ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of March 31, 2015 aspsch_form 01

Region: BATAAN
Division:
School: CAPITOL COMPOUND, BALANGA CITY, BATAAN
Address:
School ID:
Contact Nos.: 047-791-1295 E-mail Address: sgodunit.bataan @gmail.com

LEARNING ENVIRONMENT
DONOR'S NAME
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU GOVERNMENT AGENCY
aspsch_form 01
 aspsch_form 01

TOTAL - GPTA

* Please attach the following documents: Prepared by: Noted by:

1. Deed of Donation
2. Deed of Acceptance
School Head/Principal/OIC ASP Division Coor

Approved by:

Schools Division Superintendent

GRAM QUARTERLY REPORT
March 31, 2015 aspsch_form 01

DONOR'S NAME DATE COMPLETED/

INTERNATIONAL TURN-OVER
aspsch_form 01
 aspsch_form 01

ASP Division Coordinator

 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of March 31, 2015 aspsch_form 02
Region: VI
Division: NEGROS OCCIDENTAL
School: MACASILAO ELEMENTARY SCHOOL
Address: BRGY. MACASILAO, CALATRAVA, NEGROS OCCIDENTAL
School ID: 116926
Contact Nos.: 9067575383 E-mail Address: renalyn.moises@deped.gov.ph

LEARNING SUPPORT
DONOR'S NAME
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU GOVERNMENT AGENCY

1. Money/Cash Brgy. Kagawad Bustarde 600.00

2. Money/Cash Brgy. Kagawad Palang-at 100.00

3.
4. aspsch_form 02

TOTAL 700.00

* Please attach the following documents: Prepared by: Noted by:

1. Deed of Donation
2. Deed of Acceptance RENALYN D. MOISES
School Head/Principal/OIC ASP Division C

Approved by:

Schools Division Superintendent

RAM QUARTERLY REPORT
ch 31, 2015 aspsch_form 02

DONOR'S NAME DATE COMPLETED/

INTERNATIONAL TURN-OVER

Jun-19

Jun-19
 aspsch_form 02

ASP Division Coordinator

 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of March 31, 2015 aspsch_form 03
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _________________________

TECHNOLOGY SUPPORT
DONOR'S NA
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU

1. COMPUTER

2. ELECTRONIC LEARNING
MATERIALS

3. INTERNET CONNECTIVITY
4. OTHERS PLS. SPECIFY aspsch_form 03

TOTAL

* Please attach the following documents: Prepared by:

1. Deed of Donation
2. Deed of Acceptance
School Head/Principal/OIC

Approved by:

Schools Division Superintendent

GRAM QUARTERLY REPORT
March 31, 2015 aspsch_form 03

DONOR'S NAME DATE COMPLETED/

GOVERNMENT AGENCY INTERNATIONAL TURN-OVER
 aspsch_form 03

Noted by:

ASP Division Coordinator

 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of March 31, 2015 aspsch_form 04
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _________________________

HEALTH AND NUTRITION

DONOR'S N
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU

1. FEEDING PROGRAM

2. MEDICAL/DENTAL
MISSION/CHECK-UPS

3. DEWORMING
INTERVENTION
4. HEALTH SUPPLIES aspsch_form 04

5. OTHERS PLS. SPECIFY

TOTAL

* Please attach the following documents: Prepared by:

1. Deed of Donation
2. Deed of Acceptance
School Head/Principal/OIC

Approved by:

Schools Division Superintendent

GRAM QUARTERLY REPORT
arch 31, 2015 aspsch_form 04

DONOR'S NAME DATE COMPLETED/

GOVERNMENT AGENCY INTERNATIONAL TURN-OVER
 aspsch_form 04

Noted by:

ASP Division Coordinator

 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of March 31, 2015 aspsch_form 05
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _________________________

READING PROGRAM
DONOR'S NAME
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU GOVERNMENT AGENCY

1. BOOKS

2. SUPPLEMENTARY
READING MATERIALS
3. OTHERS PLS. SPECIFY
aspsch_form 05

TOTAL -

* Please attach the following documents: Prepared by: Noted by:

1. Deed of Donation
2. Deed of Acceptance
School Head/Principal/OIC ASP Division C

Approved by:

