Appendix B Republic of the Philippines
BE Form 01 Department of Education
Region III-Central Luzon
Schools Division of Bulacan
TEODORO EVANGELISTA MEMORIAL HIGH SCHOOL
2017 – 2018
BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAITENANCE NEEDS ASSESSMET 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
Remarks Nature of Improvement Material Resources Manpower Needed (Indicate
(Check One)
FACILITIES Needed (e.g. repair, Needed (Indicate kind quantity and nature of labor
If Unsatisfactory, describe the repainting, replacement,) and quantity) services needed)
Satisfactory Unsatisfactory
problem.
Roofs/gutters
Ceilings
Walls
Blackboards
Chairs/desks/tables
Water facilities/
Drainage System
Signages
School garden
Lighting
Windows
Doors
Comfort rooms
School grounds
School canteen/clinic
School fence
Others, please
specify:
Prepared by: Noted:
January 18, 2013
School Physical Facilities Coordinator Date Inspection Principal II
Appendix B Republic of the Philippines
BE Form 01 Department of Education
Region III-Central Luzon
Schools Division of Bulacan
TEODORO EVANGELISTA MEMORIAL HIGH SCHOOL
2017 – 2018
BRIGADA ESKWELA
SCHOOL WORK PLAN
(To be accomplished by the School Head)
Instruction: List down all the specific activities 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.
Person/s
KRA Activities Timeline Materials Needed Budget
Responsible
1. Advocacy and Marketing
2. Resource Mobilization
3. Implementation
4. Monitoring and
Evaluation
5. Reporting
Prepared by: Noted by:
_____________________________
Principal II Date Prepared ASP Division Coordinator/BE Coordinator
Appendix B Republic of the Philippines
BE Form 01 Department of Education
Region III-Central Luzon
Schools Division of Bulacan
TEODORO EVANGELISTA MEMORIAL HIGH SCHOOL
2017 – 2018
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 Remarks columns should be updated regularly to determine progress in acquiring resources
needed.
Key Persons/Organizations to
Materials Needed Quantity Strategies/Plan of Action Person Responsible Status Remarks
be Tapped
Key Persons/ Organizations to
Labor Skills/Volunteers Needed Quantity Strategies/Plan of Action Person Responsible Status Remarks
be Tapped
Prepared by: Noted:
______________________________________ ____________ __________________________
Resource Mobilization Committee Chairperson Date Inspection Principal II
Appendix B
BE Form 01 Republic of the Philippines
Department of Education
Region III-Central Luzon
Schools Division of Bulacan
TEODORO EVANGELISTA MEMORIAL HIGH SCHOOL
2017 – 2018
BRIGADA ESKWELA
DAILY ATTENDANCE OF VOLUNTEERS
Date: _____________________
Instruction: 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.
NATURE OF
ADDRESS/ TIME TOTAL NUMBER
POSITION/ CONTACT VOLUNTEERS
NAME ORGANIZATION SIGNATURE OF HOURS
DESIGNATION NUMBER SERVICES
AFFILIATION IN OUT SERVED
RENDERED
Noted:
_____________________________
Principal II
Appendix B
BE Form 01 Republic of the Philippines
Department of Education
Region III-Central Luzon
Schools Division of Bulacan
TEODORO EVANGELISTA MEMORIAL HIGH SCHOOL
2017 – 2018
BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT
(To be accomplished by the Program Implementation Committee)
DAY 1 2 3 4 5 6 DATE:
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.
STATUS
Activities Started but not yet REMARKS/RECOMMENDATIONS
Completed Not done
completed
Prepared by:
Program Implementation Committee Chair/Member
Noted by:
