BRIGADA ESKWELA FORM 1

PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS FORM

(to be Accomplished by the School Facilities Coordinator, School DRR Coordinator & School Health Coordinator)

FACILITIES CONDITION (check one) REMARKS NATURE OF MATERIAL MANPOWER

SATISFACTOR UNSATISFACTOR If IMPROVEMEN RESOURCES NEEDED
Y Y Unsatisfactory T NEEDED NEEDED (Indicate
, describe the (Repair, (Indicate quantity
problem replacement, kind and and nature
provision, etc.) quantity) of labor
services
needed)
A. (to be filled in by School Property Custodian)
Roofs
Gutters
Ceilings
Walls
Windows
Doors
Blackboards
Tables
Chairs
Desks
Tables
Comfort Rooms
Pipes
School ground
School Landscaping
School signs
Drainage systems
and drainage
canals
Learners’ kiosk
School Fence
FACILITIES CONDITION (check one) REMARKS NATURE OF MATERIAL MANPOWER
SATISFACTOR UNSATISFACTOR If IMPROVEMEN RESOURCES NEEDED
Y Y Unsatisfactory T NEEDED NEEDED (Indicate
, describe the (Repair, (Indicate quantity
problem replacement, kind and and nature
provision, etc.) quantity) of labor
services
needed)
B. School Disaster Risk Reduction Management (DRRM) Coordinator
School electrical
system
Fire suppression
equipment (fire
extinguishers,
water source and
other indigenous
materials)
Unobstructed
corridors &
pathways
Cordon off and
Safety signage for
on-going
construction
Below head level
Cabinets
Below head level
drawers
Safety measures in
laboratories &
workshops
Evacuation/exit
plans and
directional signage
on every floor of the
building
Evacuation areas
and classrooms as
temporary shelters
Trees
Directory of
emergency contact
numbers
Early warning
mechanisms
First aid kits
Drinking water
supply
Identification Cards
of learners and
teachers
Database of
student with
contact details of
family
Storage of vital
school records
Pedestrian safety of
students
Documentation of
accidents
experienced by
learners and
personnel
Storage area of
textbooks
Storage area of
teaching
manuals/reference
s
Storage area of
computers
Storage area of
school equipment
FACILITIES CONDITION (check one) REMARKS NATURE OF MATERIAL MANPOWER
SATISFACTOR UNSATISFACTOR If IMPROVEMEN RESOURCES NEEDED
Y Y Unsatisfactory T NEEDED NEEDED (Indicate
, describe the (Repair, (Indicate quantity
problem replacement, kind and and nature
provision, etc.) quantity) of labor
services
needed)
C. To be filled-in by School Health Coordinator
Water Supply
(connection to
barangay water
networks,
construction of
pumping system,
and/or installation
of rainwater
catchments)
Gender-segregated
toilets for boys and
girls
Improvement of
existing toilets
Handwashing
facilities
Concrete footpaths,
disability ramps
connecting to water
source, toilets and
handwashing
facilities
Rest space for
menstruating girls
that are private,
secure and
comfortable
Elimination of
stagnant water
Hygiene supplies
(soap, toothpaste,
toothbrush,
sanitary pads, etc.)
Garbage bins for
waste segregation
Compost pits
Material recovery
facilities
Local garbage
collection services
Hygiene messages
in strategic places
(toilets & eating
places)
 BRIGADA ESKWELA FORM 2
SCHOOL WORK PLAN
(to be Accomplished by the Heads of Concerned BE Committee)

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.

KRA ACTIVITIES TIMELINE PERSONS MATERIALS BUDGET

RESPONSIBLE NEEDED
Advocacy and
Marketing
(to be filled in by
the Advocacy &
Marketing
Committee Head)
Resource
Mobilization
(to be filled in by
the Resource
Mobilization
Committee Head)
Implementation (all activities to
(to be filled in by address the gaps
the Program identified from
Implementation form 1 should be
Committee Head) written here)
Monitoring and
Evaluation
(to be filled in by
the
Administrative &
Finance
Committee Head)
Reporting
(to be filled in by
the
Documentation
Committee Head)

Prepared by:
___________________________
School BE Coordinator Noted by:
____________________________
School Head
 BRIGADA ESKWELA FORM 3
RESOURCE MOBILIZATION FORM
(to be Accomplished by Resource Mobilization Committee)

Instruction: Using the completed Brigada Eskwela Form 1: Physical Facilities Needs Assessment Form as basis, list
down all the resources (material and manpower) needed and the potential partners to be tapped.

