BE Form 07

BRIGADA ESKWELA
May 18-23, 2015
SCHOOL ACCOMPLISMENT REPORT
(To be accomplished by the School Head)
SCHOOL: SCHOOL ID:
SCHOOL ADDRESS:
(Please Check appropriate box) Elementary ) Secondary
SCHOOL HEAD: CONTACT NUMBER:
PTA PRESIDENT: CONTACT NUMBER:

A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED BASED on SIP & DepEd Memo No. 41, s.
2015, Annex C (all accomplishments supported with pictures) (Please check appropriate column)
What was done?
Equipment New Replaced Repaired Repainted Others
Construction
1. Roofs/rain gutter
2. Walls/Ceilings
3. School Building Directory
4. Windows and Doors
5. Chairs/Desks Tables, and Blackboards
6. Comfort Rooms
7. Leaking Pipes
8. School Grounds/Landscaping
9. School Signs/signage’s
10. Electrical
11.Fire extinguisher (suspended outside)
12. School free from any sharp objects
13.Prepare directory of identified classroom
for evacuation
14. Drainage
15. Signage’s for on-going
construction/condemned buildings
16. Exit plan/signage of high story building
17 Post directory of emergency contact
18. Establish early warning devices in case of emergency

19. School equip with first aid kits

20. Vegetables garden
21. No. of trees planted
22. Waste depository (with segregation)
23. Storage room(with segregation of contents)
24. Disaster Organizational Chart
25. Others specify

B. DONATIONS / MATERIAL RESOURCES GENERATED (Use separate sheet, if needed)

Type of Donations Source Estimated Cost

Total
C. VOLUNTER SERVICES (Use separate sheets of daily attendance)
Type of Volunteer Name of Number of Volunteers
Individual/ Day Day Day Day Day Day Total
Organization 1 2 3 4 5 6
A. (PRIVATE SECTOR)
1. NGO
2. PTA
3. SGC
4. Gawad Kalinga
5. Corporation
6. Etc.
B. (COMMUNITY)
1. Parents
2. Alumni
3. Private Individual / Community Members
4. Religious Organization (Youth and Adult)
C. (Gov’t Agencies)LOCAL & NATIONAL
1. Congressional Officials and Staff
2. Provincials Officials
3. City Officials
4. Barangay Officials
5. SK Officials
6. Provincial /City Employees
7. Fireman / PNP etc.
8. AFP (PA, Marine, etc)
9. Barangay Workers
10. Other Volunteers
TOTAL

D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED. (Use separate sheets, if needed)

Type of Services Rate per Rate per Total Number Total Number Total Estimated
Day Hour of Volunteers of Hours Costs
Rendered
Masonry 360 45
Carpentry 360 45
Plumbing 360 45
Electrical/Electronic 360 45
Landscaping 360 45
Painting 360 45
Ordinary Labor 280 35
Others 280 35

Total

E. IMPACT OF BRIGADA ESKWELA (Enrollment Rate) % of increase/Decrease

Enrolment June 15, 2015 minus Enrolment Yearend March 2014-15 =

F. SIGNIFICANT EVENTS / EXPERIENCES (Use separate sheets, 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?
G. ISSUES AND CONCERN (Describe briefly problems encountered and how resolved)

H. LESSON LEARNED / BEST PRACTICES

I. SUGGESTION TO STRENGTHEN BRIGADA ESKWELA PROGRAM

J. EVIDENCES / ATTACHMENTS
a. Photos (before, during and after)
b. Photocopy of all completed BE Forms:
1. Form 01 3. Form 03 5. Form 05
2. Form 02 4. Form 04 6. Form 06
Prepared by: Date:

