BE FORM 01 Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 BRIGADA ESKWELA PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM (To be accomplished by the School Physical Facilities Coordinator) Instruction: Conduct an ocular inspection of the school physical facilities listed below. Then provide the needed information to facilitate the improvement to be done on these identified facilities. (If needed, you may use separate forms for each classroom or school facility) CONDITION (check one) FACILITIES Satisfactory Roofs/ gutters Ceilings Blackboards Chairs/ desks/ tables Water facilities/ Drainage system Signages School garden Windows Doors Comfort rooms School grounds School fence Others, please specify Construction of Canopy for School Canteen Unsatisfactory REMARKS If unsatisfactory describe the problem Gutter with holes Faded roof paint NATURE OF IMPROVEMENT NEEDED ( e.g.repair, repainting, replacement etc.) MATERIALS OR RESOURCES NEEDED (indicate kind and quality) Replacement repainting Gutter 8pcs. 4 gal. paint Carpentry Painter Carpentry & Painter MANPOWER NEEDED (Indicate quantity and nature of labor services needed) Destroyed & faded Repair & repainting . 7 kilos Nails & 7 gal. paint Many weeds weeding . Weeder Many weeds destroyed weeding repair Spade 2pcs. Weeder Carpenter Not available construction 9mm- 180 pcs 10mm- 120 pcs CHB- 1,200 pcs Cement- 800 bags 10 pcs. Gutter 10 bags cement 15 pcs 10MM Carpenter 10 pcs PVC pipe #1 100 pcs rebits Prepared by: Noted: ANGEALA F. GERMO School Physical Facilities Coordinator August 5, 2023 Date of Inspection MARLYN G. GARDOSE TIC/ Head Teacher/ Principal BE FORM 02 Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 BRIGADA ESKWELA SCHOOL WORK PLAN (To be accomplished by the School Head) Instruction: List down all the specific activities that you will be undertakin in relation to the conduct of Brigada Eskwela in your school and fill in The required information. Add another sheet if needed. Once completed , submit a copy to Adopt –A-School Program Coordinator or Brigada Eskwela Coordinator of you Division before January 31. KRA 1.Advocacy and Marketing 2.Resource Mobilization ACTIVITIES -General PTA Meeting -Closing program activity -Selection & Composition of different BRIGADA COMMITTEE -Orientation of their DUTIES & RESPONSIBILITIES. -Display of Brigada Streamer - Conduct an ocular inspection of the school physical facilities. -Asking DONATIONS/ PLEDGES from parents, Brgy.Officials, Alumni, etc -Preparation of Solicitation Letter. 3.Implementation -Preparation/ collection of materials needed -Checking the BE Form.4 (DAILY ATTENDANCE OF VOLUNTEERS) -Inspecting their ACCOMPLISHMENTS 5.Reporting -Filling out of different BE Forms -Submission of Report AUGUST 14, 2023 PTA Officers AUGUST 14-18, 2023 AUGUST 19, 2023 AUGUST 18, 2023 AUGUST 19, 2023 Prepared by: ANGEALA F. GERMO Signature over printed Name AUGUST 14, 2023 PERSONS RESPONSIBLE School Head B.E school Coordinator Teachers PTA Brgy. Officials Diff. BRIGADA Committee AUGUST 14, 2023 -Meeting with different BRIGADA COMMITTEE -Doing/ Performing different TASKS -Closing activity 4.Monitoring and Evaluation TIMELINE AUGUST 2, 2023 MATERIALS NEEDED BUDGET Printing of Streamers Printing of SOLICITATION LETTERS P 500 School Head B.E school Coordinator Teachers PTA Brgy. Officials Diff. BRIGADA Committee School Head B.E school Coordinator Diff. BRIGADA Committee gutter, latex & enamel paints, paint brush, nails spade , and etc. P 15,000 Evaluation Sheet Attendance