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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 IMPROVEMENT RESOURCES NEEDED
Y Y Unsatisfactory, NEEDED NEEDED (Indicate
describe the (Repair, (Indicate kind quantity and
problem replacement, and quantity) nature of
provision, etc.) 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 IMPROVEMENT RESOURCES NEEDED
Y Y Unsatisfactory, NEEDED NEEDED (Indicate
describe the (Repair, (Indicate kind quantity and
problem replacement, and quantity) nature of
provision, etc.) 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/references
Storage area of
computers
Storage area of
school equipment
FACILITIES CONDITION (check one) REMARKS NATURE OF MATERIAL MANPOWER
SATISFACTOR UNSATISFACTOR If IMPROVEMENT RESOURCES NEEDED
Y Y Unsatisfactory, NEEDED NEEDED (Indicate
describe the (Repair, (Indicate kind quantity and
problem replacement, and quantity) nature of
provision, etc.) 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 (to (all activities to
be filled in by the address the gaps
Program identified from form
Implementation 1 should be written
Committee Head) 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
A.1 Bureau of Fire Protection & Philippine National Police
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:

BRIGADA ESKWELA FORM 4


DAILY ATTENDANCE OF VOLUNTEERS
Date
A- National Government Agencies and other Government Organization and Public Corporations
a.2 Armed Forces of the Philippines
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:

BRIGADA ESKWELA FORM 4


DAILY ATTENDANCE OF VOLUNTEERS
Date
(A- National Government Agencies and other Government Organization and Public Corporations)
a.3 Other National Government Agencies and Government Organization and Public Corporation
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
b.1 Congressional Officials
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:

BRIGADA ESKWELA FORM 4


DAILY ATTENDANCE OF VOLUNTEERS
Date
B-Local Government Unit
b.2 Provincial Officials

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:

BRIGADA ESKWELA FORM 4


DAILY ATTENDANCE OF VOLUNTEERS
Date
B-Local Government Unit
b.3 Municipal Officials

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:

BRIGADA ESKWELA FORM 4


DAILY ATTENDANCE OF VOLUNTEERS
Date
B-Local Government Unit
b.4 Barangay Officials

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:

BRIGADA ESKWELA FORM 4


DAILY ATTENDANCE OF VOLUNTEERS
Date
B-Local Government Unit
b.5 Sangguniang Kabataan Officials

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:

BRIGADA ESKWELA FORM 4


DAILY ATTENDANCE OF VOLUNTEERS
Date
B-Local Government Unit
b.6 Provincial and Municipal Employees

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:

BRIGADA ESKWELA FORM 4


DAILY ATTENDANCE OF VOLUNTEERS
Date
B-Local Government Unit
b.7 Barangay Employees/Workers

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/NGO/Prof. Associations
c.1 Non-Government Organization
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/NGO/Prof. Associations
c.2 Religious Organization
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/NGO/Prof. Associations
c.3 Other Community Members 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
d. 1 Corporation
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
d. 2 Private Individual
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:

BRIGADA ESKWELA FORM 4


DAILY ATTENDANCE OF VOLUNTEERS
Date
D-Private Sector Involvement Including Corporate Foundations and Private Schools
d. 3 Other Private Sector/Corporate Foundation/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
E.1 Pupil/Student/Organizations SSG/SPG
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:

BRIGADA ESKWELA FORM 4


DAILY ATTENDANCE OF VOLUNTEERS
Date
E-Pupil/Student Organizations (SSG/SPG) and Alumni Associations
E.2 Alumni
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:

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:

BRIGADA ESKWELA FORM 4


ATTENDANCE OF VOLUNTEERS
SUMMARY
TYPE DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY 6 DAY 7
A.NGAs and other Government Organization and Public Corporation
A.1 Bureau of Fire Protection &
Philippine National Police

A.2 Armed Forces of the Philippines

A.3 Other National Government


Agencies and Government
Organization and Public Corporation

TOTAL (A)
B. LGUs (Brgy./Municipal/Provincial)
B.1 Congressional Officials

B.2 Provincial Officials

B.3 Municipal Officials

B.4 Barangay Officials


B.5 Sangguniang Kabataan
Officials

B.6 Provincial and Municipal


Employees

B.7 Barangay
Employees/Workers

TOTAL (B)
C. Community Involvement including NGOs and Professional Associations
C.1 Non-Government
Organization

C.2 Religious Organization

C.3 Other Community Members


and Professional Associations

TOTAL (C)

