Brigada Eskwela Forms Les Final

BE Form 01
Republic of the Philippines

Department of Education
Region X
Schools Division of Lanao del Norte
LIBERTAD ELEMENTARY SCHOOL
Libertad, Kauswagan, Lanao del Norte
School Year 2016-2017
BRIGADA ESKWELA
PHYSICAL FACILITIES AND MAINTENANCE NEEDS ASSESSMENT FORM
Instruction: Conduct an ocular inspection of the school physical 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 Manpower
Remarks Nature of improvement
(Check One) Needed(Indicate
Needed Material Resources Needed (Indicate kind
FACILITIES quantity and
Unsatisfactor If Unsatisfactory, describe the (e.g. repair, repainting, and quality)
Satisfactory nature of labor
y problem replacement, etc)
services needed)
 Roofs/Gutters 3 classroom have Corrugated Iron Sheets, roof nails, paint
Replacement Carpentry
dilapidated roof primer, roof sealant
 Ceilings 7 classroom needs ceiling
Plywood sheet, common wire nails Carpentry
replacement Replacement
 Walls Needs repainting Repainting Paint Ordinary Labor
 Blackboards
 Chairs/desks/tables Needs minor repair Repair Common nails & paint Carpentry
 Water facilities/
Drainage System
 Signages Needs repainting Repainting Paint Ordinary Labor
 School garden Needs cleaning Brooms, garbage bags Ordinary Labor
 Lighting
 Windows Needs minor repair Repair Paint & common nails Carpentry
 Doors Needs minor repair Repair Paint & common nails Carpentry
 Comfort Rooms Carpentry &
Needs major repair Repair Paint & common nails
Masonry
 School Grounds Needs leveling Heavy equipment (backhoe & bulldozer)
 School Canteen/Clinic Needs minor repair Paint & common nails Carpentry
 School Fence/ wall Needs repair Common nails Carpentry
 Electricity
 Alternative gate
 Reference Materials
 Laboratory equipment
Prepared by: Noted:
HARIM H. ARELLANO February 10, 2016 ROSITA C. ENTIA
School Physical Facilities Coordinator Date of Inspection School Head
BE Form 02
Region X
BRIGADA ESKWELA
SCHOOL WORK PLAN
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 _________.
KRA Activities Timeline Person’s Responsible Materials Needed Budget
 Social Media Advocacy through Facebook, Chairman: Marjorie Deligencia Papers, printer, P100.00
1.Advocacy and April 25-
 Barangay Information Announcements, Members: Mary Jane R. Mabanta program,
Marketing May 27,
 Posting of Campaign Banners Gladys V. Calo
2016
Ailleen V. Patigas
 Generate resources through solicitation letters and April 25- Chairman: Charity Anne L. Montebon Papers, printer, P100.00
2.Resource
 Accepts pledges and donations from stakeholders May 27, Members: Yvette Ganzan program,
Mobilization
2016 Hazel Wyn Mabanta
Honeylen Marmojada
Chairman: Harim H. Arellano
 Guides working teams, directs and monitors the May 30-June Members: Josefina R. Capao Camera, attendance
3. Implementation
conduct of various activities 4,2016 Lynn R. Paring sheets, program of
Norhaida Mipanga works
Chairman: Bobby H. Debalucos
4. Monitoring and  Ensures the actual accomplishment of programs of May 30-June Members: Arlene B. Dela Cruz Camera, attendance
Evaluation work 4,2016 Virgin Nita Bigornia sheets, program of
Maria Cris C. Canoy works
 Takes photo on activities done before, during and after
the BE; Chairman: Mark P. Paguidopon Printer, Photo paper,
 Keeps and maintains the record of donations and May 30-June Members: Lyneth R. Ticar bond paper, camera, 400.00
5. Reporting attendance sheets,
attendance; 24,2016 Cindy Mae D. Espina
 Consolidates all the BE Forms for accomplishment Salam Simbanatao records of Donations
reports
Prepared by: Noted by:
ROSITA C. ENTIA February 3, 2016 _____________________________