Sheet P 300 School Head B.E school Coordinator BE Forms, pictures and etc. P 300 Noted: AUGUST 11, 2023 Date P 300 ______________________________ ASP Division Coordinator/ BE Coordinato BE FORM 03 Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 BRIGADA ESKWELA RESOURCE MOBILIZATION FORM (To be accomplished by the Resource Mobilization Committee) Instruction: Using the completed BE Form 01: Physical Facilities Needs Assessment Form as basis, summarize the resources (materials and manpower) needed and list down the potential source or partners to be tapped. Add additional sheet if needed. The Status and Remarks columns should be updated regularly to determine progress in acquiring resources needed. MATERIALS NEEDED QUANTITY KEY PERSONS/ ORGANIZATIONS TO BE TAPPED STRATEGIES/ PLAN OF ACTION gutter Paint LATEX Paint ENAMEL Roof Paint Nails (assorted) spade CHB cement 10mm 9mm 12 mm plywood Square bar Concrete table & chairs PVC pipe #1 rebits lumber 8pcs, 2 pails 7gal. 4 gal 7 kilos 2pcs. 300 pcs. 120 bags 110 pcs. 32 pcs. 30 pcs 15 pcs. 15 pcs. 4 sets 10 pcs. 100 pcs. 865 b.ft. Barangay Officials Barangay Captain Municipal Officials PTA Barangay Officials NGO’s Internal/External stakeholders Benefactors and others Benefactors and others Benefactors and others Benefactors and others Internal/External stakeholders Internal/External stakeholders Benefactors and others Benefactors and others Benefactors and others Benefactors and others solicitation solicitation solicitation solicitation solicitation solicitation solicitation solicitation solicitation solicitation solicitation solicitation solicitation solicitation solicitation solicitation solicitation PERSON RESPONSIBLE LGU, parents, teachers Barangay Officials Municipal Officials Internal stakeholders External stakeholders Teachers Benefactors and others STATUS REMARKS LABOR SKILLS/ VOLUNTEERS NEEDED QUANTITY Carpentry Painter Ordinary Labor cleaning gardening weeding KEY PERSONS/ ORGANIZATIONS TO BE TAPPED STRATEGIES/ PLAN OF ACTION PERSON RESPONSIBLE parents parents parents parents parents parents Seek for help Parents Barangay Officials Municipal Officials Internal stakeholders External stakeholders Teachersand others Prepared by: STATUS REMARKS Noted: ANGEALA F. GERMO Signature over printed name SCHOOL BE COORDINATOR AUGST 11, 2023 Date Prepared ___________________________________ ASP Division Coordinator/ BE Coordinator BE FORM 04 Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 BRIGADA ESKWELA DAILY ATTENDANCE OF VOLUNTEERS Date: ________________________________________ Instructions: Volunteers themselves should personally fill in the details required by this form under the supervision of any of the committee members. For the last column, indicate if masonry, carpentry, plumbing, painting, electrical, gardening/ landscaping, ordinary labor or others. NAME POSITION/ DESIGNATION ADDRESS/ ORGANIZATION/ AFFILIATION CONTACT NUMBER TIME IN SIGNATURE OUT TOTAL NUMBER OF HOURS SERVED Noted: ANGEALA F. GERMO School BrigadaEskwela Coordinator __________________________________ Date Prepared MARLYN G. GARDOSE TIC/ Head Teacher/ Principal NATURE OF VOLUNTEER SERVICES RENDERED BE FORM 5 Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 DAY 1 2 3 BRIGADA ESKWELA DAILY ACCOMPLISHMENT REPORT (Tobe accomplished by the Program Implementation Committee) 5 6 DATE: 4 Instruction; List down all the activities that needs to be undertaken for each day of the BrigadaEskwela Week. At the end of each day please mark the appropriate