Adopt-A-School Prog Quarterly Report - 2018 (First Quarter)

ASPFORM: PIM - SCH
QUARTERLY REPORT Year 2018
X First Quarter (January - March) Deadline of Submission

Second Quarter ( April - June) Deadline of Submission
Third Quarter (July - September) Deadline of Submission
Fourth Quarter (October - December) Deadline of Submission
School DIPLAHAN NATIONAL HIGH SCHOOL

Complete Address POBLACION DIPLAHAN, ZAMBOANGA SIBUGAY
School ID 303828
Division ZAMBOANGA SIBUGAY
Region IX
Name of School Head/Principal/OIC SALVADOR D. ARQUILITA, MMEM
Breakdown of stakeholders' contribution ( PRIVATE SECTOR)
Learning Environment PhP 104,100.00
Learning Support PhP 97,475.00
Technology Support PhP 3,380.00
Health and Nutrition PhP 25,080.00
Reading Program PhP 4,500,000

Training and Development PhP 2,880.00
Direct Assisstance PhP 5,500.00
Assisstive Learning for Student PhP 0

with Special Needs
Total PhP 4,738,415.00
Prepared by: SALVADOR D. ARQUILITA, MMEM

Print Name & Signature
Contact Details
Cel Phone 0966 152 5501 Designation: Principal III
Landline (062) 957-2818
E-Mail diplahannhs1967@gmail.com Date:
Suporting Documents to be submitted to Division and Disrrict office

1. Photocopies of Memorandum of Agreement
2. Photocopies of Deed of Donation
3.Photocopies of Certificate of Acceptance
April 15 of the year
July 15 of the year
Oct. 15 of the year
Jan. 15 of the year
ONAL HIGH SCHOOL

N, ZAMBOANGA SIBUGAY
3828
NGA SIBUGAY
IX
RQUILITA, MMEM
Designation: Principal III
April 10, 2018

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of April 15, 2018
Region: IX
Division: ZAMBOANGA SIBUGAY
School: DIPLAHAN NHS
Address: POB. DIPLAHAN, ZAMBO. SIBUGAY
School ID: 303828
Contact Nos.: 0966 152 5501 Email Address: diplahannhs1967@gmail.com
LEARNING ENVIRONMENT
DONOR
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR
1. CLASSROOM
Windor Grills 10,600.00 MOOE
2. FURNITURE Cabinet 5 38,000.00 MOOE

White Board 6 24,000.00
3. TOILET AND WASH FACILITIES
4. MAINTENANCE School Van Repair 31,500.00 MOOE
5. REAL STATE
6. OTHERS PLS. SPECIFY
TOTAL 104,100.00
* Please attach the following documents: Prepared by:
1. Deed of Donation
1. Deed of Acceptance SALVADOR D. ARQUILITA,MMEM
School Principal III
Approved by:
NATIVIDAD P. BAYUBAY, CESO VI

Schools Division Superintendent
ORT
aspsch_form 01
DONOR DATE COMPLETED/

LGU TURN-OVER
18900 galloon foundation day

21-Jan-18 2500 labor
9-Feb-18 21,000 viodeoke foundation day

3500 2 microphone
ceiling /plywood 6400 mooe
6-Feb-18
Region: IX
School ID: 303828
LEARNING SUPPORT
DONOR
PRIVATE SECTOR
1. AUDIO-VISUAL
EDUCATIONAL MATERIALS
2. SCHOOL SUPPLIES
3. EDUCATIONAL FILM/
LIBRARIES
4. OTHERS PLS. SPECIFY Sewing Machine 2 24,000.00 MOOE

Edger Machine 1 21,000.00 MOOE
Digital Photocopier 1 52,475.00 MOOE
TOTAL 97,475.00
1. Deed of Donation
1. Deed of Acceptance SALVADOR D. ARQULITA, MMEM
Approved by:
NATIVIDAD P. BAYUBAY
OOL PROGRAM QUARTERLY REPORT
aspsch_form 02

LGU TURN-OVER
13-Jan-18
13-Jan-18
13-Jan-18
Region: IX
School ID: 303828
TECHNOLOGY SUPPORT
DONOR
PRIVATE SECTOR
1. COMPUTER
2. ELECTRONIC LEARNING
MATERIALS
3. INTERNET CONNECTIVITY PLDT Internet Connection Monthly 3,380.00 MOOE
TOTAL 3,380.00

1. Deed of Donation
1. Deed of Acceptance SALVADOR D. ARQUILITA, MMEM
Approved by:

aspsch_form 03

LGU TURN-OVER
January-March 2018
Region: IX
School ID: 303828
HEALTH AND NUTRITION

DONOR
PRIVATE SECTOR
1. FEEDING PROGRAM
2. MEDICAL/DENTAL
MISSION/CHECK-UPS
3. DEWORMING Albedrazole Tablets 1848 Tablets 1,848.00 DOH

INTERVENTION
4. HEALTH SUPPLIES
5. OTHERS PLS. SPECIFY Weekly Iron Folic Acid Supplementaion 1936 Tablets 23,232.00 DOH
TOTAL 25,080.00

1. Deed of Donation
1. Deed of Acceptance SALVADOR D. ARQUILTA, MMEM
Approved by:

L PROGRAM QUARTERLY REPORT
aspsch_form 04

LGU TURN-OVER
January - March 2018
January - March 2018

Region: IX
School ID: 303828
READING PROGRAM
DONOR
PRIVATE SECTOR
1. BOOKS Assorted Books 15,000 4,500,000.00
2. SUPPLEMENTARY
READING MATERIALS
TOTAL 4,500,000.00