Schools Division Superintendent

RAM QUARTERLY REPORT
ch 31, 2015 aspsch_form 05

DONOR'S NAME DATE COMPLETED/

INTERNATIONAL TURN-OVER
 aspsch_form 05

ASP Division Coordinator

 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of March 31, 2015 aspsch_form 06
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _________________________

TRAINING AND DEVELOPMENT

DONOR'S NAME
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU

1. TEACHERS/PRINCIPAL TRAINING

2. STUDENT/PUPILS TRAINING
AND FIELD TRIP

3. OTHERS PLS. SPECIFY

 aspsch_form 06

TOTAL -

* Please attach the following documents: Prepared by:

1. Deed of Donation
2. Deed of Acceptance
School Head/Principal/OIC

Approved by:

Schools Division Superintendent

L PROGRAM QUARTERLY REPORT
As of March 31, 2015 aspsch_form 06

DONOR'S NAME DATE COMPLETED/

GOVERNMENT AGENCY INTERNATIONAL TURN-OVER
 aspsch_form 06

Noted by:

ASP Division Coordinator

 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of March 31, 2015 aspsch_form 07
Region: III
Division: BATAAN
School:
Address: CAPITOL COMPOUND, BALANGA CITY, BATAAN
School ID:
Contact Nos.: 047-791-1295 E-mail Address: sgodunit.bataan @gmail.com

DIRECT ASSISTANCE
DONOR'S NAME

DONATIONS PARTICULARS QTY. AMOUNT

PRIVATE SECTOR LGU

1. STIPEND

2. OTHERS PLS. SPECIFY

 aspsch_form 07

TOTAL

* Please attach the following documents:

1. Deed of Donation
2. Deed of Acceptance Approved by:

Schools Division Superintendent

OL PROGRAM QUARTERLY REPORT
As of March 31, 2015 aspsch_form 07

DONOR'S NAME
DATE
GOVERNMENT COMPLETED/
INTERNATIONAL
AGENCY TURN-OVER
 aspsch_form 07

Noted by:

ASP Division Coordinator

 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of March 31, 2015 aspsch_form 08
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _________________________

ASSITIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS

DONOR'S NAME
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU

1. PENCIL GRIPS

2. SPECIAL CHAIRS

3. SPELLING CHECK DEVICES

4. HEARING AIDES

5. TALKING COMPUTERS

6. SPECIALIZED KEYBOARDS

8. BRAILLE (BOOKS)
9. COMPUTERIZED SYSTEMS
aspsch_form 08
10. OTHERS PLS. SPECIFY

TOTAL -

* Please attach the following documents: Prepared by:

1. Deed of Donation
2. Deed of Acceptance
School Head/Principal/OIC

Approved by:

Schools Division Superintendent

L PROGRAM QUARTERLY REPORT
As of March 31, 2015 aspsch_form 08

DONOR'S NAME DATE COMPLETED/

GOVERNMENT AGENCY INTERNATIONAL TURN-OVER
 aspsch_form 08

Noted by:

ASP Division Coordinator

 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of March 31, 2013

Learning Learning Technology Health and Reading Training and Direct

SCHOOL ID SCHOOL
Environment Support Suppport Nutrition Program Development Assistance

108085 San Juan ES 20,000.00 5,000.00

108149 Neogan ES 30,000.00 10,000.00 35,000.00

164013 Bagbag II ES 100,000.00

301202 Lumil NHS 40,000.00 60,000.00

301199 Lucsuhin NHS 100,000.00

TOTAL 160,000.00 30,000.00 5,000.00 100,000.00 10,000.00 60,000.00 35,000.00

RT

Assistive
Learning TOTAL
Devices

25,000.00

75,000.00

100,000.00

100,000.00

100,000.00

- 400,000.00
 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of March 31, 2015
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _________________________

LEARNING SUPPORT
DONOR'S NAME
DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT PRIVATE GOVERNMENT
LGU INTERNATIONAL TURN-OVER
SECTOR AGENCY
1. AUDIO-VISUAL
EDUCATIONAL MATERIALS

2. SCHOOL SUPPLIES

3. EDUCATIONAL FILM/
LIBRARIES

4. OTHERS PLS. SPECIFY

TOTAL -

* Please attach the following documents: Prepared by: Noted by:

1. Deed of Donation
2. Deed of Acceptance
School Head/Principal/OIC ASP Division Coordinator

Approved by:
Schools Division Superintendent