BE Form 01

Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF GAPAN CITY .
Mabuga Elementary School
Mabuga, Gapan City
Fiscal Year 2019

BRIGADA ESKWELA
PHYSICAL FACILITIES AND MAINTENANCE NEEDS ASSESSMENT FORM
Instruction: Conduct an ocular inspection of the school physical listed below. Then provide the needed information to facilitate the improvement to be done on
these identified facilities. (If needed you may use separate forms for each classroom or school facility).
CONDITION Nature of improvement
Remarks
(Check One) Needed Material Resources Manpower Needed(Indicate
FACILITIES If Unsatisfactory, (e.g. repair, Needed (Indicate kind quantity and nature of labor
Satisfactory Unsatisfactory describe the repainting, and quality) services needed)
problem replacement, etc)
 Roofs/Gutters Repairing Galvanized Iron sheet/ gutter, 4 persons ordinary labor
√ To be repaired
rivet
 Ceilings √ To be repaired Repairing Plywood/ Nails 4 persons/ carpentry
 Walls √ To be repainted Repainting 20 liters of paint 4 persons ordinary labor
 Blackboards √ To be repainted Repainting 4 liters 2 persons
 Chairs/desks/tables √ To be repainted Repainting Paint, paint brush/roller 4 persons/painting
 Water facilities/Drainage System √ To install water faucet Installation 7 set faucet 4 persons plumber
 Signage √ Insufficient Additional Tarpaulin/woods 1 person/carpentry
 School garden Broom stick, dust pans, 40
√ To be cleaned Cleaning/weeding pruning shear/ cement, persons/gardening/landscaping
white stones
 Lighting Replacement Electric bulb, fluorescent 1 ordibary labor
√ To purchased
light
 Windows √
10 glasses were Replacement Glass window, putty 1 ordinary labor
broken
 Doors √ To be repainted Repainting Paint, paint brush/roller 2 persons/painting
 Comfort Rooms √
 School Grounds √ To be cleaned Cleaning
 School Canteen/Clinic √ To be repaired Repairing
 School Fence/ wall √ To be repainted Repainting Paint, paint brush/roller 8 persons/painting
 Electricity √
 Alternative gate N/A
 Reference Materials
 Laboratory equipment N/A

Prepared by: Noted:

ANGELO N. CASTILLO May , 2018 HAZEL A. DELA PEÑA

School Physical Facilities Coordinator Date of Inspection Teacher in Charge
 BE Form 02
Republic of the Philippines
Department of Education
Region III
SCHOOLS DIVISION OF GAPAN CITY .
Mabuga Elementary School
Mabuga, Gapan City
Fiscal Year 2019

BRIGADA ESKWELA
SCHOOL WORK PLAN

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 _________.

KRA Activities Timeline Person’s Responsible Materials Needed Budget

1. Advocacy and  Plan, meet, and coordinate with May 2019 PTA Officers manila paper, pentel pen, 500.00-MOOE
Marketing barangay officials, parents, and PTA LGU list of improvement needed and
officers Teachers material resources needed
 Posting of tarpaulin School Head
 Advertising in social media
2. Resource  Sponsorship Continuous activity PTA Officers solicitation letters 500.00-MOOE
Mobilization  Tapping of possible donors for in and beyond the LGU list of improvement needed and
materials needed dates allotted for Teachers material resources needed by
Brigada Eskwela School Head the school
3. Implementation  Cooperative work from May 2019 PTA Officers all material resources needed Donations
"Batares system" LGU by the school for repair and
Teachers maintenance
School Head
Volunteer Workers
4. Monitoring and  Monitoring of Brigada Eskwela May 2019 Area Supervisor, ES Monitoring/Evaluation Form Division Office
Evaluation SDS and PSDS
5. Reporting  Documentation of activities May 2019 School Head BE Forms 1-7 500.00-MOOE
 Submission of reports Brigada Eskwela Coordinator School Accomplishment
School Physical Report
Facilities Coordinator
School Head
Prepared by: Noted by:

HAZEL A. DELA PEÑA January 24, 2019 JENNIFER C. JAVIER

Teacher in Charge Date Prepared ASP Division Coordinator/ BE coordinator