Republic of the Philippines DEPARTMENT OF EDUCATION Region NCR Division of MANDA LUYONG BE division_form 1 BRIGADA ESKWELA 2012 CONSOLIDATED

REPORT NUMBER OF VOLUNTEERS School_ID School_Name Private Sector NGO (PTA, Corporation SGC, Gawad Parents Alumni Community Private Individual/ Religious Organizations Congressional Officials and Staff Government Agencies/National & Local Provincial Officials City/ Municipal Barangay SK Officials Officials Provincial/ City/ Firemen AFP (PA, Marine, Barangay Others Workers (Student/ Total No. Of Volunteers Total No. Of Hours Rendered (Labor) TOTAL -

Approved by: Schools Division Superintendent

Republic of the Philippines DEPARTMENT OF EDUCATION Region NCR Division of MANDA LUYONG BE division_form 1.1 BRIGADA ESKWELA 2012 CONSOLIDATED REPORT Resources Generated Construction/ Repair of Classroom/CR and Other Construction/ Repair School_ID School_Name Cash (in Peso) Equipment Amount (in Peso) Material / In-Kind Amount (in Peso) Amount (in Peso) TOTAL AMOUNT TOTAL Prepared by: Approved by: ASP Division Coordinator Schools Division Superintendent

Appendix B Republic of the Philippines Department of Education Region NCR Division MANDALUY ONG SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL School Year 2012-2013 BRIGADA ESKWELA PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM (To be accomplished by the School Physician Facilities Coordinator) Instructions: Conduct an ocular inspection of the schools physical facilities li sted below. Then provide the needed information to facilitate the improvement to be done on these identified facilities. (If neede use separate forms for each c lassroom or school facility.) CONDITION (CHECK ONE) FACILITIES SATISFACTORY UNSATISFACTORY REMARKS IF UNSATISF ACTORY, DESCRIBE THE PROBLEM NATURE OF IMPROVEMENT NEEDED (E.G. REPAIR, REPAINTI NG, REPLACEMENT, ETC.) MATERIALS RESOURCES NEEDED (INDICATE KIND AND QUANTITY) F F F F F F F F F F F F F F F F Roofs / gutters Ceilings Walls Blackboards Water / desks Chairs facilities//tabl es Drainage System Signages School garden Lighting Windows Doors Comfort rooms S chool grounds School canteen / clinic School fence Other, please specify: Noted: ERNESTO JOSE Z. ALBEA TIC / Head Teacher / Principal Prepared by: School Physical Facilities Coordinator Date of Inspection

Republic of the Philippines Department of Education Region NCR Division MANDALUY ONG HOOL ILAYA BARANGKA INTEGRATED SCHOOL School Year 2012-2013 plished by the School Physician Facilities Coordinator) BRIGADA ESKWELA REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM Then provide the needed information to facilitate the improvement to be done on these identified facilities. (If needed, you may arate forms for each classroom or school facility.) MANPOWER NEEDED (INDICATE QUANTITY NAD NATURE OF LABOR SERVICES NEEDED)

Appendix C Republic of the Philippines Department of Education Region NCR Division MANDALUY ONG SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL School Year 2012-2013 BRIGADA ESKWELA SCHOOL WORK PLAN (To be accomplished by the School Head) Instructions: List down all the specific activities that you will be undertaking in relation to the conduct of Brigada Eskwela in your schools and fill in the r equired information. Add another sheet if needed. Once completed, submit a copy to the Adopt-A-School Program coordinator of Brigada Eskwela coordinator of your division on or before January 31. KRA ACTIVITIES TIMELINE PERSON/S RESPONSIBLE MATERIALS NEEDED BUDGET 1. Advocacy and Marketing 2. Resource Mobilization 3. Implementation 4. Monitori ng and Evaluation 5. Reporting Prepared by: ERNESTO JOSE Z. ALBEA Signature over Printed Name Date Prepared ASP Division Coordinator/BE Coordinator