D. Private Sector Involvement including Corporate Foundations and Private Schools


D. 1 Corporation

D. 2 Private Individual

D. 3 Other Private
Sector/Corporate
Foundation/Private Schools
TOTAL (D)

E.Pupil/Student Organization (SSG/SPG) and Alumni Associations


E.1 Pupil/Student/Organizations
SSG/SPG

E.2 Alumni

TOTAL (E)

F. Parents

TOTAL (A to F)

SUMMARY
TYPE DAY 8 DAY 9 DAY 10 DAY 11 DAY 12 DAY 13 DAY 14
A.NGAs and other Government Organization and Public Corporation
A.1 Bureau of Fire Protection &
Philippine National Police

A.2 Armed Forces of the Philippines

A.3 Other National Government


Agencies and Government
Organization and Public Corporation
TOTAL (A)
B. LGUs (Brgy./Municipal/Provincial)
B.1 Congressional Officials

B.2 Provincial Officials

B.3 Municipal Officials

B.4 Barangay Officials

B.5 Sangguniang Kabataan


Officials

B.6 Provincial and Municipal


Employees

B.7 Barangay
Employees/Workers

TOTAL (B)
C. Community Involvement including NGOs and Professional Associations
C.1 Non-Government
Organization

C.2 Religious Organization

C.3 Other Community Members


and Professional Associations

TOTAL (C)

A. Private Sector Involvement including Corporate Foundations and Private Schools


D. 1 Corporation
D. 2 Private Individual

D. 3 Other Private
Sector/Corporate
Foundation/Private Schools

TOTAL (D)

E.Pupil/Student Organization (SSG/SPG) and Alumni Associations


E.1 Pupil/Student/Organizations
SSG/SPG

E.2 Alumni

TOTAL (E)

F. Parents

TOTAL (A to F)

SUMMARY
TYPE DAY 15 DAY 16 DAY 17 DAY 18 DAY 19 DAY 20 DAY 21
A.NGAs and other Government Organization and Public Corporation
A.1 Bureau of Fire Protection &
Philippine National Police

A.2 Armed Forces of the Philippines

A.3 Other National Government


Agencies and Government
Organization and Public Corporation

TOTAL (A)
B. LGUs (Brgy./Municipal/Provincial)
B.1 Congressional Officials

B.2 Provincial Officials

B.3 Municipal Officials

B.4 Barangay Officials

B.5 Sangguniang Kabataan


Officials

B.6 Provincial and Municipal


Employees

B.7 Barangay
Employees/Workers

TOTAL (B)
C. Community Involvement including NGOs and Professional Associations
C.1 Non-Government
Organization

C.2 Religious Organization


C.3 Other Community Members
and Professional Associations

TOTAL (C)

A. Private Sector Involvement including Corporate Foundations and Private Schools


D. 1 Corporation

D. 2 Private Individual

D. 3 Other Private
Sector/Corporate
Foundation/Private Schools

TOTAL (D)

E.Pupil/Student Organization (SSG/SPG) and Alumni Associations


E.1 Pupil/Student/Organizations
SSG/SPG

E.2 Alumni

TOTAL (E)
F. Parents

TOTAL (A to F)

SUMMARY
TYPE DAY 22 DAY 23 DAY 24 DAY 25 DAY 26 DAY 27 DAY 28
A.NGAs and other Government Organization and Public Corporation
A.1 Bureau of Fire Protection &
Philippine National Police

A.2 Armed Forces of the Philippines

A.3 Other National Government


Agencies and Government
Organization and Public Corporation

TOTAL (A)
B. LGUs (Brgy./Municipal/Provincial)
B.1 Congressional Officials

B.2 Provincial Officials

B.3 Municipal Officials

B.4 Barangay Officials

B.5 Sangguniang Kabataan


Officials

B.6 Provincial and Municipal


Employees
B.7 Barangay
Employees/Workers

TOTAL (B)
C. Community Involvement including NGOs and Professional Associations
C.1 Non-Government
Organization

C.2 Religious Organization

C.3 Other Community Members


and Professional Associations

TOTAL (C)

Private Sector Involvement including Corporate Foundations and Private Schools


D. 1 Corporation

D. 2 Private Individual

D. 3 Other Private
Sector/Corporate
Foundation/Private Schools

TOTAL (D)