Signature over Printed name Date Prepared ASP Division Coordinator/ BE coordinator
BE Form 03
Region X
BRIGADA ESKWELA
RESOURCE MOBILIZATION FORM
Instruction: Using the completed BE Form 01: Physical Facilities Needs Assessment 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.
Key
Strategies/Plan of Person
Materials Needed Quantity Persons/Organization to Status Remarks
Action Responsible
be Tapped
Corrugated Iron Sheets 120
(8 ft.)
Common nails #3 10kg  Make a memorandum of
Umbrella Nails 5 kg agreement between
stakeholders to
Plywood sheets (1/4) 40 pcs strengthen their support
Paint ( 3 colors) 30 gal. to Brigada Eskwela.
Paint Primer 5 gal  Solicit materials and
resources out from the
Roof sealant 5 liters stakeholders.
Cement 25 bags  Provide recognition to
All the concerned
Tiles 200 pcs stakeholders who have
External & Internal Stakeholders, committees of the
shown great effort in
Sand 50 sacks Private Sectors& NGO Brigada Eskwela
strengthening the ASP & Program
Heavy Equipment 2 units BE program
 Document all the
Paint brush 40 pcs
accomplishment made by
Paint Roller 20 pcs the school and have
Paint Thinner 3 gal proper dissemination of
outputs made by the joint
Fuel 30 liters efforts of school
Brooms 50 pcs personnel and
Dust Pans 25 pcs stakeholders.
Garbage Bags 100 pcs
Labor Key
Strategies/Plan of Person
Skills/Volunteers Quantity Persons/Organization to Status Remarks
Action Responsible
Needed be Tapped
Mason 30
Carpenter 50  Make a memorandum of

agreement between
stakeholders to strengthen
Plumber 5 their support to Brigada
Eskwela.
 Solicit materials and
Electrician 5 resources out from the
stakeholders.
 Provide recognition to
Gardener 200 External & Internal All the concerned
stakeholders who have shown
Stakeholders, Private Sectors& committees of the
great effort in strengthening
NGO Brigada Eskwela
the ASP & BE program
Laborer 100 Program
 Document all the
accomplishment made by the
Sweepers 100 school and have proper
dissemination of outputs
made by the joint efforts of
Painter 50 school personnel and
stakeholders.
Welder 5
Heavy Equipment
2
Operator
Prepared by: Noted:
CHARITY ANNE L. MONTEBON ROSITA C. ENTIA

Resource Mobilization Committee Chairperson School Head
BE Form 04
Region X
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 labours or others.
TOTAL NATURE OF
NAME POSITION/ ADDRESS/ CONTACT TIME SIGNATURE NUMBER VOLUNTEER
DESIGNAT ORGANIZATION/ NUMBER S OF SERVICES
ION
AFFILIATION HOURS RENDERED
IN OUT SERVED
Noted:
ROSITA C. ENTIA
School Head Date
BE Form 05
Region X
BRIGADA ESKWELA
RECORD OF DONATIONS RECEIVED
ASSUMED COST OF ITEMS

