Appendix E

BE Form 01

Caraga Administrative Region

Division of Agusan del Norte
Jabonga District -II
Libas Elementary School
S.Y. 2017-2018

BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplished by the School Physical Facilities Coordinator)
Conduct an ocular inspection of the school physical facilities listed below. Then provide the needed information to facilitate the improvement to be done on these
Instruction:
identified facilities. (If needed, you may use separate forms for each classroom or school facility.)
Condition (Check one) Remarks Nature of Improvement Needed Material Resources Needed Manpower Needed(Indicate
(e.g. repair, repainting, replacement, (Indicate Kind and Quantity) Quantity and
Satisfactory Unsatisfactory If unsatisfactory,
FACILITIES etc.) Nature of Labor Services Needed)
describe the problem.
Roofs no gutter Repair Plain GI sheet g.26 4 manpower for 4 days
Ceilings repairable Repairs 3 bundles 2x2x8 4 men for 4 days
Marine Plywood 10pcs
Walls faded paint Repainting latex paint 6 gals 6 men for 6 days
Blackboard faded paint/some to be replaced Repair/repainting 2 gals slate paint 2 men for 2 days
Doors, faded paint Repainting Paint-(3 gals) 2 men -2 days
Chairs, Desks,Tables faded paint Repainting Paint-(3 gals) 2 men -2 days
Water Facilities, Drainage System
Signage needs to be renewed Repair, repainting Bowl, tiles Carpenter-2
School Garden no more plants/covered with glass cleaning bolos,shovel,pick mattock 15 manpower needed for 3 days
Lighting
Windows some blade/blade holder Repainting/replacement blades 3 men for 4 days
Doors faded paint Repainting Replanting 2 men for 2 days
Comfort Rooms faded paint Repainting paint 3 gals 2 men for 2 days
School Grounds grassy cleaning 5 liters gasoline/grass cutter 3 men for 3 days
School canteen/Clinic faded paint Repainting 1 white enamel paint 1 man for 1 day
Others, Please specify: Faded paint repainting pink/green/yellow 5 men for 3 days
Pathways & Heroes Park/Mini-Fence

Prepared by: Noted:

KARAH A. RODRIGUEZ May 25, 2017 ROGELIO S. SUMAHIT

School Physical Facilities Coordinator Date of Inspection School Head
Appendix E
BE Form 02

Caraga Administrative Region

Division of Agusan del Norte
Jabonga District -II
Libas Elementary School
S.Y. 2017-2018
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 division on or before January 31.
KRA Activities Timeline Person/s Responsible Materials Needed Budget
1. Advocacy & Call up stakeholders and idscuss activities to be done
May 4-8, Barangay Officials, PTA campaign posters and 500.00
Marketing 2017 Officials, Parents, letters
Teachers and School Head
2. Resource Mobilization Taken for the MOOE and solicit amount from stakeholders Division Personnel, fund plan and 50,000.00
May 11-14, School Head, Teachers solicitation letters
3. Implementation Cutting of grasses, repainting, gardening, and repair of some May 15-21 School faculties and Grass cutter, shovel, 15,000.00
window stakeholders paint, bolos, and others

4. Monitoring and follow up stakeholders School Head Brigada forms 1-8 100.00
Evaluation

5. Reporting consolidate the different accomplishment report from th different May 26, Assigned chairman in the Folder and Bondpaper 200.00
report from the different committees 2016 different committees

Prepared by: Noted:

KARAH A. RODRIGUEZ April 26, 2017 ROGELIO S. SUMAHIT

School Physical Facilities Coordinator Date Prepared School Head
Appendix D
BE Form 03

Caraga Administrative Region

Division of Agusan del Norte
Jabonga District -II
Libas Elementary School
S.Y. 2017-2018

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, summarize the resources (materials and manpower) needed an dlist 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.

Person
Materials Needed Quantity Key Persons/Organizations to be Tapped Strategies/Plan of Action Status Remarks
Responsible
Paint 7 gals teachers Present to the problem School head Procured 7 gals Accomplished
Bamboo Postsl 10 pcs PTA members motivate/implement Parent complied Accomplished
Gasoline 6-8 liters Teachers CA DepEd CA Accomplished
Grass cutter/Operator 2 Private Sector Requested operator with School Watchman complied Accomplished
honorarium
cement gravel/cabella 3 bags/1/2 cubic Gen. PTA President present the plan PTA President complied Accomplished
Tie Wire 1 kl. Gen. PTA President
17 9 galloons MOOE Requested for CA School Head Cash Advance Complied