column that corresponds to the status of each activity. Cite reasons for non-completion. ACTIVITIES COMPLETED Replacement of gutters Repainting of roof Repainting of walls Repair of damaged chairs/desks Repainting of chairs Weeding of the school garden Cleaning of the classrooms and structuring Weeding of pathways/school ground Enhancement of School Canteen Noted: ANGEALA F. GERMO School BrigadaEskwela Coordinator STATUS STARTED BUT NOT YET COMPLETED NOT DONE REMARKS/ RECOMMENDATIONS __________________________________ Date Prepared MARLYN G. GARDOSE TIC/ Head Teacher/ Principal Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 DAY 1 2 3 4 BRIGADA ESKWELA DAILY ACCOMPLISHMENT REPORT (Tobe accomplished by the Program Implementation Committee) 5 6 DATE: Instruction; List down all the activities that needs to be undertaken for each day of the BrigadaEskwela Week. At the end of each day please mark the appropriate column that corresponds to the status of each activity. Cite reasons for non-completion. ACTIVITIES STATUS COMPLETED STARTED BUT NOT YET NOT DONE COMPLETED Replacement of gutters Repainting of roof Repainting of walls Repair of damaged chairs/desks Repainting of chairs Weeding of the school garden Replacement of unusable bulbs Cleaning of the classrooms and structuring Weeding of pathways/school ground Construction of Rain Catchment for Grade-1&2 Repair of Concrete Fence REMARKS/ RECOMMENDATIONS Noted: ANGEALA F. GERMO School BrigadaEskwela Coordinator __________________________________ Date Prepared MARLYN G. GARDOSE TIC/ Head Teacher/ Principal Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 BRIGADA ESKWELA DAILY ACCOMPLISHMENT REPORT DAY 1 2 3 4 5 (Tobe accomplished by the Program Implementation Committee) 6 DATE: Instruction; List down all the activities that needs to be undertaken for each day of the BrigadaEskwela Week. At the end of each day please mark the appropriate column that corresponds to the status of each activity. Cite reasons for non-completion. ACTIVITIES STATUS COMPLETED STARTED BUT NOT YET NOT DONE COMPLETED Replacement of gutters Repainting of roof Repainting of walls Repair of damaged chairs/desks Repainting of chairs Weeding of the school garden Replacement of unusable bulbs Cleaning of the classrooms and structuring Weeding of pathways/school ground Construction of Rain Catchment for Grade-1&2 Repair of Concrete Fence REMARKS/ RECOMMENDATIONS Noted: ANGEALA F. GERMO School BrigadaEskwela Coordinator FORM 5 __________________________________ Date Prepared MARLYN G. GARDOSE TIC/ Head Teacher/ Principal Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 BRIGADA ESKWELA DAY 1 2 3 4 DAILY ACCOMPLISHMENT REPORT (Tobe accomplished by the Program Implementation Committee) 5 6 DATE: Instruction; List down all the activities that needs to be undertaken for each day of the BrigadaEskwela Week. At the end of each day please mark the appropriate column that corresponds to the status of each activity. Cite reasons for non-completion. ACTIVITIES STATUS COMPLETED STARTED BUT NOT YET NOT DONE COMPLETED Replacement of gutters Repainting of roof Repainting of walls Repair of damaged chairs/desks Repainting of chairs Weeding of the school garden Replacement of unusable bulbs Cleaning of the classrooms and structuring Weeding of pathways/school ground Construction of Rain Catchment for Grade-1&2 Repair of Concrete Fence REMARKS/ RECOMMENDATIONS Noted: ANGEALA F. GERMO School BrigadaEskwela Coordinator __________________________________ Date Prepared MARLYN