ITEMS/ MATERIALS QUANTITY DATE RECIEVED NAME OF DONOR
Per Unit Total
Corrugated Iron Sheets (8 ft.) 40 sheets May 25, 2016 GNPower Kauswagan Ltd. Co. 240.00 9,600.00
Common nails #3 3 kg May 25, 2016 GNPower Kauswagan Ltd. Co. 55.00 165.00
Umbrella Nails 2 kg May 25, 2016 GNPower Kauswagan Ltd. Co. 100.00 500.00
Plywood sheets (1/4) 10 pcs May 25, 2016 GNPower Kauswagan Ltd. Co. 320.00 3,200.00
Paint ( 3 colors) 30 gal. May 25, 2016 GNPower Kauswagan Ltd. Co. 580.00 17,400.00
Paint Primer 5 gal. May 25, 2016 GNPower Kauswagan Ltd. Co. 580.00 1,740.00
Roof sealant 5 liters May 25, 2016 GNPower Kauswagan Ltd. Co. 480.00 2,400.00
Cement 5 sacks May 25, 2016 GNPower Kauswagan Ltd. Co. 252.00 1,260.00
Paint ( Pink) 2 gal. May 31, 2016 Banco Dipolog 580.00 1,160.00
Broom (plastic) 1 May 31, 2016 Banco Dipolog 100.00 100.00
Dust pan 1 May 31, 2016 Banco Dipolog 70.00 70.00
Paint (white) 2 gal. June 01, 2016 East West Bank 580.00 1,160.00
Heavy Equipment (Rental)
 Backhoe (5 days) 1 Oct. 31- Nov. 4, 2015 LGU- Kauswagan 15,000.00 70,000.00
 bulldozer 1 June 3, 2016 GNPower Kauswagan Ltd. Co. 15,000.00 15,000.00
 Operator Honararium 5 days Oct. 31- Nov. 4, 2015 PTA & Teacher’s Solicitation 550.00 2,750.00
Fuel
 Oil 10 (Hydraulic Oil) 1 Oct. 31- Nov. 4, 2015 PTA & Teacher’s Solicitation 2,500.00 2,500.00
 Diesel 140 liters Oct. 31- Nov. 4, 2015 PTA & Teacher’s Solicitation 30.17 4,827.20
 Engine Oil 1 liter Oct. 31, 2016 PTA & Teacher’s Solicitation 140.00 140.00
Tiles (Benches) 70 pcs June 2-4 2016 GPTA 54.00 3780.00
Cement 12 sacks June 2-4, 2016 GPTA 252.00 3,204.00
Sand 10 sacks June 2-4, 2016 GPTA 34.50 345.00
Labor Pakyaw System June 2-4, 2016 GPTA 2,450 2,450.00
Cement 12 sacks June 4, 2016 Grade VI- HRPTA 252.00 3,024.00
Sand 25 sacks June 4, 2016 Grade VI- HRPTA 34.50 862.50
Labor Pakyaw System June 4, 2016 Grade VI- HRPTA 3,900.00 3,900.00
Monetary June 1, 2016 First Valley Bank Inc. 1,000.00 1,000.00
Monetary June 1, 2016 One Network Bank Inc. 1,000.00 1,000.00
Monetary June 1, 2016 Philippine National Police 300.00 300.00
Food June 2, 2016 Isel Fetalvero 1,700.00 1,700.00
HE ROOM REPAIR
Tiles 150 pcs December 19, 2015 GPTA United Nations Proceeds 125.00 18,750.00
Cement 30 sacks December 19, 2015 GPTA United Nations Proceeds 252.00 7,560.00
Sand 150 sacks December 19, 2015 GPTA United Nations Proceeds 34.50 5,175.00
Labor Pakyaw System December 19, 2015 GPTA United Nations Proceeds 20,000.00 20,000.00
Hollow Blocks 100 December 19, 2015 GPTA United Nations Proceeds 9.00 900.00
Lavatory & Toilet Bowl Set 1 set December 19, 2015 Mr. Allan A. Sulia 3,700.00 3,700.00
ROOF REPLACEMENT
Corrugated Iron Sheets (8 ft.) 70 sheets December 19, 2015 GPTA United Nations Proceeds 240.00 16,800.00
Umbrella Nails 3 kg December 19, 2015 GPTA United Nations Proceeds 100.00 300.00
Ordinary Plywood 20 pcs December 19, 2015 GPTA United Nations Proceeds 300.00 6,000.00
TOTAL Php 234,476.00
MARK P. PAGUIDOPON ROSITA C. ENTIA

Committee on Documentation Chairman School Head
BE Form 06
Region X
BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT
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
Started but not yet REMARKS/RECOMMENDATIONS
Activities Completed Not done
completed
Day 1
 Simple Opening Program & Parade around
the barangay vicinity
 Organization & Briefing of Working Teams
 Start of cleaning classrooms, repairing tables
& chairs, weeding of school gardens.
Day 2
 Continuation of cleaning classrooms,
repairing tables & chairs, weeding of school
gardens.
 Repainting of walls and school signage
 Start of replacement of dilapidated roofs
 Start of school ground landscaping &
weeding/pruning of tree branches
Day 3
gardens.
 Start of replacement of dilapidated ceilings
 Start of classroom window repair and
replacement.
Day 4
gardens.
 Continuation of replacement of dilapidated
roofs
 Continuation of school ground landscaping
& weeding/pruning of tree branches
ceilings
Day 5
 Start of leveling of the school ground
gardens.
roofs
Day 6
 Final inspection of Accomplishment
 Culmination Program
 Awarding of Certificate and Recognition of
Donors & Active Stakeholders

HARIM H. ARELLANO ROSITA C. ENTIA
Program Implementation Committee Chairman School Head
BE Form 7
Region X
BRIGADA ESKWELA
SCHOOL ACCOMPLISHMENT REPORT
DIVISION: LANAO DEL NORTE REGION: X
SCHOOL: LIBERTAD ELEMENTARY SCHOOL SCHOOL ID: 127046
SCHOOL ADDRESS: LIBERTAD, KAUSWAGAN, LANAO DEL NORTE

(Please check appropriate box)
Level: Type of School:

