BE Form 07
SCHOOL:
SCHOOL ADDRESS:
(Please Check appropriate box)
SCHOOL HEAD:
PTA PRESIDENT:
BRIGADA ESKWELA
May 18-23, 2015
SCHOOL ACCOMPLISMENT REPORT
(To be accomplished by the School Head)
SCHOOL ID:
Elementary )
Secondary
CONTACT NUMBER:
CONTACT NUMBER:
A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED BASED on SIP & DepEd Memo No. 41, s.
2015, Annex C (all accomplishments supported with pictures) (Please check appropriate column)
What was done?
Equipment
New
Construction
Replaced
Repaired
Repainted
1. Roofs/rain gutter
2. Walls/Ceilings
3. School Building Directory
4. Windows and Doors
5. Chairs/Desks Tables, and Blackboards
6. Comfort Rooms
7. Leaking Pipes
8. School Grounds/Landscaping
9. School Signs/signage’s
10. Electrical
11.Fire extinguisher (suspended outside)
12. School free from any sharp objects
13.Prepare directory of identified classroom
for evacuation
14. Drainage
15. Signage’s for on-going
construction/condemned buildings
16. Exit plan/signage of high story building
17 Post directory of emergency contact
18. Establish early warning devices in case of emergency
19. School equip with first aid kits
20. Vegetables garden
21. No. of trees planted
22. Waste depository (with segregation)
23. Storage room(with segregation of contents)
24. Disaster Organizational Chart
25. Others specify
B. DONATIONS / MATERIAL RESOURCES GENERATED (Use separate sheet, if needed)
Type of Donations
Source
Estimated Cost
Total
Others
C. VOLUNTER SERVICES (Use separate sheets of daily attendance)
Name of
Number of Volunteers
Type of Volunteer
Individual/
Day Day Day Day
Organization 1
2
3
4
A. (PRIVATE SECTOR)
1. NGO
2. PTA
3. SGC
4. Gawad Kalinga
5. Corporation
6. Etc.
B. (COMMUNITY)
1. Parents
2. Alumni
3. Private Individual / Community Members
4. Religious Organization (Youth and Adult)
C. (Gov’t Agencies)LOCAL & NATIONAL
1. Congressional Officials and Staff
2. Provincials Officials
3. City Officials
4. Barangay Officials
5. SK Officials
6. Provincial /City Employees
7. Fireman / PNP etc.
8. AFP (PA, Marine, etc)
9. Barangay Workers
10. Other Volunteers
TOTAL
Day
5
Day
6
Total
D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED. (Use separate sheets, if needed)
Type of Services
Rate per
Rate per
Total Number Total Number Total Estimated
Day
Hour
of Volunteers
of Hours
Costs
Rendered
Masonry
360
45
Carpentry
360
45
Plumbing
360
45
Electrical/Electronic
360
45
Landscaping
360
45
Painting
360
45
Ordinary Labor
280
35
Others
280
35
Total
E. IMPACT OF BRIGADA ESKWELA (Enrollment Rate) % of increase/Decrease
Enrolment June 15, 2015 minus Enrolment Yearend March 2014-15 =
F. 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?
G. ISSUES AND CONCERN (Describe briefly problems encountered and how resolved)
H. LESSON LEARNED / BEST PRACTICES
I. SUGGESTION TO STRENGTHEN BRIGADA ESKWELA PROGRAM
J. EVIDENCES / ATTACHMENTS
a. Photos (before, during and after)
b. Photocopy of all completed BE Forms:
1. Form 01
3. Form 03
5. Form 05
2. Form 02
4. Form 04
6. Form 06
Prepared by:
Date:
__________________________________
_____________
______________
Name of School Head with Signature and
Designation
Submit this Report to Division Office on or before June 19, 2015 (Two (2) folders)
BE Form 01
BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESMENT 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 form for each classroom or school facility.)
FACILITIES
Condition (Check One)
Remarks
Nature of improvement Material Resources
Manpower Needed
Needed
Needed
(Indicate quantity
(e.g. repair, repairing,
(Indicate kind and
and nature of labor
Satisfactory Unsatisfactory If Unsatisfactory,
replacement,
etc.)
quantity)
services needed)
describe the problem
Roofs/gutters
Ceilings/walls
Windows and doors
Blackboards/tables
Chairs/desks/tables
Comfort rooms
Liking pipes
School ground/landscaping
School signs/signage’s
electrical
Fire suppression/extinguisher
School free from sharp objects
Prepare directory of identified classroom for evacuation
Drainage System
Signage’s for on-gong construction/condemn building
Exit plan/signage’s of high story building
Post of directory of emergency contact
Establish early warning devices in case of emergency
School equip with 1st aid kit
Other specify
Prepared by:
______________________________
________________
School Physical Facilities Coordinator
Date of Inspection
Noted:
_____________________________
TIC/Head Teacher/Principal
BE Form 02
SCHOOL WORK PLAN
(to be accomplished by the School Head)
BRIGADA ESKWELA
Instruction: List down all the specific 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.
Once completed, submit a copy to the Adopt-A-School Program coordinator or Brigada Eskwela coordinator of your division on or before January 31.
KRA
Activities
Timeline
Persons Responsible
Materials Needed
Budget
1. Advocacy and Marketing
2. Resource Mobilization
3. Implementation
4. Monitoring and
Evaluation
5. Reporting
Prepared by:
_________________________
Signature over Printed Name
_________________
Date Prepared
Noted by:
______________________________
TIC/Head Teacher/Principal
BE Form 03
RESOURCE MOBILIZATION FORM
(TO BE ACCOMPLISHED BY THE Resource Mobilization Committee)
BRIGADA ESKWELA
Instruction: using the completed BE For, 01: Physical Facilities Needs Assessments Form as basis, summarize the resource (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
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:
______________________________________
Resource Mobilization Committee Chairperson
Noted:
_______________________________
TIC/Head Teacher/Principal
BE Form 04
DAILY ATTENDANCE OF VOLUNTEERS
BRIGADA ESKWELA
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.
TIME
NAME
POSITION/DESIGNATION ADDRESS/ORGANIZATION/AFFILIATION CONTACT NUMBER
Noted:
__________________________
School Head
_____________________
Date
IN
SIGNATURE
OUT
TOTAL NUMBER OF
HOURS SERVED
NATURE OF
VOLUNTEER
SERVICE RENDERED
BE Form 05
BRIGADA ESKWELA
RECORDS OF DONATIONS RECEIVED
(To be accomplished by the Documentation Committee)
NAME OF DONOR
ITEMS OR MATERIALS
QUANTITY
DATE RECEIVED
Prepared by:
_____________________________________
Committee on Documentation Chair/Member
Noted:
_____________________________________
School Head
ASSUMED COST OF
ITEMS
PER UNIT
TOTAL
BE Form 06
DAILY ACCOMPLISHEMENT REPORT
(To be accomplished by the Program Implementation Committee)
Day
1
2
BRIGADA ESKWELA
3
4
5
6
Date
Instruction: list down all the activities that needs to be undertaken for each of the Brigada Eskwela week. At the end of each day, please mark the appropriate column that corresponds to status
of each activity. Cite reason for non-completion.
STATUS
Activities
Prepared by:
_________________________________________
Program Implementation Committee Chair/Member
Noted by:
_________________________________________
School Head
Completed
Status but not yet
completed
Not done
REMARKS/RECOMMENDATIONS