aspsch_form 01

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of January - March, 2018
Region: I
Division: Pangasinan I
School: Daniel Maramba National High School
Address: Poblacion Norte, Sta. Barbara, Pangasinan
School ID: 300193
Contact Nos.: E-mail Address:

LEARNING ENVIRONMENT
DONOR'S NAME DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU GOVERNMENT AGENCY INTERNATIONAL TURN-OVER

1. REPAIR/BEAUTIFICATION Bricks 91 pcs 545.00 PTA Officers

Jan-18
Cement 3 sacks 630.00 PTA Officers Jan-18
Mop 3 750.00 PTA Officers Feb-18

2. WATER SYSTEM Faucets 2 sets 4,500.00 PTA Officers

Jan-18
Water Dispenser 6 34,800.00 PTA Officers Feb-18
3. VENTILATION Stand fan 1 1,500.00 PTA Officers Jan-18
Ceiling fan 2 2,200.00 PTA Officers Jan-18
4. STORAGE Cabinet 1 1,500.00 PTA Officers Jan-18

TOTAL 46,425.00 GPTA

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

1. Deed of Donation
2. Deed of Acceptance ENGR. MAGDALENA C. MANAOAT, Ph. D.
School Head/Principal/OIC ASP Division Coordinator

Approved by:
 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 02
As of January - March, 2018
Region: I
Division: Pangasinan I
School: Daniel Maramba National High School
Address: Poblacion Norte, Sta. Barbara, Pangasinan
School ID: 300193
Contact Nos.:

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

1. TEACHING MATERIAL Whiteboard 1 1,540.00 PTA Officers

Jan-18

2.

3.

4.

TOTAL 1,540.00

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

1. Deed of Donation
2. Deed of Acceptance ENGR. MAGDALENA C. MANAOAT, Ph. D.
School Head/Principal/OIC ASP Division Coordinator

Approved by:
Schools Division Superintendent aspsch_form 02
 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 03
As of January - March, 2018
Region: I
Division: Pangasinan I
School: Daniel Maramba National High School
Address: Poblacion Norte, Sta. Barbara, Pangasinan
School ID: 300193
Contact Nos.:

TECHNOLOGY SUPPORT
DONOR'S NAME DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU GOVERNMENT AGENCY INTERNATIONAL TURN-OVER

1. COMPUTER Printer 1 7,500.00 PTA Officers

Feb-18

2. ELECTRONIC LEARNING
MATERIALS

3. INTERNET CONNECTIVITY

4. OTHERS PLS. SPECIFY

TOTAL 7,500.00

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

1. Deed of Donation aspsch_form 03
2. Deed of Acceptance ENGR. MAGDALENA C. MANAOAT, Ph. D.
School Head/Principal/OIC ASP Division Coordinator

Approved by:

Schools Division Superintendent

 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 04
As of January - March, 2018
Region: I
Division: Pangasinan I
School: Daniel Maramba National High School
Address: Poblacion Norte, Sta. Barbara, Pangasinan
School ID: 300193
Contact Nos.:

HEALTH AND NUTRITION

DONOR'S NAME DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU GOVERNMENT AGENCY INTERNATIONAL TURN-OVER

1. FEEDING PROGRAM

2. MEDICAL/DENTAL
MISSION/CHECK-UPS

3. DEWORMING
INTERVENTION

4. HEALTH SUPPLIES

5. OTHERS PLS. SPECIFY

TOTAL

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

1. Deed of Donation
2. Deed of Acceptance ENGR. MAGDALENA C. MANAOAT, Ph. D.
School Head/Principal/OIC ASP Division Coordinator
Approved by: aspsch_form 04
Schools Division Superintendent
 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 05
As of January - March, 2018
Region: I
Division: Pangasinan I
School: Daniel Maramba National High School
Address: Poblacion Norte, Sta. Barbara, Pangasinan
School ID: 300193
Contact Nos.:

READING PROGRAM
DONOR'S NAME DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU GOVERNMENT AGENCY INTERNATIONAL TURN-OVER

1. BOOKS

2. SUPPLEMENTARY
READING MATERIALS

3. OTHERS PLS. SPECIFY

TOTAL -

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

1. Deed of Donation
2. Deed of Acceptance ENGR. MAGDALENA C. MANAOAT, Ph. D.
School Head/Principal/OIC ASP Division Coordinator

Approved by:
 aspsch_form 05
Schools Division Superintendent
 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 06
As of January - March, 2018
Region: I
Division: Pangasinan I
School: Daniel Maramba National High School
Address: Poblacion Norte, Sta. Barbara, Pangasinan
School ID: 300193
Contact Nos.:

TRAINING AND DEVELOPMENT

DONOR'S NAME DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU GOVERNMENT AGENCY INTERNATIONAL TURN-OVER

1. TEACHERS/PRINCIPAL TRAINING

2. STUDENT/PUPILS TRAINING
AND FIELD TRIP

3. OTHERS PLS. SPECIFY

TOTAL -

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

1. Deed of Donation
2. Deed of Acceptance ENGR. MAGDALENA C. MANAOAT, Ph. D.
School Head/Principal/OIC ASP Division Coordinator

Approved by:
Schools Division Superintendent aspsch_form 06
 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 07
As of January - March, 2018
Region: I
Division: Pangasinan I
School: Daniel Maramba National High School
Address: Poblacion Norte, Sta. Barbara, Pangasinan
School ID: 300193
Contact Nos.:

DIRECT ASSISTANCE
DONOR'S NAME
DATE
DONATIONS PARTICULARS QTY. AMOUNT GOVERNMENT COMPLETED/
PRIVATE SECTOR LGU INTERNATIONAL
TURN-OVER
AGENCY

1. STIPEND

2. OTHERS PLS. SPECIFY

TOTAL

* Please attach the following documents: Noted by:

1. Deed of Donation
2. Deed of Acceptance Approved by:
ASP Division Coordinator
Schools Division Superintendent aspsch_form 07
 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT aspsch_form 08
As of January - March, 2018
Region: I
Division: Pangasinan I
School: Daniel Maramba National High School
Address: Poblacion Norte, Sta. Barbara, Pangasinan
School ID: 300193
Contact Nos.:

ASSITIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS

DONOR'S NAME DATE COMPLETED/
DONATIONS PARTICULARS QTY. AMOUNT
PRIVATE SECTOR LGU GOVERNMENT AGENCY INTERNATIONAL TURN-OVER

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

10. OTHERS PLS. SPECIFY

TOTAL -

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

1. Deed of Donation
2. Deed of Acceptance ENGR. MAGDALENA C. MANAOAT, Ph. D.
School Head/Principal/OIC ASP Division Coordinator

Approved by:
Schools Division Superintendent aspsch_form 08
 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of January - March, 2018

Assistive
Learning Learning Technology Health and Reading Training and Direct
SCHOOL ID SCHOOL Learning
Environment Support Suppport Nutrition Program Development Assistance
Devices

TOTAL - - - - - - - -
TOTAL

-
 ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of January - March, 2018
Region: I
Division: Pangasinan I
School: Daniel Maramba National High School
Address: Poblacion Norte, Sta. Barbara, Pangasinan
School ID: 300193
Contact Nos.:

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