Appendix B

BE Form 01

Republic of the Philippines

Department of Education
Region VIII
Division of Leyte
(name of school)
School Year 2018-2019

BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplished by the School Physical Facilities Coordinator)

Instruction: Conduct an ocular inspection of the school facilities listed below. Then provide the needed information to facilitate the improvement to be done on those
identified facilities. (If needed, you may use separate forms for each classroom or physical facility).
AREA/BUILDING:
Condition Material Resources
FACILITIES Remarks Manpower Needed
(check one) Nature of Improvement Needed Needed
(indicate quantity and
Satisfactory Unsatisfactory If unsatisfactory, describe the (e.g. repair, repainting, (indicate kind and nature of labor
problem replacement, etc.) quantity) services needed)
gutter / absence of roof gutter installation of gutter 18 gutter carpenter

1 pail latex gloss

(white) 4 pint raw
sheena Latex, 6 gal
walls / repainted walls repainting Rain or Shine painter
(green,
orange,happy
days)

office and kinder windows / absence of window grills installed window grills window grills welder

plyboard, common
kinder and grade VI tables / damage tables repair of tables nails,paint carpenter
ceiling / dirty ceilings repainting of dirty celings paint painter
flower boxes / dirty flower boxes repainting of flower boxes paint painter
 paint,
chairs / damage and dirty chairs repair and repaint of chairs plyboard,nails carpenter
signages / Repaint Pergola Repaint 1 pint blue latex painter

2 gal rain or shine

dirty concrete fence (happy days) 1 gal
rain or shibe
concrete fence / repaint of concrete fence (green) carpenter

Prepared by: Noted by:

ROWENA ALBESA ________________________ JULIE C. BASIBAS

School Physical Facilities Coordinator Date Prepared School Principal
Property Custodian
Appendix C
BE Form 02
Republic of the Philippines
Department of Education
Region VIII
Division of Leyte
Mabini Elementary School
School Year: 2018-2019

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 complied submit a copy to the Adopt-A-School-Program coordinator or Brigada Eskwela coordinator of your
division.

KRA Activities Timeline Person/s Responsible Materials Needed Budget

1. Advocacy and Marketing Hon. Rebecca Villamor
Bandillo( in coordination with
2 days before Chief Tanod Gil Colarte
Brgy. Officials) Hanging of Tarpauline Flyers
Brigada ( May Php500.00
tarpauline , Distribution of Letters
18, 2019) School Head & Teachers
Letters

2. Resource Mobilization

Tap Potential Donor for Repair

of Tables for Kindergarten and May 28 - June Parents of 2018 Graduating plyboard, common
Php 7,000.00
Grade IV , Solicitation Letters , 2, 2018 Class nails,paint
Deed of Donations/ Acceptance

3. Implementation

2 pails latex gloss,2

Cleaning of School pails enamel ,7 liters
Parents of 2018 Graduating
Grounds,Repainting, Repair of Rawsheena, 3 9 gal.
May 28 - June Class, Teachers, Brgy. Officials,
Tables , Installation of Kinder Rain or Shine (Green, Php 29,000.00
2, 2018 Guardians, Youth
and Office window grills , office Holiday,
Organization, Pupils
door shutter Orange)plyboard,
nails,paint
3. Implementation

2 pails latex gloss,2

Cleaning of School pails enamel ,7 liters
Parents of 2018 Graduating
Grounds,Repainting, Repair of Rawsheena, 3 9 gal.
May 28 - June Class, Teachers, Brgy. Officials,
Tables , Installation of Kinder Rain or Shine (Green, Php 29,000.00
2, 2018 Guardians, Youth
and Office window grills , office Holiday,
Organization, Pupils
door shutter Orange)plyboard,
nails,paint

4.Monitoring and Evaluation

May 28 - June
Supervised implemented project School Head
2, 2018

5. Reporting
100 % repair of tables School Head, Teachers
June 2, 2018 Stakeholders, Pupils
90% repainted school grounds
90 % cleaned school grounds

Prepared by: Noted by:

ROWENA A. ALBESA ________________________ JULIE C. BASIBAS

School Physical Facilities Coordinator Date Prepared School Principal
 Appendix D
BE Form 03
Republic of the Philippines
Department of Education
Region VIII
Division of Leyte
Mabini Elementary School
School Year: 2018-2019

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 and remarks columns should be updated regularly to determine
progress in acquiring resources needed.