Appendix D Republic of the Philippines Department of Education Region NCR Division MANDALUY ONG SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL School Year 2012-2013 BRIGADA ESKWELA RESOURCE MOBILIZATION FORM (To be accomplished by the Resource Mobilization Committee) Instructions: Using the completed BE Form 01: Physical Facilities Need Assessmen t Form as basis, summarize the resources (Materials and manpower) needed and lis t down the potential source or partners to be tapped. Add additional sheet if ne eded. The Status and Remarks columns should be updated regularly to determine pr ogress in acquiring resources needed. MATERIALS NEEDED QUANTITY KEY PERSONS / ORGANIZATIONS TO BE TAPPED STRATEGIES / PLAN OF ACTION PERSON RESPONSIBLE STATUS REMARKS LABOR SKILLS / VOLUNTEERS NEEDED QUANTITY KEY PERSONS / ORGANIZATIONS TO BE TAPPED STRATEGIES / PLAN OF ACTION PERSON RESPONSIBLE STATUS REMARKS Prepared by: Noted: ERNESTO JOSE Z. ALBEA Resource Mobilzation Committee Chairperson] TIC / H ead Teacher / Principal

Appendix E BE Form 04 Republic of the Philippines Department of Education Region NCR Division MANDALUY ONG SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL School Year 2012-2013 BRIGADA ESKWELA DAILY ATTENDANCE OF VOLUNTEERS Date: MAY 25, 2012 (FRIDAY) Instructions: Volunteers themselves should personally fill in the data required by this form under the supervision of any of the committee members. *For the las t column, indicate i masonry, carpentry, plumbing, painting, electrical, gardeni ng / landscaping, ordinary labor, or others . TIME IN OUT TOTAL NUMBER OF HOURS SERVED NAME POSITIONS / DESIGNATION ADDRESS / ORGANIZATION CONTACT NUMBER Noted: ERNESTO JOSE Z. ALBEA School Head Date

Republic of the Philippines Department of Education Region NCR Division MANDALUY ONG OL ILAYA BARANGKA INTEGRATED SCHOOL School Year 2012-2013 BRIGADA ESKWELA Date: MAY 25, 2012 (FRIDAY) LY ATTENDANCE OF VOLUNTEERS uired by this form under the supervision of any of the committee members. *For t he last column, indicate if ainting, electrical, gardening / landscaping, ordina ry labor, or others . NATURE OF VOLUNTEER SERVICES RENDERED

Appendix F BE Form 05 Republic of the Philippines Department of Education Region NCR Division MANDALUY ONG SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL School Year 2012-2013 BRIGADA ESKWELA RECORD OF DONATIONS RECEIVED (To be accomplished by the Documentation Committee) ITEM/S OR MATERIALS QUANTITY DATE RECEIVED NAME OF DONOR ASSUMED COST OF ITEMS P ER UNIT TOTAL Prepared by: Noted: ERNESTO JOSE Z. ALBEA Commitee on Documentation Chair / Member School Head

Appendix G BE Form 06 Republic of the Philippines Department of Education Region NCR Division MANDALUY ONG SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL School Year 2012-2013 BRIGADA ESKWELA DAILY ACCOMPLISHMENT REPORT (To be accomplished by the Program Implementation Committee) DAY 1 2 3 4 5 6 DAT E: May ___, 2012 Instructions: List down all the activities that needs to be undertaken for each day of the Brigada Eskwela. At the end of each day, please mark the appropriate column that corresponds to the status of each activity. Cite reasons for non-com pletion. STATUS COMPLETED STARTED BUT NOT YET COMPLETED NOT DONE ACTIVITIES REMARKS / RECOMMENDATIONS Prepared by: Noted by: ERNESTO JOSE Z. ALBEA Program Implentation Committed Chair / Member Date Prepared School Head

