Brigada Eskwela 7 Forms

Appendix B
BE Form 01
Republic of the Philippines

Department of Education
Region VIII
Division of Leyte
(name of school)
School Year _____________
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 those
identified facilities. (If needed, you may use separate forms for each classroom or physical facility).
AREA/BUILDING:__________________
Condition Material Resources
FACILITIES Remarks Manpower Needed
(check one) Nature of Improvement Needed Needed
(indicate quantity and
Satisfactory Unsatisfactory If unsatisfactory, describe the (e.g. repair, repainting, (indicate kind and nature of labor
problem replacement, etc.) quantity) services needed)
Prepared by: Noted by:
______________________________________ ________________________ ________________________________

School Physical Facilities Coordinator Date Prepared School Principal
Property Custodian
Appendix C
BE Form 02
Region VIII
Division of Leyte
(name of school)
School Year: 2015-2016
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 complied submit a copy to the Adopt-A-School-Program coordinator or Brigada Eskwela coordinator of your division.
KRA Activities Timeline Person/s Responsible Materials Needed Budget

1. Advocacy and Marketing
2. Resource Mobilization
3. Implementation
4.Monitoring and Evaluation
5. Reporting
______________________________________ ________________________ _______________________

School Physical Facilities Coordinator Date Prepared School Principal
Appendix D
BE Form 03
Region VIII
Division of Leyte
(name of school)
School Year: 2015-2016
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.
Key
Materials Needed Quantity Persons/Organizations to Strategies/Plan of Action Person/s Responsible Status Remarks
be Tapped
_________________________________________ ________________________ _____________________________

Resource Mobilization Committee chairperson Date Prepared
_____________________________
Appendix E
BE Form 04
Region VIII
Division of Leyte
(name of school)
School Year: _______________
BRIGADA ESKWELA
DAILY ATTENDANCE OF VOLUNTEERS
Date: _______________
Instruction: 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 TOTAL NUMBER NATURE OF

POSITION/DESIGNATION ADDRESS/ORGANIZA CONTACT
NAME TION/AFFLIATION NUMBERS SIGNATURE OF HOURS VOLUNTEER SERVICES
SERVED RENDERED
IN OUT
Noted:
______________________________ ________________________
School Principal Date
Appendix F
BE Form 05
Region VIII
Division of Leyte
(name of school)
School Year: _________________
BRIGADA ESKWELA
RECORD OF DONATION RECEIVED
(To be accomplished by the Documentation Committee)
ITEMS OR MATERIALS QUANTITY DATE RECEIVED NAME OF DONOR ASSUMED COST OF ITEMS
PER UNIT TOTAL
______________________________________ __________________ ________________________________

Documentation Committee Chairperson Date Prepared School Principal
Appendix G
BE Form 06
Region VIII
Division of Leyte
(name of school)
School Year: _____________
BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT
Date: ____________________
(To be accomplished by the Program Implementing Committee)
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.
AREA/BUILDING: __________________________
STATUS
ACTIVITIES REMARKS/RECOMMENDATIONS
Started but not yet
Completed Not done
completed
___________________________________________ __________________ ________________________________

Program implementation Committee - Chairman Date Prepared School Principal
BE Form 07
DEPARTMENT OF EDUCATION
BRIGADA ESKWELA
SCHOOL ACCOMPLISHMENT REPORT
DIVISION: Leyte REGION: VIII

SCHOOL: Granja Central School SCHOOL ID: 121476
SCHOOL ADDRESS: Brgy. Kalinawan, Jaro, Leyte
(Please check appropriate box)
Level: Type of School
/ Elementary / Central School
Secondary Non-central School
Multi-grade
Primary School/Incomplete
Integrated School
SCHOOL HEAD: NENA O. SORIMA, Ph.D. CONTACT NUMBER: +639218269282
GPTA PRESIDENT: RODRIGO C. ROSALES CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
What was done?
Repaired Repainted Replaced Others(brief discription)
CEILINGS
/ /
WALLS /
DOORS/WINDOWS /
CHAIRS & DESKS / /
COMFORT ROOMS / /
LEAKING PIPES /
LANDSCAPING GROUND MAINTENANCE
SCHOOL SIGNS /
EXIT GATE CONSTRUCTION
LIGHTINGS/ELECTRIC FANS / /
B. DONATIONS/MATERIAL RESOURCES GENERATED (use separate sheet if needed)

