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Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes,Ilocos Sur
SY 2016-2017
School ID: 150513
CONDITION
(Check One)
FACILITIES
Satisfac
tory
Roofs/Gutters
Ceilings
Walls
Blackboards
Chairs/desks/tables
Water facilities/
Drainage System
Signage
Remarks
Nature of
improvement Needed
(e.g. repair,
repainting,
replacement, etc.)
Material
Resources
Needed
(Indicate kind
and quality)
Cement, sand
and rocks
Paint and ply
wood
No fence in the
school garden
Cover or construct
concrete canal
Make sign boards
inside the school
compound
Fence he school
garden
broken jalousies
replacement
10 pcs.
Jalousies
Welding rod
and steel bar,
sand and
cement
Unsatisf
actory
If
Unsatisfactory,
describe the
problem
Open canal
Sign board
School garden
Lighting
Windows
Doors
Destroyed door
and door knobs
Replacement and
repair
Comfort Rooms
repair
School Grounds
Destroyed doors
and top cover of
the PPP CR
Tall grass
The school
ground has a
flooded area
School
Canteen/Clinic
Cyclone wire
and iron
pipe, sand
and cement
load
Manpower Needed(Indicate
quantity and nature of
labor services needed)
4 laborers
1 carpenter
3 laborers
Unfinished fence
Electricity
School gate
No permanent
post
Without padlock
Reference Materials
Learners
Repair
replacement
Repair
Request
1 carpenter
Welder and Masson
2 laborers
Brash cutter,
sand and
cement
Cyclone wire,
iron pipe,
cement and
sand
Iron pipe as
post
Welding rod,
iron pipes
2 Laborers
Laborers
laborer
1 welder and
carpenter
Noted:
GEMMA T. SONGKIT
School Physical Facilities Coordinator
GEMMA T. SONGKIT
School Head/T
BE Form 02
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
KRA
1.Advocacy and
Marketing
2. Resource
Mobilization
3.Implementation
4. Monitoring
and Evaluation
Persons
Responsible
Materials
Needed
Activities
Timeline
April May
2016
teachers
Bond paper,
cartolina
February
May 2016
May June
2016
Teachers,
parents, pupils
Teachers,
parents, pupils
Letters, bond
paper
Construction
materials
snacks
supervise,
give
pieces
of
advice,
suggestions, May June
recommendations, give reinforcements, give praises, give 2016
corrections, extend gratitude
teachers,
parents,
students
Budget
P 150.00
P 50.00
P 400.00
P 200.00
5. Reporting
- collect reports
- consolidate all BE Forms and summarize the reports
- submit report to Division Office
Prepared by:
June 1-15,
2016
Brigada Eskwela
Division
Coordinator,
Teachers
Bond paper,
folder,
pictures
P 150.00
P 1000.00
Noted by:
GEMMA T. SONGKIT
SOLEDAD B. DUMBRIQUE
ASP Division Coordinator/ BE coordinator
BE Form 03
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
Quantity
Key
Persons/Organization to
Strategies/Plan of
Action
Person Responsible
Status
Remarks
Needed
carpenter
laborer
welder
Masson
Prepared by:
3
5
1
3
be Tapped
Teachers,
Parents & stakeholders
Solicitation,
Fund raising
Teachers,
Parents & stakeholders
Noted:
GEMMA T. SONGKIT
Resource Mobilization Committee Chairperson
GEMMA T. SONGKIT
Teacher-In-Charge
BE Form 04
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
POSITION/
DESIGNATION
ADDRESS/
ORGANIZATION/
AFFILIATION
CONTACT
NUMBER
TIME
IN
OUT
SIGNATURE
TOTAL
NUMBERS OF
HOURS
SERVED
NATURE OF
VOLUNTEER SERVICES
RENDERED
Noted:
GEMMA T. SONGKIT
School Head/Principal
BE Form 05
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malayag, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
QUANTITY
DATE RECIEVED
NAME OF DONOR
May 31-June
04, 2016
teacher
TOTAL
Prepared by:
Noted by:
P 500.00
GEMMA T. SONGKIT
Committee on Documentation Chair/Member
GEMMA T. SONGKIT
Teacher-In-Charge
BE Form 06
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
2 3 4 5
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 reasons for non-completion.
Activities
Day 1 Cleaning of the school
ground/compound
Day 2 Digging canals
Day 3 Repair of the school compound fence
Day 5 Cleaning of the school
ground/compound
Day 6 Cleaning of the school
ground/compound
Completed
STATUS
Started but not yet
completed
Not done
REMARKS/RECOMM
ENDATIONS
Prepared by:
Noted by:
GEMMA T. SONGKIT
Program Implementation Committee Chair/Member
GEMMA T. SONGKIT
School Head/Principal
BE Form 07
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
Level:
ELEMENTARY
JUNIOR HIGH SCHOOL
SENIOR HIGH SCHOOL
Type of School:
CENTRAL SCHOOL
NON-CENTRAL SCHOOL (COMPLETE)
MULTI-GRADE
PRIMARY SCHOOL (COMPLETE)
INTEGRATED
BE Form 07
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
Repainted
Replaced
Others
(Brief
Description)
Weeding/ planting
13. others
Kubo
BE Form 07
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
Estimated Cost
500
TOTAL
P 500.00
BE Form 07
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
Name of individuals/
organization
Parents
TOTAL
Number of Volunteers
Day 1
4
Day 2
2
Day 3
0
Day 4
0
Day 5
2
Day 6
3
TOTAL
11
11
BE Form 07
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
88
P 2,750
P 2,750
BE Form 07
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
When?
May 30-June 4, 2016
BE Form 07
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
F.LESSONS LEARNED
The work is lighter. It strengthens the partnership between parents, teachers and other stakeholders.
Prepared by:
Date:
GEMMA T. SONGKIT
School Head/TIC
June 05,2016
Department of Education
Region I
SCHOOLS DIVISION OF ILOCOS SUR
Naiba Primary School
Naiba, Malaya, Cervantes, Ilocos Sur
SY: 2016-2017
School ID: 100482
Submitted by:
GEMMA T. SONGKIT
Teacher III/ TIC