Key
Materials Needed Quantity Persons/Organizations Strategies/Plan of Action Person/s Responsible Status Remarks
to be Tapped
2 gal ivory latex 1 gal Tempatation
Painting
( ROS)
materials
1 liter Slating Paint 1 gal Enamel White 2EROFELJO
Roller Brush
STORE
9" 2Roller Brush
through
4" 1 Paint
solicitation
Brush 3" 2018 Graduating Class delivered completed
Plyboard 1 PC EROFELJO STORE through solicitation MARY ANN SABUSAP delivered completed
Painting materials
7 liters Paint:Cheeze Yellow (
ROS)
3 gal Paint: Temptation
( ROS)
2 Paint Brush 3"
1 Roller Brush 9"
1 Paint Brush ½
EROFELJO STORE through SEF Mayorga LGU delivered completed
Painter 10 RAM GUARDIANS Giving Request letter RAM GUARDIANS delivered completed
Carpenter Eduardo Denoy Bryan
2 Eduardo Denoy Bryan Cabalquinto
solicitive manual labor Cabalquinto delivered completed
Painter 1 Ramil Evasco solicitive manual labor Ramil Evasco delivered completed

Prepared by: Noted by:

JENILYN C. CLEMENCIO ________________________ JULIE C. BASIBAS

Resource Mobilization Committee chairperson Date Prepared Principal I
BE Form 07
DEPARTMENT OF EDUCATION

BRIGADA ESKWELA
SCHOOL ACCOMPLISHMENT REPORT

DIVISION: LEYTE REGION: VIII

SCHOOL: MABINI ELEMENTARY SCHOOL SCHOOL ID: 121706
SCHOOL ADDRESS: BRGY. MABINI MAYORGA LEYTE
(Please check appropriate box)
Level: Type of School
√ Elementary Central School
/ Secondary Non-central School
8
Multi-grade
Primary School/Incomplete
Integrated School
SCHOOL HEAD: JOEL P. SILVIO CONTACT NUMBER: 9171283001

GPTA PRESIDENT: RHEA ARGOSON CONTACT NUMBE 9554267363

A. SCOPE OF REPAIR AND MAINTENANCE WORK COMPLETED (Please check appropriate column)
What was done?
Repaired Repainted Replaced Others(brief discription)
√ Repair of Handwash Facility

B. DONATIONS/MATERIAL RESOURCES GENERATED (use separate sheet if needed)

Type of Donations Source Estimated Cost (Php)
Epson L3110 Printer Mayorga LGU Php 8,000
1 box A4 bondpaper Donations Php 1,100
inkind Mayorga LGU Php 5,000
4 box A4 bondpaper BLGU MOOE Php 4,400
inkind Former Principal Php 2,000
1 box A4 bondpaper First Consolidated Bank Php 1,100

TOTALS Php 21,600

C. VOLUNTEER SERVICES
Name of Number of Volunteer
Type of Volunteer Individuals/Organizatio
n (Use separate sheets Day 1 Day 2 Day 3 Day 4 Day 5 Total
if needed)
Carpentry Parents 2 3 2 7
Gardening GPTA Officers 2 2 4
Painting Teachers Husband 3 1 4
TOTALS 13

D. ESTIMATED COST OF VOLUNTEER SERVICES

(Use separate sheets if needed)
Total Number of Total Number of Hours
Type of service Total Estimated Cost
Volunteers Rendered
Carpentry 7 14 Php 525.00
Gardening 4 8 Php 300.00
Painting 4 12 Php 450.00

TOTALS

E. SIGNIFICANT EVENTS/EXPERIENCES (Use separate sheets if needed)

What is/are its important
contribution to the
What happened? Who were involved? When? operation of the school or to
the existing needs of the
school?

ISSUES AND CONCERNS (Describe briefly problems encountered and resolved)

ISSUES AND CONCERNS HOW WAS IT RESOLVED?

LESSONS LEARNED/BEST PRACTICES

F. SUGGESTIONS TO STRENGTHEN BRIGADA ESKWELA PROJECT (include support need from Central, Region, and Division
Office that can increase the impact of Brigada Eskwela Project in your school.