Type of Donations Source Estimated Cost (Php)
MEDICINES FOR MEDICAL MISSION JARO LGU Php 145, 590.00
CONSTRUCTION MATERIALS FOR EXIT GATE ENGR. ANTONIO SORIMA Php 15, 625.00
CONSTRUCION MATERIAL FOR FENCE ENGR. YASAR LABASTIDA Php9,200.00
COVERED WALK CONSTRUCTION GPTA Php62,540.00
MATERIALS
CARPENTRY MATERIALS FOR
CONTRUCTION OF CABINETS AND REPAIR BRIGADA VOLUNTEERS
OF ARMCHAIRS Php11,700.00
DOOR GRILLS PTA Php12,100.00
ELECTRICAL MAINTENANCE PRIVATE INDIVIDUAL Php3,100.00
GUARD HOUSE FURNISHING PRIVATE INDIVIDUAL Php8,395.00
REPAINTING PRIVATE INDIVIDUAL Php12,075.60
CUTTING OF FALLEN TREE PTA Php2,500.00
TOTALS ₱282,852.60
C. VOLUNTEER SERVICES
Number of Volunteer
Name of
Type of Volunteer Individuals/Organizatio
n (Use separate sheets Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Total
if needed)
MEDICAL STAFF 18 1 19
CARPENTRY 2 1 1 1 5
MASONRY 5 5
GARDENING 96 104 10 80 76 41 407
PAINTING 1 1 1 3
ELECTRICAL
MAINTENANCE 4 4
PLUMBING 1 1 2
LABOR 6 6 1 13
TOTALS 121 106 18 80 89 44 448
D. ESTIMATED COST OF VOLUNTEER SERVICES

(Use separate sheets if needed)
Type of service Total Number of Total Number of Hours Total Estimated Cost
Volunteers Rendered
CARPENTRY 5 40 Php1,500.00
MASONRY 5 40 Php1,500.00
GARDEINING, LANDSCAPING 398 3184 Php119,400.00
PAINTING 3 24 Php900.00
ELECTRICAL MAINTENANCE 2 16 Php600.00
PLUMBING 13 104 Php3,900.00
ORDINARY LABOR 18 144 Php5,400.00
TOTALS ₱134,200.00
E. SIGNIFICANT EVENTS/EXPERIENCES (Use separate sheets if needed)
What is/are its important contribution to

What happened? Who were involved? When? the operation of the school or to the
existing needs of the school?
Improvement of School facilities & other Parents,Pupils, teachers, May 28-June 2, 2018 Overall improvement of the
ameneties and other stakeholders school
ISSUES AND CONCERNS (Describe briefly problems encountered and resolved)

ISSUES AND CONCERNS HOW WAS IT RESOLVED?
LESSONS LEARNED/BEST PRACTICES
School needed to have strong linkage to stakeholders
Strong commitment and dedication produce good results
F. SUGGESTIONS TO STRENGTHEN BRIGADA ESKWELA PROJECT (include support need from Central, Region, and Division Office
that can increase the impact of Brigada Eskwela Project in your school.
Full cooperation from the stakeholders and proper dissimination to the community in the awareness of the project.
G. EVIDENCES/ATTACHMENTS
1. Photos before, during and after the Brigada eskwela
2. Copies of al completed BE forms (check if attached)
__________ Form 1 __________ Form 5
__________ Form 2 __________ Form 6
__________ Form 3 __________ Form 7
__________ Form 4
3. Copies of deed of donation
4. Copies of acceptance
5. Copies of Deed of Undertaking
6. Others: Notice of award
Notice to proceed
Prepared by: Date:
NENA O. SORIMA, Ph.D. 3-Jun-18
Submit copy of this form to ADOPT-A-SCHOOL PROGRAM District Coordinator or District Supervisor.
BE Form 07
BRIGADA ESKWELA