Labor Skills/ Key Persons/Organizations

Volunteers Needed
Quantity Strategies/Plan of Action Person responsible Status Remarks
to be Tapped
cleaning the garden 63 4Ps leader Motivate PTA President complied Accomplished
cutting grasses 43 Religious Sector Call up different religious groups Leader Brgy Officials complied Accomplished
painting 28 Alumni call up alumni officials Alumni President complied Accomplished
Mason 12 Watchman Grade IV Teacher complied Accomplished

Prepared by: noted:

KARAH A. RODRIGUEZ ROGELIO S. SUMAHIT

 Resource Mobilization Committee Chairperson Head Teacher

Appendix E
BE Form 05

Caraga Administrative Region

Division of Agusan del Norte
Jabonga District -II
Cuyago Elementary School
S.Y. 2011-2012

BRIGADA ESKWELA
RECORD OF DONATIONS RECEIVED
(To be accomplished by the Documentation Committee)
Items or Materials Quantity Date Received Name of Donor Assumed Cost of Items
Unit Cost Total Cost
2T oil liter 5-23-11 PTA 40. 00 80. 00
gasoline 6 liters 5-23-11 PTA 60. 00 360. 00
bamboo 485 pcs 5-24-11 parents 10. 00 4,850. 00
post 970 pcs 5-24-11 parents 2. 00 1,940. 00
nails 15 kls 5-24-11 PTA 62. 00 930. 00
paint 10 gals 5-25-11 Brgy. Officials 460. 00 4,600. 00
Nipa 400 pcs 5-26-11 PTA 380. 00 1,520. 00
Lumber Per chainsaw for 2 days 5-27-11 PTA 2,500. 00 5,000. 00

Prepared by: Noted:

FE G. REYES GRACIA M. BELUAN

Committee on Documentation Chair/Member School Head

Appendix E
BE Form 05
 Caraga Administrative Region
Division of Agusan del Norte
Jabonga District -II
Cuyago Elementary School
S.Y. 2011-2012

BRIGADA ESKWELA
RECORD OF DONATIONS RECEIVED
(To be accomplished by the Documentation Committee
Cash Donations Quantity Date Received Name of Donor Assumed Cost of Items
Unit Cost Total Cost
6-30-11 Barangay officials 5, 000. 00
6-30-11 GPTA Officers and members 10. 000. 00

Prepared by: Noted:

FE G. REYES GRACIA M. BELUAN

Committee on Documentation Chair/Member School Head

Appendix E
BE Form 06

Caraga Administrative Region

Division of Agusan del Norte
Jabonga District -II
 Cuyago Elementary School
S.Y. 2011-2012

BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT
(To be accomplished by the Program Implementation Committee)
DAY 1 2 3 4 5 DATE: May 23, 2011
Instructions: 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 day activity. Cite reasons for
non-completion.
STATUS
Activities Completed Started but not Not Done REMARKS/RECOMMENDATIONS
yet Completed
1. Repainting of roofings Completed
2. Repainting and replacement of classroom ceiling
3. Repainting of walling
4. Repainting of windows and doors
5. Repair of damage tables and desks
6. Repainting of comfort rooms
7.Improved grounds and landscaping
8. Repainted school signage

Prepared by:

HELEN GRACE P. LAMOSTE

Program Implementation Committee Chair/member _____________________

Date
Noted:

GRACIA M. BELUAN
School Head

Appendix
BE Form 07

D.ESTIMATED COST OF VOLUNTEER SERVICES RENDERED. Refer to guide for Computing Labor Cost.(use separate sheet if needed
Type of Service Total Number of Volunteers Total Number of Hours Rendered Total Estimated Costs
Carpentry 6 48 hrs. 1, 350. 24
Plumbing 2 16 hrs 450. 00
Electrical 2 16 hrs. 450. 00
Landscaping/ Gardening 36 288 hrs 8,101. 44
Painting 22 176 hrs 4,950. 88
Ordinary Labor 105 840 hrs 23,629. 20
others 312 2,296 hrs 64,586. 48

Total 485 3,880. 00 109,144. 40

D. SIGNIFICANT EVENT EXPERIENCES (Use separate sheet if needed)

What happened? Who were involved? When? What is/are its important contribution to the operation of the school or to the existing needs of the school?

none none ---- -----

E. ISSUES AND CONCERNS (describe briefly problems encountered and how resolved)

Majority of the pupils participated during Brigada Eskwela Plus

E. LESSONS LEARNED/ BEST PRACTICES

Give snacks to all volunteers

F. SUGGESTIONS TO STRENGTHEN BRIGADA ESKWELA PROJECT (Include support needed from Central, Region, and Division Office that can increase the impact
of Brigada Eskwela Project in your school.
 Projects were completed

G. EVIDENCES/ ATTACHMENTS

a. Photos( Before, during and after)

b. Photocopy of all completed BE Forms
Form 01-02-03-04-05-06-07

Prepared by: Date:

GRACIA M. BELUAN
School Head

Submit copy of this completed form to ADOPT-A-SCHOOL PROGRAM DISTRICT COORDINATOR OR District Supervisor on or before June 15.