Elementary Central School
 High School Non- Central School (Complete)
Multi-grade
Primary School (Complete)
Integrated
SCHOOL HEAD: ROSITA C. ENTIA CONTACT NO.: 09177287022
PTA PRESIDENT: LATIFAH M. ETO CONTACT NO.:
BE Form 07

Region X
A. SCOPE OR REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
What was done?
Others
Repaired Repainted Replaced
(Brief Description)
1.Roofs Clearing up the leaves of the school roofs
2.Ceilings
3.Wall
4.Windows and Doors

5.Chairs/Desks, Tables and Blackboards
6.Comfort Rooms
7.Leaking Pipes
8.School Grounds/Landscaping Leveling of the school grounds and cleaning the

school premises
9.School signs
10. School Fence Putting up of school perimeter fence.
11.Electric fans
12.Lightings
BE Form 07
Region X
B. DONATIONS/MATERIALS RESOURCES GENERATED (Use separate sheets, if needed)

Type of Donations Sources Estimated Cost
Corrugated Iron Sheets (8 ft.) 9,600.00 9,600.00
Common nails #3 165.00 165.00
Umbrella Nails 500.00 500.00
Plywood sheets (1/4) 3,200.00 3,200.00
Paint ( 3 colors) 17,400.00 17,400.00
Paint Primer 1,740.00 1,740.00
Roof sealant 2,400.00 2,400.00
Cement 1,260.00 1,260.00
Paint ( Pink) 1,160.00 1,164.00
Broom (plastic) 100.00 100.00
Dust pan 70.00 70.00
Paint (white) 1,160.00 580.00
Heavy Equipment (Rental)
Backhoe (5 days) 70,000.00 70,000.00
bulldozer 15,000.00 15,000.00
Operator Honararium 2,750.00 2,750.00
Fuel
Oil 10 (Hydraulic Oil) 2,500.00 2,500.00
Diesel 4,827.20 4,827.20
Engine Oil 140.00 140.00
Tiles (Benches) 3780.00 3780.00
Cement 3,204.00 3,204.00
Sand 345.00 345.00
Labor 2,450.00 2,450.00
Cement 3,024.00 3,024.00
Sand 862.50 862.50
Labor 3,900.00 3,900.00
Monetary 1,000.00 1,000.00
Monetary 1,000.00 1,000.00
Monetary 300.00 300.00
Food 1,700.00 1,700.00
Tiles 18,750.00 18,750.00
Cement 7,560.00 7,560.00
Sand 5,175.00 5,175.00
Labor 20,000.00 20,000.00
Hollow Blocks 900.00 900.00
Lavatory & Toilet Bowl Set 3,700.00 3,700.00
Corrugated Iron Sheets (8 ft.) 16,800.00 16,800.00
Umbrella Nails 300.00 300.00
6,000.00 6,000.00
TOTAL Php 234,476.00
BE Form 07
Region X
C. VOLUNTEERS SERVICE
Number of Volunteers
Type of Volunteer Name of individuals/ organization
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 TOTAL
Private Sector  GSIA 13 13
 GN Power Kauswagan, Ltd. Inc. 39 39
 Ombao Construction 10 10
 HR Construction 7 7 7 7
Community
 Parents 44 44 44 46 36 12 226
 Religious Organization 2 2
 Youth 22 22
 Senior Citizen 22 22
 PTA 12 12
 Women’s Organization 22 22 44
 Fisherfolks & Farmers Association 12 12
 4P’s Members 44 29 33 106
Government Agencies
 Teachers Association 18 18 18 18 18 18 108
 AFP 9 4 13
 PNP 4 4
 Barangay LGU 6 6
 Municipal LGU 1 2 3
TOTAL 137 196 106 115 75 34 663
BE Form 07
Region X
D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED
Type of Service Total Number of Volunteers Total Number of Hours Rendered Total Estimated Costs
Carpentry 10 80 3500.00
Masonry 16 128 5,600.00
Gardening/ Landscaping 15 107 4,012.50
Painting 22 67 2,931.25
Welding 0 0 0
Electrical/ Electronics 0 0 0
Plumbing 0 0 0
Ordinary Labor 595 2087 78,262.50
TOTAL 658 2359 94,306.25
BE Form 07
Region X
E. SIGNIFICANT EVENTS / EXPERIENCES
What is/are important contribution to the
What happened? Who were involved? When? operation to the school or to existing needs of the
school?
1. Landscaping and leveling
of the school ground. External Stakeholder ( GN Power-Kauswagan, Oct. 31- Nov. 4, 2015  GNPK & LGU provided the use of heavy
Municipal LGU, Municipal Engineer,Heavy & equipment
Equipment Operator, BLGU Official,BE June 3, 2016  School Head supervises the project.
Implementation Committee Chairman  Heavy Equipment Operators do the leveling of the
school ground.
2. Repainting of the
classroom walls External Stakeholder ( GN Power-Kauswagan Ltd.  GNPK donated the materials for repainting of the
Inc., Teachers, ALS Learners, Private Sectors June 1, 2016 classroom walls.
(GSIA), BE Implementation Committee Chairman  School Head supervises the project.
 GNPK employees do the painting of the classroom
walls
3. Replacement of roofs in External Stakeholder (HR Construction Workers,