Multi-grade
Integrated School
What was done?
LEAKING PIPES
/
LANDSCAPING GROUND MAINTENANCE
SCHOOL SIGNS /
EXIT GATE CONSTRUCTION
LIGHTINGS/ELECTRIC FANS / /
COVERED WALK CONSTRUCTION GPTA Php62,540.00
MATERIALS
CARPENTRY MATERIALS FOR
CONTRUCTION OF CABINETS AND REPAIR BRIGADA VOLUNTEERS
OF ARMCHAIRS Php11,700.00
DOOR GRILLS PTA Php12,100.00
TOTALS
Number of Volunteer
Name of
if needed)
GARDENING 96 104 10 80 76 41 407
PAINTING 1 1 1 3
ELECTRICAL
MAINTENANCE 4 4
TOTALS

Volunteers Rendered
ELECTRICAL MAINTENANCE 2 16 Php600.00
PLUMBING 13 104 Php3,900.00
ORDINARY LABOR 18 144 Php5,400.00
TOTALS


__________ Form 1 __________ Form 5
__________ Form 2 __________ Form 6
__________ Form 3 __________ Form 7
__________ Form 4
Notice to proceed
Prepared by: Date:
BE Form 07
BRIGADA ESKWELA

Multi-grade
Integrated School
What was done?

ELECTRICAL MAINTENANCE PRIVATE INDIVIDUAL Php3,100.00
GUARD HOUSE FURNISHING PRIVATE INDIVIDUAL Php8,395.00
REPAINTING PRIVATE INDIVIDUAL Php12,075.60
CUTTING OF FALLEN TREE PTA Php2,500.00
TOTALS
Number of Volunteer
Name of
if needed)
PLUMBING 1 1 2
LABOR 6 6 1 13
0
TOTALS 111 106 18 80 90 43 448

Volunteers Rendered
TOTALS

Improvement of School facilities & other Parents,Pupils, teachers, May 28-June 2, 2018 Overall improvement of the
ameneties and other stakeholders school

Full cooperation from the stakeholders and proper dissimination to the community in the awareness of the project.
__________ Form 1 __________ Form 5
__________ Form 2 __________ Form 6
__________ Form 3 __________ Form 7
__________ Form 4
Notice to proceed
Prepared by: Date:

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Appendix B

Republic of the Philippines

Prepared by: Noted by:

______________________________________ ________________________ ________________________________

KRA Activities Timeline Person/s Responsible Materials Needed Budget

4.Monitoring and Evaluation

Prepared by: Noted by:

______________________________________ ________________________ _______________________

Prepared by: Noted by:

_________________________________________ ________________________ _____________________________

TIME TOTAL NUMBER NATURE OF

PER UNIT TOTAL

Prepared by: Noted by:

______________________________________ __________________ ________________________________

Prepared by: Noted by:

___________________________________________ __________________ ________________________________

DIVISION: Leyte REGION: VIII

GPTA PRESIDENT: RODRIGO C. ROSALES CONTACT NUMBER:

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

D. ESTIMATED COST OF VOLUNTEER SERVICES

E. SIGNIFICANT EVENTS/EXPERIENCES (Use separate sheets if needed)

What is/are its important contribution to

ISSUES AND CONCERNS (Describe briefly problems encountered and resolved)

DIVISION: Leyte REGION: VIII

GPTA PRESIDENT: RODRIGO C. ROSALES CONTACT NUMBER:

D. ESTIMATED COST OF VOLUNTEER SERVICES

E. SIGNIFICANT EVENTS/EXPERIENCES (Use separate sheets if needed)

ISSUES AND CONCERNS (Describe briefly problems encountered and resolved)

LESSONS LEARNED/BEST PRACTICES

DIVISION: Leyte REGION: VIII

GPTA PRESIDENT: RODRIGO C. ROSALES CONTACT NUMBER:

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

D. ESTIMATED COST OF VOLUNTEER SERVICES

E. SIGNIFICANT EVENTS/EXPERIENCES (Use separate sheets if needed)

What is/are its important contribution to

ISSUES AND CONCERNS (Describe briefly problems encountered and resolved)

LESSONS LEARNED/BEST PRACTICES

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