Adopt-A-School Program Quarterly Report: Learning Environment Donor Date Completed/ Turn-Over Private Sector LGU

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
Region:
As of March 31, 2013
V (Bicol)
Division:
Legazpi City
School:
San Francisco Elementary
Address:
San Francisco, Legazpi City
School ID:
Contest Nos.:
114473
09164304312
Email Address:
sfesdepedlegazpi@yahoo.com
LEARNING ENVIRONMENT
DONATIONS
PARTICULARS
1. CLASSROOM
NONE
2. FURNITURE
NONE
3. TOILET & WASH FACILITIES
NONE
4. MAINTENANCE
NONE
5. REAL STATE
NONE
6. OTHERS PLS. SPECIFY
NONE
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
LGU
DATE
COMPLETED/
TURN-OVER
TOTAL
*Please attach the following documents:
Prepared by:
Noted by:
1. Deed of Donation
2. Deed of Acceptance
MARLYN L. CULTIVO
RAUL BENDIAN
School Head/Principal/OIC
Division Coordinator
ASP
Approved by:
CESAR H. MEDINA, Ed. D
Schools Division Superintendent

Region:
V (Bicol)
Division:
Legazpi City
School:
Address:
School ID:
Contest Nos.:
114473
09164304312
Email Address:
LEARNING SUPPORT
DONATIONS
PARTICULARS
1. AUDIO-VISUAL
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
LGU
DATE
COMPLETED/
TURN-OVER
NONE
EDUCATIONAL MATERIALS
2. SCHOOL SUPPLIES
NONE
3. EDUCATIONAL FILM/
NONE
LIBRARIES
NONE
TOTAL
Prepared by:
Note by:
1. Deed of Donation
MARLYN L. CULTIVO
RAUL BENDIAN
ASP
Approved by:

Region:
V (Bicol)
Division:
Legazpi City
School:
Address:
School ID:
Contest Nos.:
114473
09164304312
Email Address:
TECHNOLOGY SUPPORT
DONATIONS
PARTICULARS
1. COMPUTER
NONE
2. ELECTRONIC LEARNING
NONE
MATERIALS
3. INTERNET CONNECTIVITY
NONE
NONE
TOTAL
Noted by:
1. Deed of Donation
Prepared by:
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
LGU
DATE
COMPLETED/
TURN-OVER
MARLYN L. CULTIVO
RAUL BENDIAN
ASP
Approved by:

Region:
V (Bicol)
Division:
Legazpi City
School:
Address:
School ID:
114473
Contest Nos.:
09164304312
Email Address:
HEALTH AND NUTRITION
DONATIONS
1. FEEDING PROGRAM
PARTICULARS
QTY.
AMOUNT
Rice
21 kls.
P 672.00
DATE
COMPLETED/
TURN-OVER
03/07/2013
P 2,700.00
03/07/2012
Ingredients
2. MEDICAL/DENTAL
DONOR
PRIVATE SECTOR
LGU
NONE
MISSION/CHECK-UPS
3. DEWORMING
NONE
INTERVENTION
4. HEALTH SUPPLIES
TOTAL
hygiene packs
1O packs
P 750.00
02/02/2013
lice aliz shampoo
10 pcs.
P 100.00
02/02/2013
slippers
16 pairs
P 500.00
large cooking pot
1 pc.
P 1000.00
02/02/2013
01/11/2013
P 5 722.00
Prepared by:
Noted by:
1. Deed of Donation
MARLYN L. CULTIVO
RAUL BENDIAN
ASP
Approved by:

Region:
V (Bicol)
Division:
Legazpi City
School:
Address:
School ID:
Contest Nos.:
114473
09164304312
Email Address:
READING PROGRAM
DONATIONS
PARTICULARS
1. BOOKS
NONE
2. SUPPLEMENTARY
NONE
QTY.
AMOUNT
10 pcs.
P 150.00
DONOR
PRIVATE SECTOR
LGU
DATE
COMPLETED/
TURN-OVER
READING MATERIALS
educational magazines
01/01/2013
TOTAL
P 150.00
Prepared by:
Noted by:
1. Deed of Donation
MARLYN L. CULTIVO
RAUL BENDIAN
ASP
Approved by:

Region:
V (Bicol)
Division:
Legazpi City
School:
Address:
School ID:
Contest Nos.:
114473
09164304312
Email Address:
TRAINING AND DEVELOPMENT
DONATIONS
PARTICULARS
1. TEACHERS/ PRINCIPAL TRAINING
NONE
2. STUDENT/PUPILS TRAINING
NONE
AND FIELD TRIP
NONE
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
LGU
DATE
COMPLETED/
TURN-OVER
TOTAL
Prepared by:
Noted by:
1. Deed of Donation
MARLYN L. CULTIVO
RAUL BENDIAN
ASP
Approved by:

Region:
V (Bicol)
Division:
Legazpi City
School:
Address:
School ID:
Contest Nos.:
114473
09164304312
Email Address:
DIRECT ASSISTANCE
DONATIONS
1. STIPEND
PARTICULARS
QTY.
AMOUNT
35 pcs.
P 700.00
DONOR
PRIVATE SECTOR
LGU
DATE
COMPLETED/
TURN-OVER
NONE
Medals
03/08/2013
TOTAL
Prepared by:
Noted by:
1. Deed of Donation
MARLYN L. CULTIVO
RAUL BENDIAN
ASP
Approved by:

Region:
V (Bicol)
Division:
Legazpi City
School:
Address:
School ID:
Contest Nos.:
114473
09164304312
Email Address:
LEARNING ENVIRONMENT
DONATIONS
1. PENCIL GRIPS
PARTICULARS
NONE
2 2. SPECIAL CHAIRS
NONE
3. SPELLING CHECK DEVICES
4. HEARING AIDES
NONE
QTY.
AMOUNT
DONOR
PRIVATE SECTOR
LGU
DATE
COMPLETED/
TURN-OVER
5. TALKING COMPUTERS
6. SPECIALIZED KEYBOARDS
NONE
7. BRAILLE (BOOKS)
NONE
8. COMPUTERIZED SYSTEMS
gardening tools
35 pcs.
P 1000.00
TOTAL
01/11/2013
P 1000.00
Prepared by:
Noted by:
1. Deed of Donation
MARLYN L. CULTIVO
RAUL BENDIAN
ASP
Approved by:

Adopt-A-School Program Quarterly Report: Learning Environment Donor Date Completed/ Turn-Over Private Sector LGU

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Adopt-A-School Program Quarterly Report: Learning Environment Donor Date Completed/ Turn-Over Private Sector LGU

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ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of March 31, 2013

San Francisco Elementary

San Francisco, Legazpi City

3. TOILET & WASH FACILITIES

6. OTHERS PLS. SPECIFY

Schools Division Superintendent