G. GARDOSE TIC/ Head Teacher/ Principal Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 DAY 1 2 3 4 BRIGADA ESKWELA DAILY ACCOMPLISHMENT REPORT (Tobe accomplished by the Program Implementation Committee) 5 6 DATE: Instruction; List down all the activities that needs to be undertaken for each day of the BrigadaEskwela Week. At the end of each day please mark the appropriate column that corresponds to the status of each activity. Cite reasons for non-completion. ACTIVITIES STATUS COMPLETED STARTED BUT NOT YET NOT DONE COMPLETED Replacement of gutters Repainting of roof Repainting of walls Repair of damaged chairs/desks Repainting of chairs Weeding of the school garden Replacement of unusable bulbs Cleaning of the classrooms and structuring Weeding of pathways/school ground Construction of Rain Catchment for Grade-1&2 Repair of Concrete Fence REMARKS/ RECOMMENDATIONS Noted: ANGEALA F. GERMO School BrigadaEskwela Coordinator __________________________________ Date Prepared MARLYN G. GARDOSE TIC/ Head Teacher/ Principal BE FORM 05 Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 ITEMS OR MATERIALS QUANTITY Juice & Bread- 1st day Juice & Bread- 2nd day Juice & Bread- 3rd day Juice & Bread- 4th day Juice & Bread- 5th day School Supplies 135 packs BRIGADA ESKWELA RECORD OF DONATIONS RECEIVED (To be accomplished by the Documentation Committee) DATE RECEIVED NAME OF DONOR ASSUMED COST OF ITEMS PER UNIT TOTAL May 20, 2019 Baby Jane T. Fojas 500 May 21, 2019 Jocye Micah S. Germo 500 May 22, 2019 Angela F. Germo 500 May 23, 2019 Selebrio G. Gardose 500 May 24, 2019 Kempee F. Pio 500 May 25, 2019 Agpalali BRGY. Officials 100 13,500 TOTAL Prepared by: IRENE G. GALLENERO Program Implementation Committee Chair/Member Date Prepared MARLYN G. GARDOSE School Head Enclosure No.2-A to Dep.ED Memo No. 41 s.2017 BE school form 1 BE FORM 05 Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 ITEMS OR MATERIALS QUANTITY cement CHB 9mm 10mm CHB 9mm 10mm 9mm 10mm 80 bags 800 pcs 60 pcs 40 pcs 400 pcs 60 pcs 40pcs 60 pcs 40 pcs 3pcs. 3pcs. 2pcs. 2 pails 7 kilos 6pcs 2pcs gutter gutter gutter Paint LATEX Nails (assorted) bulbs spade BRIGADA ESKWELA RECORD OF DONATIONS RECEIVED (To be accomplished by the Documentation Committee) DATE RECEIVED NAME OF DONOR ASSUMED COST OF ITEMS PER UNIT TOTAL 250 JESELLE gamayao HALL P 20,000 15 SERGIO GAMAYAO JR. P 12,000 100 DIOSDADO GAMAYAO P 6,000 150 RAMEL GAMAYAO P 6,000 100 BATCH 1994 P 6,000 100 BATCH 1998 P 6,000 150 CONCEPCION LINTUCO P 6,000 100 LOVELYN TANTOCO P 6,000 150 MARTIN GAMAYAO SR. P 6,000 May 1, 2019 Hon. Leo Gamayao 180 540 May 3, 2019 Hon. Angeles Gole 180 540 May 3, 2019 Hon. Demetrio Lopez Jr. 180 360 May 6, 2019 Hon Sonny Gabucayan 1,800 3600 May 10, 2019 Vergie C.Onato 65 195 May 12, 2019 CRISTINA ES Teachers 80 480 May 15, 2019 Cresilda G. Gapasinao 800 1600 TOTAL Prepared by: IRENE G. GALLENERO Program Implementation Committee Chair/Member JUNE 3, 2019 Date Prepared MARLYN G. GARDOSE School Head Enclosure No.2-A to Dep.ED Memo No. 41 s.2017 BE school form Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 BRIGADA ESKWELA 2019 School _ID School Name NUMBER OF VOLUNTEERS Government Agencies/ National & Local Community NGO PTA SGC Gawad Kalinga etc. Corpo ration Parents Alumni Private Individual/ Community Member Religious Organizations (Youth & Adult) Congressional Officials and Staff Provincial Officials City/ Municipal Officials Barangay Officials SK Officials Provincial/ City/Municipal Employees E.S 10 0 40 4 0 16 0 0 0 16 12 0 