three instructional rooms Ombao Construction Workers) OIC-School Head,  GNPK donated the materials for replacement of
BE Implementation Committee Chairman June 1-3, 2016 the classroom roof.
 School Head supervises the project.
 HR and Ombao construction workers do the
4. Replacement of dilapidated External Stakeholder (HR Construction Workers, replacement of the classroom roof.
ceiling in three Ombao Construction Workers) OIC-School Head,
instructional classrooms BE Implementation Committee Chairman  GNPK donated the materials for replacement of
June 1-3, 2016
the classroom ceiling.
5. Cleaning of the school Parents, Alumni, 4P’s Members, Senior Citizens,
 School Head supervises the project.
ground and school BLGU Officials, Youth Organization, Fisherfolks
 HR and Ombao construction workers do the
perimeter fence & Farmer Organization, BE Implementation
replacement of the classroom ceiling.
Committee Chairman
May 30-June 4, 2016
 School Head supervises the cleaning.
 Volunteer parents and other stakeholders do the
cleaning of the ground and school premises.
F. LESSONS LEARNED
 Better preparation for the Brigada Eskwela contributes to better outcome.
 The complete attendance and participation of teachers shall likewise convey a strong message to the volunteers of how serious you and the whole DepEd family
in this undertaking
G. SUGGESTIONS TO STRENGTHEN BRIGADA ESKWELA PROJECT
 There must be a signing Memorandum of Agreement/Understanding to all stakeholders to strengthen more their support in providing assistance to the school.
 The school may initiate the Fund Raising program as a project of the PTA and the proceeds will go to the schools major project .
Prepared by: Date:
ROSITA C. ENTIA JUNE 24, 2016

School Head

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BE Form 01

Republic of the Philippines

KRA Activities Timeline Person’s Responsible Materials Needed Budget

ROSITA C. ENTIA February 3, 2016 _____________________________

Carpenter 50  Make a memorandum of

Prepared by: Noted:

CHARITY ANNE L. MONTEBON ROSITA C. ENTIA

ASSUMED COST OF ITEMS

TOTAL Php 234,476.00

Prepared by: Noted by:

MARK P. PAGUIDOPON ROSITA C. ENTIA

DAY 1 2 3 4 5 6 DATE: _________________

Prepared by: Noted by:

DIVISION: LANAO DEL NORTE REGION: X

SCHOOL: LIBERTAD ELEMENTARY SCHOOL SCHOOL ID: 127046

SCHOOL ADDRESS: LIBERTAD, KAUSWAGAN, LANAO DEL NORTE

Level: Type of School:

SCHOOL HEAD: ROSITA C. ENTIA CONTACT NO.: 09177287022

PTA PRESIDENT: LATIFAH M. ETO CONTACT NO.:

Republic of the Philippines

What was done?

4.Windows and Doors

8.School Grounds/Landscaping Leveling of the school grounds and cleaning the

10. School Fence Putting up of school perimeter fence.

B. DONATIONS/MATERIALS RESOURCES GENERATED (Use separate sheets, if needed)

TOTAL Php 234,476.00

TOTAL 137 196 106 115 75 34 663

D. ESTIMATED COST OF VOLUNTEER SERVICES RENDERED

Masonry 16 128 5,600.00

Gardening/ Landscaping 15 107 4,012.50

Ordinary Labor 595 2087 78,262.50

TOTAL 658 2359 94,306.25

3. Replacement of roofs in External Stakeholder (HR Construction Workers,

 Better preparation for the Brigada Eskwela contributes to better outcome.

Prepared by: Date:

ROSITA C. ENTIA JUNE 24, 2016

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