-411 /-611
P&A P&A parents parents P&A Brgy% 7fficials P&A P&A
Prepared by:
Noted:
FE 9% 'EE; +ommittee on
9'A+IA *% BE8UAN ;chool ,ead
Appendix E BE Form 0:
Ass#me( Cost o) Items 'nit Cost Total Cost
20% 00 40% 00 10% 00 -% 00 4-% 00 240% 00 30% 00 -/00% 00
30% 00 40% 00 23/0% 00 1520% 00 50% 00 2400% 00 1/-0% 00 /000% 00
(araga Administrative Region !ivision o) Agusan del Norte *abonga !istrict +II (u,ago $lementar, 'c-ool '.. 011+01
BRIGADA ESKWELA RECORD OF DONATIONS RECEIVED
(To be accomplished by the 8ocumentation Committee Cas* Do$ato$s
"#a$tt%
Date Re&e'e(
Name o) Do$or
Ass#me( Cost o) Items 'nit Cost
4011 4011
Barangay officials 9P&A 7fficers and members
Prepared by:
Noted:
FE 9% 'EE; +ommittee on
9'A+IA *% BE8UAN ;chool ,ead
Appendix E BE Form 02
(araga Administrative Region !ivision o) Agusan del Norte *abonga !istrict +II
Total Cost
/ 000% 00 10% 000% 00
(u,ago $lementar, 'c-ool '.. 011+01
BRIGADA ESKWELA !AI& A((MP&I'HM$NT R$PRT
8AD
(To be accomplished by the Pro*ram $mplementation Committee) 1 4 3 : 8ATE< +ay 4% 011
$nstructions< &ist do!n all the acti#ities that needs to be underta'en or each day o the Bri*ada Es'!ela !ee'" At the end o each day% please mar' the appropriate column that corresponds to the status o each day acti#ity" Cite reasons or non9completion"
'TAT#'
#ctiities
1% 'epainting of roofings -% 'epainting and replacement of classroom ceiling % 'epainting of #alling 2% 'epainting of #indo#s and doors /% 'epair of damage tables and des(s 4% 'epainting of comfort rooms 6%Impro?ed grounds and landscaping 3% 'epainted school signage
+ompleted
;tarted but not yet +ompleted
Not
R$MARK'/R$(MM$N!ATIN'
> > > > > >
+ompleted
> >
Prepared by: ,E8EN 9'A+E P% 8A*7;&E Program Implementation +ommittee +hair=member
@@@@@@@@@@@@@@@@@@@@@
Noted: 9'A+IA *% BE8UAN ;chool ,ead
Appendi BE Form 06
*+!T,M#T+ CO!T O- &O%'NT++R !+R&,C+! R+N+R+* Re"er to uide "or Computin %abor Cost*(use separate sheet i" needed Type o" !erice
Total Number o" &olunteers
Total Number o" .ours Rendered
Total +stimated Costs
+arpentry Plumbing Electrical 8andscaping= 9ardening Painting 7rdinary 8abor others &otal
4 4 -10/ 1-
23 hrs% 14 hrs 14 hrs% -33 hrs 164 hrs 320 hrs --54 hrs
1 /0% -2 2/0% 00 2/0% 00 3101% 22 25/0% 33 -4-5% -0 42/34% 23
23/
330% 00
105122% 20
* !,N,-,C#NT +&+NT + 0P+R,+NC+! ('se separate sheet i" needed) 1hat happened2
none
1ho 3ere inoled2
none
1hen2
1hat is/are its important contribution to the operation o" the school or to the e4istin needs o" the school2
+* ,!!'+! #N CONC+RN! (describe brie"ly problems encountered and ho3 resoled)
*aority of the pupils participated during Brigada Es(#ela Plus +* %+!!ON! %+#RN+/ 5+!T PR#CT,C+!
9i?e snac(s to all ?olunteers
-* !'+!T,ON! TO !TR+NT.+N 5R, ## +!K1+%# PRO6+CT (,nclude support needed "rom Central7 Reion7 and iision O""ice that can increase the impact o" 5riada +s$3ela Pro8ect in your school*
Proects #ere completed
* +& ,+NC+!/ #TT#C.M+NT!