E.Pupil/Student Organization (SSG/SPG) and Alumni Associations


E.1 Pupil/Student/Organizations
SSG/SPG

E.2 Alumni

TOTAL (E)

F. Parents

TOTAL (A to F)

SUMMARY
TYPE DAY 29 DAY 30 DAY 31 DAY 32 DAY 33 DAY 34 DAY 35 Day 36
A.NGAs and other Government Organization and Public Corporation
A.1 Bureau of Fire Protection &
Philippine National Police

A.2 Armed Forces of the Philippines

A.3 Other National Government


Agencies and Government
Organization and Public Corporation

TOTAL (A)
B. LGUs (Brgy./Municipal/Provincial)
B.1 Congressional Officials
B.2 Provincial Officials

B.3 Municipal Officials

B.4 Barangay Officials

B.5 Sangguniang Kabataan


Officials

B.6 Provincial and Municipal


Employees

B.7 Barangay
Employees/Workers

TOTAL (B)
C. Community Involvement including NGOs and Professional Associations
C.1 Non-Government
Organization

C.2 Religious Organization

C.3 Other Community Members


and Professional Associations

TOTAL (C)

Private Sector Involvement including Corporate Foundations and Private Schools


D. 1 Corporation

D. 2 Private Individual
D. 3 Other Private
Sector/Corporate
Foundation/Private Schools

TOTAL (D)

E.Pupil/Student Organization (SSG/SPG) and Alumni Associations


E.1 Pupil/Student/Organizations
SSG/SPG

E.2 Alumni

TOTAL (E)

F. Parents

TOTAL (A to F)

SUMMARY
TYPE DAY 37 DAY 38 DAY 39 DAY 40 DAY 41 DAY 42 DAY 43 TOTAL
A.NGAs and other Government Organization and Public Corporation from
day 1-43
A.1 Bureau of Fire Protection &
Philippine National Police
A.2 Armed Forces of the Philippines

A.3 Other National Government


Agencies and Government
Organization and Public Corporation

TOTAL (A)
B. LGUs (Brgy./Municipal/Provincial)
B.1 Congressional Officials

B.2 Provincial Officials

B.3 Municipal Officials

B.4 Barangay Officials

B.5 Sangguniang Kabataan


Officials

B.6 Provincial and Municipal


Employees

B.7 Barangay
Employees/Workers

TOTAL (B)
C. Community Involvement including NGOs and Professional Associations
C.1 Non-Government
Organization

C.2 Religious Organization

C.3 Other Community Members


and Professional Associations
TOTAL (C)

Private Sector Involvement including Corporate Foundations and Private Schools


D. 1 Corporation

D. 2 Private Individual

D. 3 Other Private
Sector/Corporate
Foundation/Private Schools

TOTAL (D)

E.Pupil/Student Organization (SSG/SPG) and Alumni Associations


E.1 Pupil/Student/Organizations
SSG/SPG

E.2 Alumni

TOTAL (E)

F. Parents

TOTAL (A to F)
BRIGADA ESKWELA FORM 5
A. RECORDS OF DONATIONS RECEIVED
A.1 Hardware materials for Classroom Repair

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


RECEIVED DONOR PER UNIT TOTAL
Prepared by:

BRIGADA ESKWELA FORM 5


A. RECORDS OF DONATIONS RECEIVED
A.2 Hardware materials for Toilet New Construction or Repair

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


RECEIVED DONOR PER UNIT TOTAL
Prepared by:

BRIGADA ESKWELA FORM 5


A. RECORDS OF DONATIONS RECEIVED
A.3 Hardware materials for WASH Facilities Construction or Repair

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


RECEIVED DONOR PER UNIT TOTAL
Prepared by:

BRIGADA ESKWELA FORM 5


A. RECORDS OF DONATIONS RECEIVED
A.4 Other Donations

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 OF III-TOTAL NUMBER IV-TOTAL TOTAL LABOR


VOLUNTEERS OF HOURS ESTIMATED COST COST
RENDERED OF LABOR
(P62.50 per hour)

a. Masonry
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43

TOTAL

b. Carpentry
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL

c. Plumbing
Day 1

Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL

d. Electrical/Electronic
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL

e. Landscaping
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL

f. Painting
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL

g. Ordinary Labor
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
TOTAL

h. Others
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
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 etc.) beautification,
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 etc.) beautification,
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 HOURS OF PARTICIPATION NO. OF SERVICE CREDITS


(based on DTR) (see box below)

Prepared by:

School BE Coordinator

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