Appendix H BE Form 07 Republic of the Philippines Department of Education Region NCR Division MANDALUY ONG SCHOOL ILAYA BARANGKA INTEGRATED SCHOOL School Year 2012-2013 BRIGADA ESKWELA SCHOOL ACCOMPLISHED REPORT (To be accomplished by the School Head) DIVISION: MANDALUYONG SCHOOL: ILAYA BARANGKA INTEGRATED SCHOOL REGION: NCR SCHOOL ID: 136668 SCHOOL ADDRESS: LION'S ROAD, BARANGKA ILAYA, MANDALUYONG CITY (Please check appropriate box) Level: Type of School: Elementary Central School High School Non-Central School (Complete) Multigrade Primary School / Incomplete Integrated School Contact Number: 0927-7500452 School Head: ERNESTO JOSE Z. ALB EA Contact Number: PTCA President: GODOFREDO C. CALSADO A. SCOPE OF REPAIR AND M AINTENANCE WORK COMPLETED (Please check appropriate column) WHAT WAS DONE? REPAI RED 1. Roofs 2. Ceilings 3. Walls 4. Windows and Doors 5. Chairs / Desks, Tables and Blackboards 6. Comfort Rooms 7. Leaking Pipes 8. School Grounds . Landscapi ng 9 School Signs 10. Others (Specify) B. DONATIONS / MATERIAL RESOURCES GENERAT ED (Use separate sheets, if needed) TYPE OF DONATIONS REPAINTED REPLACED OTHERS BRIEF DESCRIPTIONS SOURCE ESTIMATED COST TOTAL

BE Form 07 DEPARTMENT OF EDUCATION C. VOLUNTEER SERVICES NAME OF INDIVIDUALS TYPE OF VOLUNTEER 1. PTCA Member 2. Ba rangay Officials 3. Municipality / City Government Officials 4. Provincial Gover nment Officials 5. NGOs / Civic Organizations 6. Private Citizens 7. Private Com panies / Corp 8. Other government offices 9.Parents 10. Teachers 11. Pupils / St udents 12. Others: (specify) 13. Prominent Volunteers ORGANIZATION (Use separate sheets, if needed) DAY 1 DAY 2 NUMBER OF VOLUNTEERS DAY 3 DAY 4 DAY 5 DAY 6 TOTAL

TOTAL

BE Form 07 DEPARTMENT OF EDUCATION D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED. Refer to Guide for Computing L abor Cost. (Use separate sheets, it needed) TOTAL NUMBER OF HOURS TYPE OF SERVIC E TOTAL NUMBER OF VOLUNTEERS TOTAL ESTIMATED COSTS RENDERED Masonry Carpentry Pl umbing Electrical / Electronic Landscaping / Gardening Painting Ordinary Labor O thers TOTAL D. SIGNIFICANT EVENTS / EXPERIENCES (Use separate sheets, if needed) WHAT IS/ARE ITS IMPORTANT CONTRIBUTION TO THE OPERATION OF THE SCHOOLS OR TO THE EXISTING NEEDS OF THE SCHOOL? WHAT HAPPENED? WHO WERE INVOLVED? WHEN? E. ISSUES AND CONCERNS (Describe briefly problems encountered and how resolved) E. LESSONS LEARNED / BEST PRACTICES

BE Form 07 DEPARTMENT OF EDUCATION F. SUGGESTIONS TO STRENGTHEN BRIGADA ESKWELA PROJECT (Include support needed fro m Central, Region, and Division Office that can increase the impact of Brigada E skwela Project on your school. G. EVIDENCES / ATTACHMENTS a. Photos (before, during and after) b. Photocopy of all completed BE Forms (check if attached) _______________ Form 01 _____________ __ Form 02 _______________ Form 03 _______________ Form 04 Prepared by: Date: _______________ Form 05 _______________ Form 06 ERNESTO JOSE Z. ALBEA School Head / Principal Submit a copy of this completed fo rm to ADOPT-A-SCHOOL PROGRAM DISTRICT COORDINATOR or District Supervisor on or b efore June 15.