__________________________________ _____________ ______________

Name of School Head with Signature and Designation
Submit this Report to Division Office on or before June 19, 2015 (Two (2) folders)
BE Form 01 BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESMENT FORM
(To be accomplished by the School Physical Facilities Coordinator)
Instruction: 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 identified facilities.
(If needed, you may use separate form for each classroom or school facility.)
FACILITIES Condition (Check One) Remarks Nature of improvement Material Resources Manpower Needed
Needed Needed (Indicate quantity
Satisfactory Unsatisfactory If Unsatisfactory, (e.g. repair, repairing, (Indicate kind and and nature of labor
describe the problem replacement, etc.) quantity) services needed)
Roofs/gutters
Ceilings/walls
Windows and doors
Blackboards/tables
Chairs/desks/tables
Comfort rooms
Liking pipes
School ground/landscaping
School signs/signage’s
electrical
Fire suppression/extinguisher
School free from sharp objects
Prepare directory of identified classroom for evacuation
Drainage System
Signage’s for on-gong construction/condemn building
Exit plan/signage’s of high story building
Post of directory of emergency contact
Establish early warning devices in case of emergency
School equip with 1st aid kit
Other specify
Prepared by: Noted:
______________________________ ________________ _____________________________
School Physical Facilities Coordinator Date of Inspection TIC/Head Teacher/Principal
BE Form 02 BRIGADA ESKWELA
SCHOOL WORK PLAN
(to be accomplished by the School Head)

Instruction: List down all the specific 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 Persons Responsible Materials Needed Budget
1. Advocacy and Marketing

2. Resource Mobilization

3. Implementation

4. Monitoring and
Evaluation

5. Reporting

Prepared by: Noted by:

_________________________ _________________ ______________________________
Signature over Printed Name Date Prepared TIC/Head Teacher/Principal
BE Form 03 BRIGADA ESKWELA
RESOURCE MOBILIZATION FORM
(TO BE ACCOMPLISHED BY THE Resource Mobilization Committee)

Instruction: using the completed BE For, 01: Physical Facilities Needs Assessments Form as basis, summarize the resource (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 Strategies/Plan of Action Person Responsible Status Remarks
Persons/Organizations to
be Tapped

Labor Skills/Volunteers Quantity Key Strategies/Plan of Action Person Responsible Status Remarks
Needed Persons/Organizations to
be Tapped

Prepared by: Noted:

______________________________________ _______________________________
Resource Mobilization Committee Chairperson TIC/Head Teacher/Principal
BE Form 04 BRIGADA ESKWELA
DAILY ATTENDANCE OF VOLUNTEERS

Date: _____________________
Instructions: Volunteers themselves should personally fill in the details required by this form under the supervision of any of the committee members. For the last column, Indicate if masonry,
carpentry, plumbing, painting, electrical, gardening/landscaping, ordinary labor, or others.

TIME SIGNATURE TOTAL NUMBER OF NATURE OF

NAME POSITION/DESIGNATION ADDRESS/ORGANIZATION/AFFILIATION CONTACT NUMBER HOURS SERVED VOLUNTEER
IN OUT SERVICE RENDERED

Noted:
__________________________ _____________________
School Head Date
BE Form 05 BRIGADA ESKWELA
RECORDS OF DONATIONS RECEIVED
(To be accomplished by the Documentation Committee)

NAME OF DONOR ASSUMED COST OF

ITEMS OR MATERIALS QUANTITY DATE RECEIVED ITEMS
PER UNIT TOTAL

Prepared by:
_____________________________________
Committee on Documentation Chair/Member

Noted:
_____________________________________
School Head
BE Form 06 BRIGADA ESKWELA
DAILY ACCOMPLISHEMENT REPORT
(To be accomplished by the Program Implementation Committee)
Day 1 2 3 4 5 6 Date

Instruction: list down all the activities that needs to be undertaken for each of the Brigada Eskwela week. At the end of each day, please mark the appropriate column that corresponds to status
of each activity. Cite reason for non-completion.
STATUS
Completed Status but not yet Not done
Activities completed REMARKS/RECOMMENDATIONS

Prepared by:
_________________________________________
Program Implementation Committee Chair/Member

Noted by:
_________________________________________
School Head