TOTAL 10 0 40 4 0 16 0 0 0 16 12 0 Cristina ES 115810 Private Sector Prepared by: Firem n PNP 0 AFP PA, Marines Airforce Etc. Barangay Workers Other Volunteers Total Number of Volunteers 0 20 36 154 0 20 36 154 Approved by: ____________________________________________________ ASP Division Coordinator ROEL F. BERMEJO, Ed.D. CESO V Schools Division Superintendent BE school form 1.1 Enclosure No.2-B to Dep.ED Memo No. 41 s.2015 Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 BRIGADA ESKWELA 2023 School _ID 115810 School Name RESOURCES GENERATED Hardware Materials for Classroom Repair Cristina ES Qty. Item Amount in Peso 8 pcs. 2 pcs 3 kilos gutter lawanet Nails (assorted) Infrastructures Hardware Materials for Toilet Newly Construction/ repair Hardware Materials for Wash Facilities Newly Construction/ repair Qty Qty. Item Amount in Peso Item Amount in Peso Other Donations Qty. Item Amount in Peso 1,440 500 195 6 pcs. 2 pcs. For 5.days bulb spade Juice & bread 480 1,600 2,500 School supplies PE Uniform 13,500 40,500 52,000 180 pcs 120 pcs. 1,200 pcs 9mm 10mm CHB 18,000 18,000 18,000 135 packs 135 sets 8 80 bags cement 20,000 1 Prepared by: 32 inches TV & wall mount 43 inches TV 27,000 Approved by: RUBY C. GERAFUSCO Coordinator ROEL F. BERMEJO, Ed.D.CESO V Schools Division Superintendent Total Number of Volunteers Total Number of Hours rendered (Labor) Volunteer Man Hours (Amount in Peso) Total Amount (In Peso) 154 462 37.50 17, 325 Republic of the Philippines Department of Education Region VI-Western Visayas Divison of Capiz Agpalali Elementary School School Year 2023-2024 BRIGADA ESKWELA SCHOOL WORK PLAN School Year 2023-2024 Instruction: List down all the specific activities that you will be undertaken in relation to the conduct of BRIGADA ESKWELA in your school and fill in the required information. Add another sheet if needed. Submit a copy tp Adopt-A- School Program Coordinator or BrigadaEskwela Coordinator. KRA 1.Advocacy and Marketing 2.Resource Mobilization ACTIVITIES TIMELINE 1-General PTA Meeting -Closing program activity -Selection & Composition of different BRIGADA COMMITTEE 2-Orientation of their DUTIES & RESPONSIBILITIES. -Display of Brigada Streamer - Conduct an ocular inspection of the school physical facilities. -Asking DONATIONS/ PLEDGES from parents, Brgy.Officials, Alumni, etc -Preparation of Solicitation Letter. March 30, 2019 3. Implementation -Preparation/ collection of materials needed -Meeting with different BRIGADA COMMITTEE -Doing/ Performing different TASKS -Closing activity 4. Monitoring and Evaluation -Checking the BE Form.4 (DAILY ATTENDANCE OF VOLUNTEERS) -Inspecting their ACCOMPLISHMENTS -Filling out of different BE Forms -Submission of Report 5.Reporting Noted: ANGEALA F. GERMO School BrigadaEskwela Coordinator April 8, 2019 April 8–30, 2019 May 1-25, 2019 May 17, 2019 May 20- June 3, 2019 May 20, 2019to June3,2019 -May 27 , 2019 -June 3, 2019 PERSONS RESPONSIBLE MATERIALS NEEDED BUDGET School Head B.E school Coordinator Teachers PTA Brgy. Officials Diff. BRIGADA Committee Printing of Streamers P 500 Printing of SOLICITATION LETTERS P 300 gutter, latex & enamel paints, paint brush, nails . Shovel , spade , bulb and etc. P 15,000 PTA Officers School Head B.E school Coordinator Teachers PTA Brgy. Officials Diff. BRIGADA Committee School Head B.E school Coordinator Diff. BRIGADA Committee School Head B.E school Coordinator Evaluation Sheet Attendance Sheet P 300 BE Forms, pictures and etc. P 300 MARLYN G. GARDOSE TIC/ Head Teacher/ Principal