A. MATERIALS

MATERIALS QUANTITY KEY PERSONS/ STRATEGIES/PLAN PERSONS STATUS REMARKS

NEEDED ORGANIZATIONS OF ACTION RESPONSIBLE
TO BE TAPPED

B. MANPOWER

MATERIALS QUANTITY KEY PERSONS/ STRATEGIES/PLAN PERSONS STATUS REMARKS

NEEDED ORGANIZATIONS OF ACTION RESPONSIBLE
TO BE TAPPED
 BRIGADA ESKWELA FORM 4
DAILY ATTENDANCE OF VOLUNTEERS
Date _______________________
(A- National Government Agencies and other Government Organization and Public Corporations)
Instructions: Volunteers themselves should personally fill in the details required by this form under the supervision
of any of the committee members.
TIME NO. OF NATURE OF
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE HOURS VOLUNTEER
. DESIGNATION AFFILIATION NUMBER IN OUT SERVED SERVICES
RENDERED

Noted:
___________________________
School Head
 BRIGADA ESKWELA FORM 4
DAILY ATTENDANCE OF VOLUNTEERS
Date _______________________
B-Local Government Unit (Brgy./Municipal/Provincial
Instructions: Volunteers themselves should personally fill in the details required by this form under the supervision
of any of the committee members.
TIME NO. OF NATURE OF
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE HOURS VOLUNTEER
. DESIGNATION AFFILIATION NUMBER IN OUT SERVED SERVICES
RENDERED

Noted:
___________________________
School Head
 BRIGADA ESKWELA FORM 4
DAILY ATTENDANCE OF VOLUNTEERS
Date _______________________
C-Community Involvement including Non-Government Organizations and Professional Associations
Instructions: Volunteers themselves should personally fill in the details required by this form under the supervision
of any of the committee members.
TIME NO. OF NATURE OF
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE HOURS VOLUNTEER
. DESIGNATION AFFILIATION NUMBER IN OUT SERVED SERVICES
RENDERED

Noted:
___________________________
School Head
 BRIGADA ESKWELA FORM 4
DAILY ATTENDANCE OF VOLUNTEERS
Date _______________________
D-Private Sector Involvement Including Corporate Foundations and Private Schools
Instructions: Volunteers themselves should personally fill in the details required by this form under the supervision
of any of the committee members.
TIME NO. OF NATURE OF
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE HOURS VOLUNTEER
. DESIGNATION AFFILIATION NUMBER IN OUT SERVED SERVICES
RENDERED

Noted:
___________________________
School Head
 BRIGADA ESKWELA FORM 4
DAILY ATTENDANCE OF VOLUNTEERS
Date _______________________
E-Pupil/Student Organizations (SSG/SPG) and Alumni Associations
Instructions: Volunteers themselves should personally fill in the details required by this form under the supervision
of any of the committee members.
TIME NO. OF NATURE OF
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE HOURS VOLUNTEER
. DESIGNATION AFFILIATION NUMBER IN OUT SERVED SERVICES
RENDERED

Noted:_________________________
School Head
 BRIGADA ESKWELA FORM 4
DAILY ATTENDANCE OF VOLUNTEERS
Date _______________________
F-Parents
Instructions: Volunteers themselves should personally fill in the details required by this form under the supervision
of any of the committee members.
TIME NO. OF NATURE OF
NO NAME POSITION/ ORGANIZATION/ CONTACT SIGNATURE HOURS VOLUNTEER
. DESIGNATION AFFILIATION NUMBER IN OUT SERVED SERVICES
RENDERED

Noted:_________________________
School Head
 BRIGADA ESKWELA FORM 4
ATTENDANCE OF VOLUNTEERS
SUMMARY

TYPE DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 TOTAL

A.NGAs and other
Government Organization
and Public Corporation
B.LGUs
(Brgy./Municipal/Provincial
C.Community Involvement
including NGOs and
Professional Associations
D.Private Sector
Involvement including
Corporate Foundations and
Private Schools
E.Pupil/Student
Organization (SSG/SPG)
and Alumni Associations
F. Parents

TOTAL
 BRIGADA ESKWELA FORM 5
A. RECORDS OF DONATIONS RECEIVED

NO ITEMS OR MATERIALS QUANTITY DATE NAME OF ASSUMED COST OF ITEMS

. RECEIVED DONOR PER UNIT TOTAL

Prepared by:
____________________________
Resource Mobilization Committee Head
 BRIGADA ESKWELA FORM 5
B. SERVICES RENDERED

