aspsch_form 01

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of September 30, 2019
Region: 2
Division: TUGUEGARAO CITY
School: BUNTUN ELEMENTARY SCHOOL
Address: BUNTUN TUGUEGARAO CITY
School ID: 104401
Contact Nos.: 92667636484 E-mail Address: josephine.ballad@deped.gov.ph

LEARNING ENVIRONMENT
DONOR
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR

1. CLASSROOM NONE

Rehabilitation/Repair
2 FURNITURE NONE
3. TOILET & WASH FACILITIES NONE
- Renovation/Repair

4. MAINTENANCE REPAINTING OF BLACKBOARD 12 4,800.00

New Construction
Renovation/Repair

5. REAL STATE NONE

 aspsch_form 01

6. OTHERS PLS. SPECIFY NONE

New Construction

Renovation/Repair

TOTAL
Prepared by:
* Please attach the following documents:
1. Deed of Donation JOSEPHINE C. BALLAD
2. Deed of Acceptance School Head/Principal/OIC

Approved by:

REYNANTE Z. CALIGUIRAN, Ph.D., CESO VI

Schools Division Superintendent
 aspsch_form 01

SAMPLE

DONOR DATE COMPLETED/

LGU TURN-OVER

TEACHERS
 aspsch_form 01

Noted by:

__________________________________________
ASP Division Coordinator
 aspsch_form 02

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of September 30, 2019
Region: 2
Division: TUGUEGARAO CITY
School: BUNTUN ELEMENTARY SCHOOL
Address: BUNTUN TUGUEGARAO CITY
School ID: 104401
Contact Nos.: 92667636484 E-mail Address: josephine.ballad@deped.gov.ph

LEARNING SUPPORT
DONOR
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR
1. AUDIO-VISUAL NONE
EDUCATIONAL MATERIALS NONE

2. SCHOOL SUPPLIES BAGS WITH WRITING MATERIALS 55 8,800 CAGELCO

3. EDUCATIONAL FILM/ NONE

LIBRARIES
 aspsch_form 02

4. OTHERS PLS. SPECIFY NONE

TOTAL 8,800.00

* Please attach the following documents: Prepared by:

1. Deed of Donation
2. Deed of Acceptance JOSEPHINE C. BALLAD
School Head/Principal/OIC
Approved by:

REYNANTE Z. CALIGUIRAN, Ph.D., CESO VI

Schools Division Superintendent
 aspsch_form 02

DONOR DATE COMPLETED/

LGU TURN-OVER
 aspsch_form 02

Noted by:

__________________________________________
ASP Division Coordinator
 aspsch_form 03

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of September 30, 2019
Region: 2
Division: TUGUEGARAO CITY
School: BUNTUN ELEMENTARY SCHOOL
Address: BUNTUN TUGUEGARAO CITY
School ID: 104401
Contact Nos.: 92667636484 E-mail Address: josephine.ballad@deped.gov.ph

TECHNOLOGY SUPPORT
DONOR
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR
1. COMPUTER NONE

2. ELECTRONIC LEARNING NONE

MATERIALS

3. INTERNET CONNECTIVITY NONE

 aspsch_form 03

4. OTHERS PLS. SPECIFY NONE

TOTAL -

* Please attach the following documents: Prepared by:

1. Deed of Donation
2. Deed of Acceptance JOSEPHINE C. BALLAD
School Head/Principal/OIC
Approved by:

REYNANTE Z. CALIGUIRAN, Ph.D., CESO VI

Schools Division Superintendent
 aspsch_form 03

DONOR DATE COMPLETED/

LGU TURN-OVER
 aspsch_form 03

Noted by:

__________________________________________
ASP Division Coordinator
 aspsch_form 04

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of September 30, 2019
Region: 2
Division: TUGUEGARAO CITY
School: BUNTUN ELEMENTARY SCHOOL
Address: BUNTUN TUGUEGARAO CITY
School ID: 104401
Contact Nos.: 92667636484 E-mail Address: josephine.ballad@deped.gov.ph

HEALTH AND NUTRITION

DONOR
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR
1. FEEDING PROGRAM K SERVICO 55 35,200.00 KSERVICO

2. MEDICAL/DENTAL MOSQUITO CURTAIN 10 R0LLS 6,000.00

MISSION/CHECK-UPS VACCINATION 50 15,000.00

3. DEWORMING NONE
INTERVENTION NONE
 aspsch_form 04

4. HEALTH SUPPLIES NONE

5. OTHERS PLS. SPECIFY NONE

TOTAL 21,000.00

* Please attach the following documents: Prepared by:

