Adopt A School Quarterly

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

Region:
Division
School:
Address:
School ID:
Contract Nos.:
Email Address:
INFRASTRUCTURE, PHYSICAL FACILITIES, FURNITURE, AND REAL ESTATE

DONATIONS
1. CLASSROOM
New construction
Rehabilitation/Repair
2. FURNITURE
3. TOILET & WASH FACILITIES

New construction
Renovation/Repair
4. MAINTENANCE
PARTICULARS
e.g. 1 storey, 2classroom
2 classroom
e.g. Teacher's Table
armchair
Toilets
Wash Facilities
e.g. construction materials, Paints
2 gallons paints
5. REAL STATE
e.g. land
6. OTHERS PLS SPECIFY
construction of concrete fence
2
2
3
10
AMOUNT
1,300,000.00
200,000.00
16,000.00
9,000.00
1
2
30,000.00
10,000.00
1,000.00
1 hectare
TOTAL
*Please attach the following document
1. Deed of Donation
2. Deed of Acceptance
QTY.
100,000.00
6,000.00
1,672,000.00
Prepared by:
School Head/Principal/OIC
Approved by:
DONOR
PRIVATE SECTOR
ABC Corporation
DEF Enterprises
ABC Corporation
ABC Corporation
Schools Division Superintendent
T
aspsch_form 01
DONOR
LGU
DATE COMPLETED/
TURN OVER
March 8,
February 22,
January 10,
January 10,
Governor
Mayor
2012
2012
2012
2012
February 24, 2012

February 24, 2012
February 10, 2012
January 12, 2012
PTA
March 15, 2012
Noted by:
ASP Division Coordinator

As of MARCH 2015
Region:
Division
School:
Address:
School ID:
Contract Nos.:
IX
ZAMBOANGA SIBUGAY
SAYAO PRIMARY SCHOOL
SAYAO, KABASALAN, ZAMBOANGA SIBUGAY
125655
9177019418
Email Address:
yadeped@yahoo.com
INFRASTRUCTURE, PHYSICAL FACILITIES, FURNITURE, AND REAL ESTATE

DONATIONS
PARTICULARS
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
1. CLASSROOM
New Construction
2. FURNITURE
New Construction
3. TOILET & WASH FACILITIES
New Construction
4. MAINTENANCE
Paint
2 gals.
1300
5. REAL STATE

TOTAL
1. Deed of Donation
Prepared by:
Dennis M. Yape
Approved by:
Felix Romy Triambulo,CESE
T
aspsch_form 01
hoo.com
DONOR
LGU
DATE COMPLETED/
TURN OVER
PGO
Noted by:

As of March 2015
Region:
Division
School:
Address:
School ID:
Contract Nos.:
IX
ZAMBOANGA SIBUGAY
125655
9177019418
Email Address:
yadeped@yahoo.com
HEALTH AND NUTRITION
pack lunch
pancit
amount
79 pack
30 pcs
1 pc
DONOR
PRIVATE SECTOR
5,530.00 Mr. Ferdinand Mindoro
300.00 Mrs. Luz Coca
500.00 Mrs. Luz Coca
medicine Kits
water back pack
slippers
toothbrush and toothpaste
5 set
42 pcs.
52 pairs
80 pcs
5,000.00 Caritas Manila

10,500.00 Habitat Philippines
1,560.00 Hon. Eldwin Alibutdan
1,600.00 Hon. Eufemio Vic Javier
DONATIONS
1. FEEDING PROGRAM
PARTICULARS
QTY.
AMOUNT
2. MEDICAL/DENTAL
MISSION/CHECK-UPS
3. DEWORMING
INTERVENTION
4. HEALTH SUPPLIES

TOTAL
1. Deed of Donation
24,990.00
Prepared by:
Dennis M. Yape
Approved by:
T
aspsch_form 01
hoo.com
DONOR
LGU
Mindoro
DATE COMPLETED/
TURN OVER
Mar. 29, 2015
Nov. 14, 2014
Nov. 14, 2014
70
79
30
10
Alibutdan
Vic Javier
Nov.
Nov.
Nov.
Nov.
14,
14,
14,
14,
2014
2014
2014
2014
Noted by:
52
30
1560

As of March 2015
Region:
Division
School:
Address:
School ID:
Contract Nos.:
IX
ZAMBOANGA SIBUGAY
125655
9177019418
Email Address:
yadeped@yahoo.com
READING PROGRAM
DONATIONS
PARTICULARS
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
1. BOOKS
2. SUPPLEMENTARY
READING MATERIALS
TOTAL
1. Deed of Donation
Prepared by:
Dennis M. Yape
Approved by:
T
aspsch_form 01
hoo.com
DONOR
LGU
DATE COMPLETED/
TURN OVER
Noted by:

As of March 2015
Region:
Division
School:
Address:
School ID:
Contract Nos.:
IX
ZAMBOANGA SIBUGAY
125655
9177019418
Email Address:
yadeped@yahoo.com
TRAINING AND DEVELOPMENT