Appendix
BE Form 07
 Caraga Administrative Region
Division of Agusan del Norte
Jabonga District -II
Cuyago Elementary School
S.Y. 2011-2012
BRIGADA ESKWELA
SCHOOL ACCMPLISHMENT REPORT
(To be accomplished by the School Head)
DIVISION: AGUSAN DEL NORTE REGION: CARAGA
SCHOOL: CUYAGO ELEMENTARY SCHOOL SCHOOL ID: 131432
SCHOOL ADDRESS: CUYAGO, JABONGA, AGUSAN DEL NORTE
(Please check appropriate box)
Level: Type of School:
Central School
Non-Central School

Multi-Grade

Primary School (Incomplete)

Integrated School
SCHOOL HEAD: GRACIA M. BELUAN CONTACT NUMBER: 09395939559
PTCA PRESIDENT: JOVELYN G. LOZANO

A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
What was done?
Repaired Repainted Replaced Others
(Brief Description)
1. Roofs Repainting of Roofings
2. ceilings Repainting and replacement of classroom ceiling
3. Walls Repainting of wallings
4. Windows and Doors Repainting of windows and doors
5. Chairs/Desks, Tables, and Blackboards Repair of damage tables and desks
6. Comfort Rooms Repainting of comfort rooms
7. Leaking Pipes Repair of water pipes leaked.
8. school Ground Improved ground and landscaping
9. School Signs Repainted school signage
10. Others (specify)
B. DONATIONS/MATERIAL RESOURCES GENERATED (Use separate sheets, if needed)
Type of Donations Source Estimated Cost
In kind (paint) Brgy. Officials 4,600.00
Banboo and Post Parents 6,790.00
2T oil PTA 40.00
Gasoline PTA 360.00
Nails PTA 1,520.00
Nipa PTA 5,000.00
Lumber PTA

TOTAL 18,310. 00
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)

GRADE LEVEL READINESS PERCENTAGE RATING LEVEL OF PRACTICE

Grade I-A 95- percent READY FOR THE OPENING OF CLASSES
Grade I-B 95- percent READY FOR THE OPENING OF CLASSES
Grade II-A 95- percent READY FOR THE OPENING OF CLASSES
Grade II-B 95- percent READY FOR THE OPENING OF CLASSES
Grade III-A 95- percent READY FOR THE OPENING OF CLASSES
Grade III- B 95- percent READY FOR THE OPENING OF CLASSES
Grade IV- 95- percent READY FOR THE OPENING OF CLASSES
READY FOR THE OPENING OF CLASSES
Grade V- A 95- percent READY FOR THE OPENING OF CLASSES
READY FOR THE OPENING OF CLASSES
Grade VI-A 95- percent READY FOR THE OPENING OF CLASSES

OVER ALL RATING OF THE SCHOOL READY

Prepared by:

ROLLIE L. GARNICA
ASP Coordinator
NOTED:

GRACIA M. BELUAN
School Head

Caraga Administrative Region

Division of Agusan del Norte
Jabonga District II
Cuyago Elementary School
 NARRATIVE REPORT ON BRIGADA ESKWELA 2011

The National Schools Maintenance Week dubbed as BRIGADA ESKWELA 2011 was implemented in
May 23-28, 2011. It encourage parents, barangay residents, and the community people to volunteer
resources, (financial, materials, labor) and work collectively for the maintenance and minor repair of school to
prepare for the opening of classes.
Brigada Eskwela 2011 of Cuyago Elementary School was successfully done for 6 days. And hopefully,
Brigada in our school is implemented all throughout the year.
Herewith attached the different forms accomplished by the school head, physical facilities coordinator,
resource mobilization chairperson and pictures during the 6 days Brigada Eskwela 2011.

GRACIA M. BELUAN
School Head

Caraga Administrative Region

Division of Agusan del Norte
Jabonga District II
Cuyago Elementary School
 Brief Profile

The Cuyago Elementary School was located along the highway with 10,000 square meters. As
of this current year, the school has 13 teachers including the 2 Kindergarten Teachers. There are
9 sections: 2 sections in Grade I, 2 sections in Grade II, 2 sections in Grade III, 1 section in Grade
IV, 1 section in Grade V, and 1 section in Grade VI.
The school composes of 10 academic classrooms including Kindergarten, 1 room for office
used and 1 H.E. building.
Cuyago Elementary School with internal and external stakeholders help one another to
increased the performance both academic and non-academic of the school.