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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.)
Condition
Nature of
Remarks
Material Resources
Manpower Needed
(Check One)
Improvement Needed
Needed
(Indicate quantity
FACILITIES
(e.g. repair,
(Indicate kind and
and nature of labor
If unsatisfactory,
repainting,
Satisfactory Unsatisfactory
quantity)
services needed)
describe the problem.
replacement, etc.)
/
Need repair
Repainting
Paint
Roofs/gutters
/
Need repair
Repainting
Paint
Walls
/
Need repair
Replaced/Repainting
Paint, Plywood
Blackboards
/
Needing repair/replace
Replaced/constructed
Paint, wood, plywood
Chairs/desks/tables
/
Needing repair/replace
Replaced/constructed
Water supply material
Water facilities / Drainage System
/
Needs construction
Construction
Plywood,paint
Signages
/
School Garden
/
Needing
Replaced/construction
Bulb, wires and other
Lighting
repair/construction
electrical materials
/
For repair and
Repair/Repainting
Paint, plywood
Doors
repainting
./
For repair and
Repair/Repainting
Tiles, cement, paint
Comfort Rooms
repainting
/
Need maintenance
maintenance
Grass cutter
School grounds
/
Needing repair/replace
Replaced/constructed
School Canteen/Clinic
/
Repainting
Paint
School Fence
Prepared by:
Noted by:
BABILYN P. GAMIER
MAY 18, 2015
MARITES P. PEREZ
School Physical Facilities Coordinator
Date of Inspection
Principal

Appendix C
BE 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.
KRA
Activities
Timeline
Person/s Responsible
Materials Needed
Budget
1. Advocacy and
Marketing

Inspecting School Physical Facilities

April 2015

School Head, Teachers

Soliciting materials needed for the Brigada


Eskwela

May 2015

School Head, Teachers

Communication Letters

300.00

Conduct Brigada Eskwela, as indicated in the


Program of works and other timeline

May 18-23,2015

School Head, Teachers

Construction, repair painting


materials

Assign teachers and parents for proper


distribution of works needed

May 18-23,2015

School Head, Teachers,


Parents

2. Resource Mobilization

3. Implementation

4. Monitoring and
Evaluation
5. Reporting

Narrative Reports preparation


Pictures and Brigada Reports

Prepared by:
MARITES P. PEREZ
Principal I

June 2015
School Head, Teachers

Noted by:
May 23, 2015
Date of Inspection

ASP Division Coordinator /BE Coordinator

Appendix D
BE 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 Needed

Quantity

Key Persons /
Organizations
to be Tapped

Strategies/Plan
of Action

Person
Responsible

Status

Remarks

Construction of
School Canteen

17 tins
Paint
Latex,
gloss

LGU-Mayor

Requests
Solicitation

Principal

Solicited

Complete

Construction of 1
Classroom Comfort
Room

Plywoods,
nails
Others

MOOE-Deped

Requests
Solicitation

Principal

Solicited

Complete

Repainting of
School Buildings
and Classrooms

18 tins
Paint

Municipal LGU

Requests
Solicitation

Principal And
teachers and
Parents

Solicited

Complete

Elevation of
Pathways

Cement
and Sand

Parents

Requests
Solicitation

Principal And
teachers and
Parents

Solicited

Complete

Repair and
Improvement of
Hand washing
Facilities.

Cement,
water
supply
materials

Parents, DepED

Requests
Solicitation

Principal And
teachers and
Parents

Solicited

Complete

Repair of
Classroom doors &
windows

Plywoods,
woods

Parents

Requests
Solicitation

Principal And
teachers and
Parents

Solicited

Complete

Installation of
Water Supplies of
Three Classrooms

Faucet,
water
supply
materials

DepED

Requests
Solicitation

Principal

Solicited

Complete

Installation of
Electrical Supplies
of Three

G.I wires,
bulb, and
other
electrical
supplies

DepED, Parents

Requests
Solicitation

Principal,
teachers and
Parents

Solicited

Complete

Classrooms

Installation /
drilling of one (1)
jetmatic pump

Jetmatic
pump,
pipe

Barangay, LGU

Requests
Solicitation

Principal,
teachers and
Parents

Solicited

Complete

Landscaping &
maintenance of
flower boxes &
Gulayan sa
Paaralan

Plants,
cements,
rocks

Parents,
Teachers,
Principal

Requests
Solicitation

Principal,
teachers and
Parents

Solicited

Complete

Putting up of
School Signages

Plywoods,
paint

Parents,
Teachers,
Principal

Requests
Solicitation

Principal,
teachers and
Parents

Solicited

Complete

Construction of
Two Hand washing
Facilities

Cement,
Paint,
faucet
and other
water
supplies

DepEd

Requests
Solicitation

Principal,
teachers and
Parents

Solicited

Complete

Status

Remarks

Labor Skills/
Volunteers
Needed

Quantity

Key Persons /
Organizations to be
Tapped

Strategies/Plan
of Action

Person
Responsible

Foreman

All persons involved

Meeting

Principal

Painter

Will be from PTA

With the brgy

Teachers

Carpenter

NGOs, LGU

People

Brgy. Capt

Helpers

10

Prepared by:
ROMELIZA V. PEREZ
Resource Mobilization Committee Chairperson

All
Persons
agreed
To help
in the

Noted by:
May 23, 2015
Date of Inspection

MARITES P. PEREZ
Principal I

Appendix 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

DATE: 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.
Activities

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

Completed

STATUS
Started but not
yet completed

Not done

REMARKS/RECOMMENDATIONS

/
/
/
/
/
/
/

/
/
/
/
/

Prepared by:
ROMELIZA V. PERE

May 23,2015

Program Implementation Committee Chair/Member


Noted by:
MARITES P. PEREZ
Principal I

Date Prepared