I-TYPE OF SERVICES II-TOTAL NUMBER III-TOTAL NUMBER IV-TOTAL TOTAL LABOR

OF VOLUNTEERS OF HOURS ESTIMATED COST COST
RENDERED OF LABOR
2.1 2.2 NOT 3.1 3.2 NOT 4.1 4.2 NOT (4.1 + 4.2)
SKILLED SKILLED SKILLED SKILLED SKILLED SKILLED

a. Masonry
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
TOTAL

b. Carpentry
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
TOTAL

c. Plumbing
Day 1
 Day 2
Day 3
Day 4
Day 5
Day 6
TOTAL

d. Electrical/Electronic
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
TOTAL

e. Landscaping
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
TOTAL

f. Painting
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
TOTAL
 g. Ordinary Labor
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
TOTAL

h. Others
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
TOTAL

TOTAL

TOTAL GENERATED RESOURCES

AMOUNT

A. RECORDS OF DONATIONS RECEIVED

B. SERVICES RENDERED

TOTAL
 BRIGADA ESKWELA FORM 6
DAILY ACCOMPLISHMENT REPORT
(To be accomplished by the program Implementation Committee)
Day______
Date____________
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 reason for
non-completion.
ACTIVITIES STATUS REMARKS/RECOMMENDATION
COMPLETED STARTED BUT NOT DONE
NOT YET
COMPLETED

Prepared by:__________________________________
Program Implementation Committee Chair
 BRIGADA ESKWELA FORM 7
SCHOOL ACCOMPLISHMENT REPORT

DIVISION: REGION:
SCHOOL: SCHOOL ID:
SCHOOL ADDRESS:
(Please check appropriate box)
Level: Type of School:
Elementary Central School
High School Non-Central School (complete)
Multigrade
Primary School/Incomplete
Integrated School
SCHOOL HEAD: CONTACT NUMBER:
PTA PRESIDENT: CONTACT NUMBER:

A.1 SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
WHAT WAS DONE?
Repair Maintenance Works Replacement OTHERS
(such as repainting, (New Improvement,
pruning, cleaning beautification,
etc.) landscaping,
installation,
provision, etc.)
Roofs
Gutters
Ceilings
Walls
Windows
Doors
Blackboards
Tables
Chairs
Desks
Tables
Comfort Rooms
Pipes
School ground
School Landscaping
School signs
Drainage systems
and drainage canals
Learners’ kiosk
School Fence

A.2 SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
WHAT WAS DONE?
Repair Maintenance Works Replacement OTHERS
(such as repainting, (New Improvement,
pruning, cleaning beautification,
etc.) landscaping,
installation,
provision, etc.)
School electrical
system
Fire suppression
equipment (fire
extinguishers, water
source and other
indigenous materials)
Unobstructed
corridors & pathways
Cordon off and Safety
signage for on-going
construction
Below head level
Cabinets
Below head level
drawers
Safety measures in
laboratories &
workshops
Evacuation/exit
plans and directional
signage on every floor
of the building
Evacuation areas and
classrooms as
temporary shelters
Trees
Directory of
emergency contact
numbers
Early warning
mechanisms
First aid kits
Drinking water
supply
Identification Cards
of learners and
teachers
Database of student
with contact details of
family
Storage of vital school
records
Pedestrian safety of
students
Documentation of
accidents experienced
by learners and
personnel
Storage area of
textbooks
Storage area of
teaching
manuals/references
Storage area of
computers
Storage area of school
equipment

A.3 SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
WHAT WAS DONE?
Repair Maintenance Works Replacement OTHERS
(such as repainting, (New Improvement,
pruning, cleaning etc.) beautification,
landscaping,
installation, provision,
etc.)
Water Supply
(connection to
barangay water
networks,
construction of
pumping system,
and/or installation of
rainwater catchments)
Gender-segregated
toilets for boys and
girls
Improvement of
existing toilets
Handwashing facilities
Concrete footpaths,
disability ramps
connecting to water
source, toilets and
handwashing facilities
Rest space for
menstruating girls
that are private,
secure and
comfortable
Elimination of
stagnant water
Hygiene supplies
(soap, toothpaste,
toothbrush, sanitary
pads, etc.)
Garbage bins for
waste segregation
Compost pits
Material recovery
facilities
Local garbage
collection services
Hygiene messages in
strategic places (toilets
& eating places)
B.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?
C.ISSUES AND CONCERNS (Describe briefly problems encountered and how were these resolved)

D.LESSONS LEARNED/BEST PRACTICES

E.SUGGESTION TO STRENGTHEN BRIGADA ESKWELA PROJECT (include support needed from Central, Region
and Division Office that can increase the impact of Brigada Eskwela Project in your school.)

F.EVIDENCES/ATTACHMENTS
a. Photos (before, during and after)
b. Photocopy of BE forms 4 & 5 (check if attached):

______Form 4 (Summary)
______Form 5
Prepared by: Date:

Name and Designation

CONSOLIDATED LIST FOR SERVICE CREDITS

School:__________________
District:_________________

NAME OF TEACHER DAYS OF PARTICIPATION NO. OF SERVICE CREDITS

(based on DTR) (see box below)

Prepared by:

________________________
School BE Coordinator

Days of No. of
Participation Service
Credits
6 3 days
5 2.5 days
4 2 days
3 1.5 days
2 1 day
1 0.5