DONATIONS
PARTICULARS
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
1. TEACHERS/PRINCIPAL TRAINING
2. STUDENT/PUPILS TRAINING
AND FIELD TRIP
TOTAL
1. Deed of Donation
Prepared by:
Dennis M. Yape
Approved by:
T
aspsch_form 01
hoo.com
DONOR
LGU
DATE COMPLETED/
TURN OVER
Noted by:

As of March 2015
Region:
Division
School:
Address:
School ID:
Contract Nos.:
IX
ZAMBOANGA SIBUGAY
125655
9177019418
Email Address:
yadeped@yahoo.com
DIRECT ASSISTANCE
DONATIONS
PARTICULARS
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
1. DIRECT ASSISTANCE
TOTAL
1. Deed of Donation
Prepared by:
Dennis M. Yape
Approved by:
T
aspsch_form 01
hoo.com
DONOR
LGU
DATE COMPLETED/
TURN OVER
Noted by:

As of March 2015
Region:
Division
School:
Address:
School ID:
Contract Nos.:
IX
ZAMBOANGA SIBUGAY
125655
9177019418
Email Address:
yadeped@yahoo.com
ASSISTIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS

DONATIONS
PARTICULARS
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
1. PENCIL GRIPS
2. SPECIAL CHAIRS
3. SPELLING CHECK DEVICES
4. HEARING AIDS
5. TALKING COMPUTERS
6. SPECIALIZED KEYBOARDS
7. TOUCH SCREEN MONITOR
8. BRAILLE (BOOKS)
9. COMPUTERIZED SYSTEMS
10. OTHERS PLS. SPECIFY
TOTAL
1. Deed of Donation
Prepared by:
Dennis M. Yape
Approved by:
T
aspsch_form 01
hoo.com
DONOR
LGU
DATE COMPLETED/
TURN OVER
Noted by:

As of March 2015
Region:
Division
School:
Address:
School ID:
Contract Nos.:
IX
ZAMBOANGA SIBUGAY
125655
9177019418
Email Address:
yadeped@yahoo.com
LEARNING SUPPORT
DONATIONS
PARTICULARS
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
1. AUDIO-VISUAL
EDUCATIONAL MATERIALS
2. SCHOOL SUPPLIES
Notebooks
Pad Paper
Pencil/Ballpen
60 pad
20 pad
1 box
Bags, ballpens, pencil and eraser
5 sets
510.00
200.00
150.00
3. EDUCATIONAL FILM/
LIBRARIES
TOTAL
1. Deed of Donation
1,039.00 Mrs Victoria Mindoro
1,899.00
Prepared by:
Dennis M. Yape
Approved by:
T
aspsch_form 01
hoo.com
DONOR
LGU
Provimcial
Governor's
Office
PGO
Mindoro
DATE COMPLETED/
TURN OVER
Dec. 9, 2014
Mar. 26, 2015
Noted by:

As of March 2015
Region:
Division
School:
Address:
School ID:
Contract Nos.:
IX
ZAMBOANGA SIBUGAY
125655
9177019418
Email Address:
yadeped@yahoo.com
LEARNING SUPPORT
DONATIONS
PARTICULARS
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
1. COMPUTER
2. ELECTRONIC LEARNING
MATERIALS
3. INTERNET CONNECTIVITY
TOTAL
1. Deed of Donation
Prepared by:
Dennis M. Yape
Approved by:
T
aspsch_form 01
hoo.com
DONOR
LGU
DATE COMPLETED/
TURN OVER
Noted by:

Adopt A School Quarterly

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ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of March 31, 2013

INFRASTRUCTURE, PHYSICAL FACILITIES, FURNITURE, AND REAL ESTATE

3. TOILET & WASH FACILITIES

6. OTHERS PLS SPECIFY

construction of concrete fence

Schools Division Superintendent

February 24, 2012

March 15, 2012

ASP Division Coordinator

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

INFRASTRUCTURE, PHYSICAL FACILITIES, FURNITURE, AND REAL ESTATE

6. OTHERS PLS SPECIFY

Felix Romy Triambulo,CESE

Schools Division Superintendent

ASP Division Coordinator

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

HEALTH AND NUTRITION

5,000.00 Caritas Manila

5. OTHERS PLS SPECIFY

Felix Romy Triambulo,CESE

Schools Division Superintendent

ASP Division Coordinator

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

3. OTHERS PLS SPECIFY

Felix Romy Triambulo,CESE

Schools Division Superintendent

ASP Division Coordinator

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

TRAINING AND DEVELOPMENT

3. OTHERS PLS SPECIFY

Felix Romy Triambulo,CESE

Schools Division Superintendent

ASP Division Coordinator

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

2. OTHERS PLS SPECIFY

Felix Romy Triambulo,CESE

Schools Division Superintendent

ASP Division Coordinator

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

ASSISTIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS

Felix Romy Triambulo,CESE

Schools Division Superintendent

ASP Division Coordinator

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

Bags, ballpens, pencil and eraser

4. OTHERS PLS. SPECIFY

1,039.00 Mrs Victoria Mindoro

Felix Romy Triambulo,CESE

Schools Division Superintendent

Mar. 26, 2015

ASP Division Coordinator

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

4. OTHERS PLS. SPECIFY

Felix Romy Triambulo,CESE

Schools Division Superintendent

ASP Division Coordinator

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