G. EVIDENCES/ATTACHMENTS
1. Photos before, during and after the Brigada eskwela
2. Copies of al completed BE forms (check if attached)
__________ Form 1 __________ Form 5
__________ Form 2 __________ Form 6
__________ Form 3 __________ Form 7
__________ Form 4
3. Copies of deed of donation
4. Copies of acceptance
5. Copies of Deed of Undertaking
 6. Others: Notice of award
Notice to proceed
Prepared by: JOEL P. SILVIO Date: 10-16-2020

Submit copy of this form to ADOPT-A-SCHOOL PROGRAM District Coordinator or District Supervisor.
Appendix F
BE Form 05
Republic of the Philippines
Department of Education
Region VIII
Division of Leyte
MABINI ELEMENTARY SCHOOL
School Year: 2024 - 2025

BRIGADA ESKWELA
RECORD OF DONATION RECEIVED
(To be accomplished by the Documentation Committee)

ITEMS OR MATERIALS QUANTITY DATE RECEIVED NAME OF DONOR ASSUMED COST OF ITEMS

PER UNIT TOTAL

Paint:Cheeze Yellow ( Rain or Shine) 7 liters July 22, 2024 Mayorga LGU 295 2,065
Paint: Temptation ( Rain or Shine) 3 gal July 22, 2024 Mayorga LGU 850 2,550.00
Paint Brush 3" 2 July 22, 2024 Mayorga LGU 85 170
Roller Brush 9" 1 July 22, 2024 Mayorga LGU 75 75
Roller Brush 4" 2 July 22, 2024 Mayorga LGU 50 100
Paint Brush 1/2" 1 July 22, 2024 Mayorga LGU 1 40
Paint: Bright Wonder Acrylic Latex (Davies) 2 gal July 23, 2024 PCpl DIOSCORO INAPUSONG JR. 813 1,626
Paint:Choco Brown Island Paint 1 liter July 23, 2024 PCpl DIOSCORO INAPUSONG JR. 190 190
Paint Brush 3" 2 July 23, 2024 PCpl DIOSCORO INAPUSONG JR. 85 170
FOOD PACKS 100 July 23, 2024 PLAN INTERNATIONAL 200 20,000
Paint: White Enamel(Davies) 2 gal July 23, 2024 LORNA MADAYAG 900 1,800
Paint: Thalo Green Tinting Color 1/4 liter July 23, 2024 LORNA MADAYAG 255 255
Prepared by: Noted by:

RONALYN S. INAPUSONG 07/27/2024 MAURO C. LAGARTO JR.

Documentation Committee Chairperson Date Prepared School Head
Appendix F
BE Form 05
Republic of the Philippines
Department of Education
Region VIII
Division of Leyte
MABINI ELEMENTAR SCHOOL
School Year: 2024 - 2025

BRIGADA ESKWELA
RECORD OF DONATION RECEIVED
(To be accomplished by the Documentation Committee)

ITEMS OR MATERIALS QUANTITY DATE RECEIVED NAME OF DONOR ASSUMED COST OF ITEMS

PER UNIT TOTAL

Paint:Ivory ( PureCoat) 2 gals JULY 17, 2024 MARY ANN A. SABUSAP 820 1,640
Paint:Tempatation ( ROS) 1 gal JULY 17, 2024 MARY ANN A. SABUSAP 850 850.00
Paint: Slating Paint 1 litter JULY 17, 2024 MARY ANN A. SABUSAP 250 250
Paint:Enamel White 1 gal JULY 17, 2024 MARY ANN A. SABUSAP 820 820
Plyboard 3/4 1 pc (48x96 inches) JULY 17, 2024 MARY ANN A. SABUSAP 1,275 1,275
Roller Brush 9" 2 JULY 17, 2024 MARY ANN A. SABUSAP 75 150
Roller Brush 4" 2 JULY 17, 2024 MARY ANN A. SABUSAP 50 100
Paint Brush 3" 1 JULY 17, 2024 MARY ANN A. SABUSAP 85 85
Paint:Ivory (Davies) 1 gal JULY 18, 2024 MABINI ES ALUMNI ASSOC. 820 820
Paint:Tempatation ( ROS) 2 gals JULY 18, 2024 MABINI ES ALUMNI ASSOC. 850 1,700
Paint:Watermelon( ROS) 1 gal JULY 18, 2024 MABINI ES ALUMNI ASSOC. 950 950

Prepared by: Noted by:

RONALYN S. INAPUSONG 07/27/2024 MAURO C. LAGARTO JR.

Documentation Committee Chairperson Date Prepared School Head