1. Deed of Donation
Approved by:

aspsch_form 05

LGU TURN-OVER
MLGU Jan-18
Region: IX
Address: POB. DIPLAHAN, ZAMBO. SIBUGAY 0
School ID: 303828
TRAINING AND DEVELOPMENT

DONOR
PRIVATE SECTOR
1. TEACHERS/PRINCIPAL TRAINING MTAP 6 2,880.00 MOOE
2. STUDENTS/PUPILS TRAINING AND FIELD TRIP

AND FIELD TRIP
TOTAL 2,880.00

1. Deed of Donation
1. Deed of Acceptance SALVADOR D. ARQUILITA
Approved by:

L PROGRAM QUARTERLY REPORT
aspsch_form 06

LGU TURN-OVER
19-Jan-18
Region: IX
School ID: 303828
DIRECT ASSISTANCE
DONOR
PRIVATE SECTOR
1.Honorarium of Security Guards from January -
1. Direct Assistance 2 5,500.00 MOOE
March 2018
TOTAL 5,500.00

1. Deed of Donation
Approved by:

aspsch_form 07

LGU TURN-OVER
30-Mar-18
Region: IX aspsch_form 0
School ID: 303828
ASSITIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS

DONOR
PRIVATE SECTOR LGU
1. PENCIL GRIPS None
2. SPECIAL CHAIRS None
3. SPELLING CHECK DEVICES None
4. HEARING AIDES None
5. TALKING COMPUTERS None
6. SPECIALIZED KEYBOARDS None
7. BRAILLE (BOOKS) None
8. COMPUTERIZED SYSTEMS None
9. OTHERS PLS. SPECIFY None
TOTAL
* Please attach the following docum Prepared by:

1. Deed of Donation
School Principal II
Approved by:
NATIVIDAD P. BAYUBAY, CESO IV

Asst. Schools Division Superintendent
Officer-In-Charge
ROGRAM QUARTERLY REPORT
of April 15, 2018
aspsch_form 08
DATE COMPLETED/
TURN-OVER

Adopt-A-School Prog Quarterly Report - 2018 (First Quarter)

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Adopt-A-School Prog Quarterly Report - 2018 (First Quarter)

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ASPFORM: PIM - SCH

QUARTERLY REPORT Year 2018

X First Quarter (January - March) Deadline of Submission

School DIPLAHAN NATIONAL HIGH SCHOOL

Division ZAMBOANGA SIBUGAY

Name of School Head/Principal/OIC SALVADOR D. ARQUILITA, MMEM

Breakdown of stakeholders' contribution ( PRIVATE SECTOR)

Learning Environment PhP 104,100.00

Learning Support PhP 97,475.00

Technology Support PhP 3,380.00

Health and Nutrition PhP 25,080.00

Reading Program PhP 4,500,000

Direct Assisstance PhP 5,500.00

Assisstive Learning for Student PhP 0

Prepared by: SALVADOR D. ARQUILITA, MMEM

Suporting Documents to be submitted to Division and Disrrict office

ONAL HIGH SCHOOL

Designation: Principal III

April 10, 2018

Windor Grills 10,600.00 MOOE

2. FURNITURE Cabinet 5 38,000.00 MOOE

3. TOILET AND WASH FACILITIES

4. MAINTENANCE School Van Repair 31,500.00 MOOE

6. OTHERS PLS. SPECIFY

NATIVIDAD P. BAYUBAY, CESO VI

DONOR DATE COMPLETED/

18900 galloon foundation day

9-Feb-18 21,000 viodeoke foundation day

ceiling /plywood 6400 mooe

4. OTHERS PLS. SPECIFY Sewing Machine 2 24,000.00 MOOE

DONOR DATE COMPLETED/

3. INTERNET CONNECTIVITY PLDT Internet Connection Monthly 3,380.00 MOOE

4. OTHERS PLS. SPECIFY

* Please attach the following documents: Prepared by:

NATIVIDAD P. BAYUBAY, CESO VI

DONOR DATE COMPLETED/

HEALTH AND NUTRITION

3. DEWORMING Albedrazole Tablets 1848 Tablets 1,848.00 DOH

* Please attach the following documents: Prepared by:

NATIVIDAD P. BAYUBAY, CESO VI

DONOR DATE COMPLETED/

January - March 2018

January - March 2018

3. OTHERS PLS. SPECIFY

* Please attach the following documents: Prepared by:

NATIVIDAD P. BAYUBAY, CESO VI

DONOR DATE COMPLETED/

TRAINING AND DEVELOPMENT

2. STUDENTS/PUPILS TRAINING AND FIELD TRIP

6. OTHERS PLS. SPECIFY

* Please attach the following documents: Prepared by:

NATIVIDAD P. BAYUBAY, CESO VI

DONOR DATE COMPLETED/

* Please attach the following documents: Prepared by:

NATIVIDAD P. BAYUBAY, CESO VI

DONOR DATE COMPLETED/

ASSITIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS

2. SPECIAL CHAIRS None

3. SPELLING CHECK DEVICES None

4. HEARING AIDES None

5. TALKING COMPUTERS None

6. SPECIALIZED KEYBOARDS None

7. BRAILLE (BOOKS) None