a% Photos" Before during and after$ b% Photocopy of all completed BE Forms Form 010-0020/0406 Prepared by:
;chool ,ead
;ubmit copy of this completed form to A<7P&A;+,778 P'79'A*
Appendi BE Form 06
(araga Administrative Region !ivision o) Agusan del Norte *abonga !istrict +II (u,ago $lementar, 'c-ool '.. 011+01
5R,## +!K1+%# SC+,,L ACC0'LIS+0EN1 RE',R1
(To be accomplished by the School >ead)
'E9I7N: +A'A9A ;+,778 I<: 112-
&ype of ;chool: +entral ;chool Non+entral ;chool
*ulti9rade Primary ;chool "Incomplete$ Integrated ;chool
;+,778 ,EA<: 9'A+IA *% BE8UAN P&+A P'E;I
+7N&A+& NU*BE': 055/55//5
#* !COP+ O- R+P#,R #N M#,NT+N#NC+ 1ORK COMP%+T+ (Please chec$ appropriate column)
'epaired 1% 'oofs -% ceilings % alls 2% indo#s and
hat #as doneG 'epainted
'eplaced
> > > > > > > > >
7thers "Brief
5* ON#T,ON!/M#T+R,#% R+!O'RC+! +N+R#T+ ('se separate sheets7 i" needed)
&ype of
;ource Brgy% 7fficials Parents P&A P&A P&A P&A P&A
Estimated +ost 2400%00 4650%00 20%00 40%00 1/-0%00 /000%00
&7&A8
1310% 00
#* !COP+ O - R+P#,R #N M#,NT+N#NC+ 1ORK CO MP%+T+ (Please chec$ appropriate column)
R#+ %+&+%
R+#,N+!! P+RC+NT#+ R#T,N
%+&+% O- PR#CT,C+
9rade IA 9rade IB 9rade IIA 9rade IIB 9rade IIIA 9rade III B 9rade ID
5/ percent 5/ percent 5/ percent 5/ percent 5/ percent 5/ percent 5/ percent
9rade D A
5/ percent
9rade DIA
5/ percent
'EA< F7' &,E 7PENIN9 7F +8A;;E; 'EA< F7' &,E 7PENIN9 7F +8A;;E; 'EA< F7' &,E 7PENIN9 7F +8A;;E; 'EA< F7' &,E 7PENIN9 7F +8A;;E; 'EA< F7' &,E 7PENIN9 7F +8A;;E; 'EA< F7' &,E 7PENIN9 7F +8A;;E; 'EA< F7' &,E 7PENIN9 7F +8A;;E; 'EA< F7' &,E 7PENIN9 7F +8A;;E; 'EA< F7' &,E 7PENIN9 7F +8A;;E; 'EA< F7' &,E 7PENIN9 7F +8A;;E; 'EA< F7' &,E 7PENIN9 7F +8A;;E;
7DE' A88 'A&IN9 7F &,E ;+,778
'EA<
Prepared by: RO%%,+ %* #RN,C#
A;P +oordinator
N7&E<: R#C,# M* 5+%'#N
;chool ,ead
Cara*a Administrati#e e*ion 8i#ision o A*usan del orte abon*a 8istrict $$ Cuyago Elementary School
NARRATIVE REPORT ON BRIGADA ESKWELA +,- The National Schools Maintenance Week dubbed as
“BRIGADA
ESKWELA 2011 ” was implemented in
May 23-28, 2011 !t encou"a#e pa"ents, ba"an#ay "esidents, and the community people to $oluntee" "esou"ces, %&inancial, mate"ials, labo"' and wo"k collecti$ely &o" the maintenance and mino" "epai" o& school to p"epa"e &o" the openin# o& classes ("i#ada )skwela 2011 o& *uya#o )lementa"y School was success&ully done &o" + days nd hope&ully, ("i#ada in ou" school is implemented all th"ou#hout the yea" e"ewith attached the di&&e"ent &o"ms accomplished by the school head, physical &acilities coo"dinato", "esou"ce mobili.ation chai"pe"son and pictu"es du"in# the + days Brigada Eskwela 2011
GRACIA M. BELUAN
School ead
Cara*a Administrati#e e*ion 8i#ision o A*usan del orte abon*a 8istrict $$ Cuyago Elementary School
Bre) Pro.!e The *uya#o )lementa"y School was located alon# the hi#hway with 10,000 s/ua"e mete"s s o& this cu""ent yea", the school has 13 teache"s includin# the 2 inde"#a"ten Teache"s The"e a"e sections 2 sections in "ade !, 2 sections in "ade !!, 2 sections in "ade !!!, 1 section in "ade !4, 1 section in "ade 4, and 1 section in "ade 4! The school composes o& 10 academic class"ooms includin# inde"#a"ten, 1 "oom &o" o&&ice used and 1 ) buildin# *uya#o )lementa"y School with inte"nal and e5te"nal stakeholde"s help one anothe" to inc"eased the pe"&o"mance both academic and non-academic o& the school