BE FORM 01

Republic of the Philippines

Department of education
Region XII
Division of Sarangani
Upper Mainit Elementary School

BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be accomplished by Physical Facilities Coordinator)
Instruction: Conduct on ocular inspection of the school 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
Facilities Check only (If unsatisfactory,describe the Nature of Improvements needed(e.g. Material Resources Needed (Indicate kind Manpower needed(Indicate quality and
Satisfactory Unsatisfactory problem) repair, repainting,replacement, etc.) and quality) nature of labour services needed.
Roofs/gutters √ Gutter Replacement Plain sheet Carpentry
Ceilings √ n/a n/a n/a n/a
Walls √ n/a n/a n/a n/a
Blackboards √ n/a n/a n/a n/a
Chairs/desks/tables √ n/a n/a n/a n/a
Water facilities √ n/a n/a n/a n/a
Drainage systems √ n/a n/a n/a n/a
Signages √ n/a n/a n/a n/a
School garden √ Seeds Seedling and crops PTA Parent
Lighting √ n/a n/a n/a n/a
Windows √ n/a n/a n/a n/a
Doors √ n/a n/a n/a n/a
Comfort rooms √ n/a n/a n/a n/a
School grounds √ n/a n/a n/a n/a
School canteens/clinics √ n/a n/a n/a n/a
School Fence √ Open Build Cyclone wire carpentry
Others, please specify

Prepared by: Noted by:

ROBERT B. ALAM HAROLD T.ARAPAN 02/13/2019 REYNALD B. PADERNAL

School Physical Facilities Coordinator Brigada Eskwela Coordinator Date of Inspection Principal I

BE FORM 02
Republic of the Philippines
Department of education
Region XII
Division of Sarangani
Upper Mainit Elementary School
S.Y.: 2019-2020
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 the 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

KRA Activities Timeline Person/s Responsible Materials Needed Budget

1.Advocacy and Marketing Classroom Restructuring and PTA officials, Stakeholders,
Repainting April-May Parents, Teachers and principal Nails and Paint MOOE/PTA/DONATION
2.Resource Mobilization Installment of the rainwater PTA officials, Parents, MOOE/PTA/DONATION
catchment April-May Stakeholders, Teachers and Plain Sheet, PVC, Faucets
principal
3.Implementation School beautification and PTA officials, Stakeholders,
landscaping May Parents, Teachers and principal Paint MOOE/PTA/DONATION
4.Monitoring and Evaluation School Fence PTA officials, Stakeholders,
May Parents, Teachers and principal Cyclone MOOE/PTA/DONATION
5.Reporting Improving School Garden PTA officials, Stakeholders,
May Parents, Teachers and principal Crops and seedlings MOOE/PTA/DONATION

Prepared by: Noted by:

ROBERT B. ALAM HAROLD T.ARAPAN 02/13/2019 REYNALD B. PADERNAL

School Physical Facilities Coordinator Brigada Eskwela Coordinator Date of Inspection Principal I

(Enclosure No. 1A to DepEd Memorandum No. 59, s. 2015)

(To be submitted to the Division Office a week after the start of each school year)
Republic of the Philippines
Department of education
Region XII
Division of Sarangani
Upper Mainit Elementary School
S.Y.: 2019-2020
School-Based Report on Incidents of Bullying
School Year : 2019-2020
School: ________________________ Classification: (Private/ Public) ___________
Address: _______________________ Level: (Kinder/Elementary / Secondary) _________
Date/Place of Nature of Bullying Victims Perpetrator Action Taken Recommendation Status
Incident Resolved/Pending/Referred
to other agency)
 Physical Social Gender- Cyber Retaliation Name Age Sex Name Age Sex
Based Bullying (M/F) (M/F)

Note: Bullying is perpetrated by a student/pupil against another student/pupil which may be:
. Physical – Unwanted physical contact (punching , shoving, pushing, kicking, slapping, tickling, headlocks, etc.)
. Social- refers to any deliberate, repetitive and aggressive social behavior intended to hurt or belittle an individual (name calling, cursing, labelling, etc.)
. Gender-Based- refers to any act that humiliates or excludes a person on the basis of perceived or actual sexual orientation and gender 5dent5ty.
. Cyber B433y5ng- any bullying done through the use of technology or any electronic means (texting, email, chatting, online games etc.)

Reviewed and Conformed by: Prepared by:

REYNALD B. PADERNAL ROBERT B. ALAM

Principal I School Guidance Coordinator

Date: __________________ Date: __________________