1. Deed of Donation
2. Deed of Acceptance JOSEPHINE C. BALLAD
School Head/Principal/OIC
Approved by:

REYNANTE Z. CALIGUIRAN, Ph.D., CESO VI

Schools Division Superintendent
 aspsch_form 04

DONOR DATE COMPLETED/

LGU TURN-OVER

DOH
DOH
 aspsch_form 04

Noted by:

__________________________________________
ASP Division Coordinator
 aspsch_form 05

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of September 30, 2019
Region: 2
Division: TUGUEGARAO CITY
School: BUNTUN ELEMENTARY SCHOOL
Address: BUNTUN TUGUEGARAO CITY
School ID: 104401
Contact Nos.: 92667636484 E-mail Address: josephine.ballad@deped.gov.ph

READING PROGRAM
DONOR
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR

1. BOOKS NONE

2. SUPPLEMENTARY NONE
READING MATERIALS NONE
 aspsch_form 05

3. OTHERS PLS. SPECIFY NONE

TOTAL -

* Please attach the following documents: Prepared by:

1. Deed of Donation
2. Deed of Acceptance JOSEPHINE C. BALLAD
School Head/Principal/OIC
Approved by:

REYNANTE Z. CALIGUIRAN, Ph.D., CESO VI

Schools Division Superintendent
 aspsch_form 05

DONOR DATE COMPLETED/

LGU TURN-OVER
 aspsch_form 05

Noted by:

__________________________________________
ASP Division Coordinator
 aspsch_form 06

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of September 30, 2019
Region: 2
Division: TUGUEGARAO CITY
School: BUNTUN ELEMENTARY SCHOOL
Address: BUNTUN TUGUEGARAO CITY
School ID: 104401
Contact Nos.: 92667636484 E-mail Address: josephine.ballad@deped.gov.ph

TRAINING AND DEVELOPMENT

DONOR
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR
1. TEACHERS/PRINCIPAL TRAINING NONE

2. STUDENT/PUPILS TRAINING NONE

AND FIELD TRIP
 aspsch_form 06

3. OTHERS PLS. SPECIFY NONE

TOTAL -
* Please attach the following documents: Prepared by:
1. Deed of Donation
2. Deed of Acceptance JOSEPHINE C. BALLAD
School Head/Principal/OIC
Approved by:

REYNANTE Z. CALIGUIRAN, Ph.D., CESO VI

Schools Division Superintendent
 aspsch_form 06

DONOR DATE COMPLETED/

LGU TURN-OVER
 aspsch_form 06

Noted by:

__________________________________________
ASP Division Coordinator
 aspsch_form 07

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of September 30, 2019
Region: 2
Division: TUGUEGARAO CITY
School: BUNTUN ELEMENTARY SCHOOL
Address: BUNTUN TUGUEGARAO CITY
School ID: 104401
Contact Nos.: 92667636484 E-mail Address: josephine.ballad@deped.gov.ph

DIRECT ASSISTANCE
DONOR
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR

1. STIPEND NONE

2. OTHERS PLS. SPECIFY NONE

 aspsch_form 07

TOTAL -
* Please attach the following documents: Prepared by:
1. Deed of Donation
2. Deed of Acceptance JOSEPHINE C. BALLAD
School Head/Principal/OIC
Approved by:

REYNANTE Z. CALIGUIRAN, Ph.D., CESO VI

Schools Division Superintendent
 aspsch_form 07

DONOR DATE COMPLETED/

LGU TURN-OVER
 aspsch_form 07

Noted by:

__________________________________________
ASP Division Coordinator
 aspsch_form 08

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of September 30, 2019
Region: 2

Division: TUGUEGARAO CITY

School: BUNTUN ELEMENTARY SCHOOL
Address: BUNTUN TUGUEGARAO CITY
School ID: 104401
Contact Nos.: 92667636484 E-mail Address: josephine.ballad@deped.gov.ph

ASSITIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS

DONOR
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR
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

 aspsch_form 08

8. BRAILLE (BOOKS) NONE

9. COMPUTERIZED SYSTEMS NONE

10. OTHERS PLS. SPECIFY NONE

TOTAL -
* Please attach the following documents: Prepared by:
1. Deed of Donation
2. Deed of Acceptance JOSEPHINE C. BALLAD
School Head/Principal/OIC
Approved by:

REYNANTE Z. CALIGUIRAN, Ph.D., CESO VI

Schools Division Superintendent
 aspsch_form 08

DONOR DATE COMPLETED/

LGU TURN-OVER
 aspsch_form 08

Noted by:

__________________________________________
ASP Division Coordinator