Brigada Eskwela-Form 1 to 3

Appendix E BE Form 01

Caraga Administrative Region Division of Agusan del Norte  Jabonga District -II Libas Elementary School S! S! "#$%-"#$& "#$% -"#$&

BRIGADA ESKWELA PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM

(To be accomplished by the School Physical Facilities Coordinator)

Conduct an ocular inspection o the school physical acilities listed belo!" Then pro#ide the needed inormation to acilitate the impro#ement to be done on these identiied acilities" ($ needed% you may use separate  orms or each classroom or school acility")

Instruction Instruction::

Condition (Chec' one) .nsatisactory

emar's

oos

/

$ un unsatisactory% describe the problem" no *utter

Ceilin*s

/

repairable

FAC$&$T$ES

Satisactory

ature o $mpro#ement eeded (e"*" repair% repaintin*% replacement% etc")

+aterial esources eeded ($ndicate ,ind and -uantity)

+anpo!er eeded($ndicate -uantity and  ature o &abor Ser#ices eeded)

epair

Plain $ sheet *"2

3 manpo!er or 3 days

epairs

3 men or 3 days

epaintin*

4 bundles xx5 +arine Ply!ood 10pcs latex paint 2 *als

2 men or 2 days

epair7repaintin*

 *als slate paint

 men or  days

6alls

/

aded paint

Blac'board

/

aded paint7some to be replaced

8oors%

/

aded paint

epaintin*

Paint9(4 *als)

 men 9 days

Chairs% 8es's%Tables

/

aded paint

epaintin*

Paint9(4 *als)

 men 9 days

Si*na*e

/

needs to be rene!ed

School arden

/

no more plants7co#ered !ith *lass

6indo!s

/

some blade7blade holder

8oors

/

aded paint

Comort ooms

/

aded paint

School rounds

/

*rassy

School canteen7Clinic

/

aded paint

;thers% Please speciy< Path!ays = >eroes Par'7+ini9Fence

/

Faded paint

repaintin*

6ater Facilities% 8raina*e System epair% repaintin*

Bo!l% tiles

Carpenter9

cleanin*

bolos%sho#el%pic' mattoc'

1: manpo!er needed or 4 days

epaintin*7replacement

blades

4 men or 3 days

epaintin*

eplantin*

 men or  days

epaintin*

paint 4 *als

 men or  days

cleanin*

: liters *asoline7*rass cutter

4 men or 4 days

epaintin*

1 !hite enamel paint

1 man or 1 day

pin'7*reen7yello!

: men or 4 days

&i*htin*

Prepared by< ,AA> A" ;8$.E? School Physical Facilities Coordinator

oted< +ay :% 01@ 8ate o $nspection

;E&$; S" S.+A>$T School >ead

Appendix E BE Form 0

Caraga Administrative Region Division of Agusan del Norte  Jabonga District -II Libas Elementary School S! "#$%-"#$&

BRIGADA ESKWELA SCHOOL WORK PLAN (To be accomplished by the School >ead)

Instruction< &ist do!n all the speciic acti#ities that you !ill be underta'in* in relation to the conduct o Bri*ada Es'!ela in your school and ill in the reuired inormation" Add another sheet i needed" ;nce completed% submit a copy to

the Adopt9A9School Pro*ram coordinator or Bri*ada Es'!ela coordinator o your di#ision on or beore anuary 41"

KRA

1" Ad#ocacy +ar'etin*

Activities

Person/s Responsible

395% Baran*ay ;icials% PTA ;icials% Parents% Teachers and School >ead " esource +obiliation Ta'en or the +;;E and solicit amount rom sta'eholders 8i#ision Personnel% +ay 11913% School >ead% Teachers 4" $mplementation Cuttin* o *rasses% repaintin*% *ardenin*% and repair o some +ay 1:91 School aculties and !indo! sta'eholders 3" +onitorin* E#aluation :" eportin*

= Call up sta'eholders and idscuss acti#ities to be done

Timeline

+ay 01@

and ollo! up sta'eholders

School >ead

consolidate the dierent accomplishment report rom th dierent +ay report rom the dierent committees 012

Prepared by< KARAH A. R!RI"#

%$School Physical Facilities Coordinator

R"$&I '. '#MAHIT

School >ead

Budget

campai*n posters and :00"00 letters und plan and :0%000"00 solicitation letters rass cutter% sho#el% 1:%000"00  paint% bolos% and others Bri*ada orms 195

2% Assi*ned chairman in the Folder and Bondpaper dierent committees

oted< April 2% 01@ 8ate Prepared

Materials Needed

100"00 00"00

Appendix 8 BE Form 04

Caraga Administrative Region Division of Agusan del Norte  Jabonga District -II Libas Elementary School S! "#$%-"#$&

BRIGADA ESKWELA RESOURCE MOBILIZATION COMMITTEE (To be accomplished by the Resource Mobilization Committee)

Instruction: Using the completed BE form 01: Physical Facilities Needs Assessment form as basis summari!e the resources "materials and manpo#er$ needed an dlist do#n the potential source or partners to be tapped% Add additional sheet if needed% &he status and 'emar(s columns should be updated regularly to determine progress in ac)uiring resources needed% Materials Needed

Quantity

Key Persons/Oranizations to be Tapped

Paint Bamboo Postsl Gasoline Grass cutter/$perator

7 gals 10 pcs 6- liters %

teachers PTA members Teachers Private Sector

cement gravel/cabella Tie )ire 17

* bags/1/% cubic 1 ,l+  galloons

Gen+ PTA President Gen+ PTA President .$$#

%abor !$ills/ &olunteers Needed

cleaning the garden cutting grasses painting .ason

Quantity

Key Persons/Oranizations to be Tapped

6* * % 1%

P2s leader &eligious Sector Alumni )atchman

're(ared by)

*ARA+ A R,DRI.E/

Person Responsible

!trateies/Plan o" #ction

Present to the problem motivate/implement !A &e'uested operator honorarium present the plan &e'uested or !A

!trateies/Plan o" #ction

.otivate !all up dierent religious groups call up alumni oicials

School head Parent "ep#d (ith School )atchman

!tatus

Remar$s

Procured 7 gals complied !A complied

Accomplished Accomplished Accomplished Accomplished

PTA President

complied

Accomplished

School ead

!ash Advance

!omplied

Person responsible

PTA President 3eader Brg4 $icials Alumni President Grade 5 Teacher

noted)

R,ELI, S S.0A+I1

!tatus

complied complied complied complied

Remar$s

Accomplished Accomplished Accomplished Accomplished

'esource *obili!ation +ommittee +hairperson

,ead &eacher  

Appendix E BE Form 0:

(araga Administrative Region !ivision o) Agusan del Norte *abonga !istrict +II (u,ago $lementar, 'c-ool '.. 011+01

BRIGADA ESKWELA RECORD OF DONATIONS RECEIVED

(To be accomplished by the 8ocumentation Committee) Items or Matera!s

"#a$tt%

Date Re&e'e(

Name o) Do$or

-& oil gasoline bamboo post nails paint Nipa 8umber

. liter 4 liters 23/ pcs 560 pcs 1/ (ls 10 gals 200 pcs Per chainsa# for - days

/-11 /-11 /-211 /-211 /-211 /-/11 /-411 /-611

P&A P&A parents parents P&A Brgy% 7fficials P&A P&A

Prepared by:

Noted:

FE 9% 'EE; +ommittee on > > > >

+ompleted

> >

Prepared by: ,E8EN 9'A+E P% 8A*7;&E Program Implementation +ommittee +hair=member

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