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ADOPT-A-SCHOOL QUARTERLY REPORT

FIRST QUARTER, CY 2014


Region: 02
Division: ISABELA
School:VILLANUEVA ELEMENTARY SCHOOL
LEARNING ENVIRONMENT
DONATIONS
1. CLASSROOM
-New Construction
-Rehabilitation/Repair
2. Furniture

PARTICULARS

QTY.

AMOUNT

DONOR

3. TOILET & WASH FACILITIES


-New Construction
-Rehabilitation/Repair
4. MAINTENANCE

5. REAL STATE

6. OTHERS PLS. SPECIFY

TOTAL
Please attached the following documents:
1. Deed of Donation
2. Deed of Acceptance

Prepared by:
____________________________
School Head/Principal/OIC

Approved by:

ADOPT-A-SCHOOL QUARTERLY REPORT


FIRST QUARTER, CY 2014
Region: 02
Division: ISABELA
School:VILLANUEVA ELEMENTARY SCHOOL
LEARNING SUPPORT
DONATIONS
1. AUDIO-VISUAL
EDUCATIONAL MATERIALS

PARTICULARS

QTY.

AMOUNT

DONOR

2. SCHOOL SUPPLIES

3. EDUCATIONAL FILM/LIBRARIES

4. OTHERS PLS. SPECIFY

TOTAL
Please attached the following documents:
1. Deed of Donation
2. Deed of Acceptance

Prepared by:
____________________________
School Head/Principal/OIC

Approved by:

ADOPT-A-SCHOOL QUARTERLY REPORT


FIRST QUARTER, CY 2014
Region: 02
Division: ISABELA
School:VILLANUEVA ELEMENTARY SCHOOL
READING PROGRAM
DONATIONS

PARTICULARS

QTY.

AMOUNT

DONOR

1. BOOKS

2. SUPPLEMENTARY
READING MATERIALS

3. OTHERS PLS. SPECIFY

TOTAL
Please attached the following documents:
1. Deed of Donation
2. Deed of Acceptance

Prepared by:
____________________________

Approved by:

School Head/Principal/OIC

ADOPT-A-SCHOOL QUARTERLY REPORT


FIRST QUARTER, CY 2014
Region: 02
Division: ISABELA
School:VILLANUEVA ELEMENTARY SCHOOL
HEALTH AND NUTRITION
DONATIONS
1. FEEDING PROGRAM

PARTICULARS

QTY.

AMOUNT

DONOR

2. MEDICAL/DENTAL MISSION
CHECK UPS

3. DEWORMING
INTERVENTION

4. HEALTH SUPPLIES

5. OTHERS PLS. SPECIFY

TOTAL
Please attached the following documents:
1. Deed of Donation

Prepared by:

Approved by:

2. Deed of Acceptance

____________________________
School Head/Principal/OIC

ADOPT-A-SCHOOL QUARTERLY REPORT


FIRST QUARTER, CY 2014
Region: 02
Division: ISABELA
School:VILLANUEVA ELEMENTARY SCHOOL
TECHNOLOY SUPPORT
DONATIONS

PARTICULARS

QTY.

AMOUNT

DONOR

1. COMPUTER

2. ELECTRONIC LEARNING MATERIALS

3. INTERNET CONNECTIVITY

4. OTHERS PLS. SPECIFY

TOTAL
Please attached the following documents:

Prepared by:

Approved by:

1. Deed of Donation
2. Deed of Acceptance

____________________________
School Head/Principal/OIC

ADOPT-A-SCHOOL QUARTERLY REPORT


FIRST QUARTER, CY 2014
Region: 02
Division: ISABELA
School:VILLANUEVA ELEMENTARY SCHOOL
TRAINING DEVELOPMENT
DONATIONS
1. TEACHERS/PRINCIPAL TRAINING

2. STUDENTS/PUPILS TRAINING
AND FIELD TRIP

3. OTHERS PLS. SPECIFY

TOTAL

PARTICULARS

QTY.

AMOUNT

DONOR

Please attached the following documents:


1. Deed of Donation
2. Deed of Acceptance

Prepared by:

Approved by:

____________________________
School Head/Principal/OIC

ADOPT-A-SCHOOL QUARTERLY REPORT


FIRST QUARTER, CY 2014
Region: 02
Division: ISABELA
School:VILLANUEVA ELEMENTARY SCHOOL
DIRECT ASSISTANCE
DONATIONS
1. STIPEND

2. OTHERS PLS. SPECIFY

PARTICULARS

QTY.

AMOUNT

DONOR

TOTAL
Please attached the following documents:
1. Deed of Donation
2. Deed of Acceptance

Prepared by:

Approved by:

____________________________
School Head/Principal/OIC

ADOPT-A-SCHOOL QUARTERLY REPORT


FIRST QUARTER, CY 2014
Region: 02
Division: ISABELA
School:VILLANUEVA ELEMENTARY SCHOOL
ASSITIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS
DONATIONS
1. PENCIL GRIPS
2. SPECIAL CHAIRS
3. SPELLING CHECK DEVICES
4. HEARING AIDES
5. TALKING COMPUTERS
6. SPECIALIZED KEYBOARDS
7. BRAILLE (Books)
8. COMPUTERIZED SYSTEMS

9. OTHERS PLS. SPECIFY

PARTICULARS

QTY.

AMOUNT

DONOR

TOTAL
Please attached the following documents:
1. Deed of Donation
2. Deed of Acceptance

Prepared by:
____________________________
School Head/Principal/OIC

Approved by:

DATE COMPLETED/TURN-OVER

____________________________
ASP School Coordinator

DATE COMPLETED/TURN-OVER

____________________________
ASP School Coordinator

DATE COMPLETED/TURN-OVER

____________________________

ASP School Coordinator

DATE COMPLETED/TURN-OVER

____________________________
ASP School Coordinator

DATE COMPLETED/TURN-OVER

____________________________
ASP School Coordinator

DATE COMPLETED/TURN-OVER

____________________________
ASP School Coordinator

DATE COMPLETED/TURN-OVER

____________________________
ASP School Coordinator

DATE COMPLETED/TURN-OVER

____________________________
ASP School Coordinator

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