Adopt A School Form

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
As of December 30, 2015

Region:
National Capital Region
Division:
Marikina City
School:
Marikina Science High School
Address:
Mayor Juan Chanyungco St., Sta. Elena, Marikina City
School ID:
305401
Contact Nos: 647-9457 / 239-2033
LEARNING ENVIRONMENT
DONATIONS
1. CLASSROOM
2. FURNITURE
3. TOILET AND WASH FACILITIES

- New Construction
- Renovation/Repair
PARTICULARS
QTY.
none
Table
Tablet Holder
Black Screw
T.V. Rack
Table
Tablet Holder
Dome Tent
none
0
1
5
15
2
1
5
1
0
DONOR
AMOUNT
0.00
PRIVATE SECTOR
none
Rotary club of Marikina
13,600.00
1,950.00
none
4. MAINTENANCE
none
0.00
none
5. REAL STATE
none
0.00
none
6. OTHERS PLS. SPECIFY
none
0.00
none
TOTAL
Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
15,550.00
Prepared by:
ALBERTO D. VILLAMOR
Principal III
Approved by:
HELEN GRACE V. GO
Officer-In-Charge
Office of the Schools Division Superintendent
DONOR
LGU
none
DATE COMPLETED TURNOVER
none
none
October 23, 2015
October 23, 2015
October 23, 2015
November 16, 2015
December 8, 2015
December 8, 2015
December 17, 2015
none
none
none
none
none
none
none
SEF
Noted by:
________________________________________
ASP Division Coordinator

Region:
Division:
Marikina City
School:
Address:
School ID:
305401
Contact Nos: 647-9457 / 239-2033
LEARNING SUPPORT
DONATIONS
PARTICULARS
QTY.
DONOR
AMOUNT
1. AUDIO-VISUAL
EDUCATIONAL MATERIALS
none
0.00
PRIVATE SECTOR
none
2. SCHOOL SUPPLIES
none
0.00
none
3. EDUCATIONAL FILM/
LIBRARIES
none
0.00
none

school uniforms
none
0.00
none
0.00
TOTAL
1. Deed of Donation
Prepared by:
ALBERTO D. VILLAMOR
Principal III
Approved by:
HELEN GRACE V. GO
Officer-In-Charge
DONOR
LGU
none

none
none
none
none
none
none
none
Noted by:
________________________________________

Region:
Division:
Marikina City
School:
Address:
School ID:
305401
Contact Nos: 647-9457 / 239-2033
TECHNOLOGY SUPPORT
DONATIONS
PARTICULARS
QTY.
DONOR
AMOUNT
PRIVATE SECTOR
1. COMPUTER
Desk top Computer

D-Link DES 1024D 10/100 24 parts switch
UTP-cable-Awp cat5e cable/box
20
2
1
2. ELECTRONIC LEARNING
MATERIALS
Tablet
10
3. INTERNET CONNECTIVITY
none
CCTV Intallation
1 lot
TOTAL
1. Deed of Donation
485,000.00
8,100.00
2,970.00
Rotary Club
0.00
107,094.40
603,164.40
Prepared by:
ALBERTO D. VILLAMOR
Principal III
Approved by:
HELEN GRACE V. GO
Officer-In-Charge
none
DONOR
LGU
SEF
SEF
SEF

October 13, 2015
October 13, 2015
October 13, 2015
December 8, 2015
none
none
SEF
November 14, 2015
Noted by:
________________________________________

Region:
Division:
School:
Address:
School ID:
Contact Nos:

Marikina City
305401
647-9457 / 239-2033
HEALTH AND NUTRITION

DONATIONS
PARTICULARS
1. FEEDING PROGRAM
Food
2. MEDICAL/DENTAL
none
none
none
none
none
MISSION/CHECK-UPS
3. DEWORMING
INTERVENTION
4. HEALTH SUPPLIES
QTY.
2,500.00
2,310.00
500.00
1,500.00
1,000.00
3,000.00
1,000.00
3,000.00
3,000.00
480.00
1,575.00
120.00
2,500.00
4,000.00
0.00
0.00
0.00
0.00
0.00
none
0.00
26,485.00
TOTAL
1. Deed of Donation
DONOR
Amount
Prepared by:
PRIVATE SECTOR
HR-PTA G7-Victorino
HR-PTA G-8 Centrioles
Mr. & Mrs. Dennis Maraon
Mr. & Mrs. Servillano David
Mr. & Mrs. Francisco Tagunicar
HR-PTA G8-Mitochondrion
MS. Rafaela Arlene V. Gpit
HR-PTA G8-Ribosomes
HR-PTA G8-Dictyosomes
Mia Donnabel Sobremonte
Eva Rose Capco
Grace Sangcao
HR-PTA G9-Gold
HR-PTA G9-Platinum
none
none
none
none
none
LGU
none
none
none
none
none
none
none
Noted by:
ALBERTO D. VILLAMOR
Principal III
Approved by:
HELEN GRACE V. GO
Officer-In-Charge
________________________________________

September 28, 2015
October 5, 2015
October 12, 2015
October 14, 2015
October 15, 2015
October 20, 2015
October 29, 2015
November 9, 2015
November 16, 2015
November 23, 2015
November 25, 2015
November 27, 2015
December 1, 2015
December 14, 2015
none
none
none
none
none
none
_____________________________
Division Coordinator

Region:
Division:
Marikina City
School:
Address:
School ID:
305401
Contact Nos: 647-9457 / 239-2033
READING PROGRAM
DONATIONS
PARTICULARS
QTY.
DONOR
AMOUNT
1. BOOKS
none
0.00
PRIVATE SECTOR
none
2. SUPPLEMENTARY
READING MATERIALS
none
0.00
none
none
0.00
none
TOTAL
1. Deed of Donation
0.00
Prepared by:
ALBERTO D. VILLAMOR
Principal III
Approved by:
HELEN GRACE V. GO
Officer-In-Charge
DONOR
LGU
none

none
none
none
none
none
Noted by:
________________________________________

Region:
Division:
Marikina City
School:
Address:
School ID:
305401
Contact Nos: 647-9457 / 239-2033
TRAINING DEVELOPMENT
DONATIONS
1. TEACHERS/PRINCIPAL TRAINING
2. STUDENT/PUPILS TRAINING
AND FIELD TRIP
PARTICULARS
Cash for food expenses
Worth of Foods
none
for
for
for
for
for
In-Service
In-Service
In-Service
In-Service
In-Service
QTY.
Training
Training
Training
Training
Training
for
for
for
for
for
none
Teachers
Teachers
Teachers
Teachers
Teachers
0
1,000.00
500.00
2,006.25
2,027.25
5,000.00
1,200.00
0.00
0.00
TOTAL
1. Deed of Donation
DONOR
AMOUNT
11,733.50
Prepared by:
ALBERTO D. VILLAMOR
Principal III
Approved by:
HELEN GRACE V. GO
Officer-In-Charge
PRIVATE SECTOR
Maribeth G. Takizawa
Anna Victoria L. Long
Hazel Pagkalinawan
Aimee Aure Dikitanon
Rafaela Arlene V. Gupit
Elvie T. Lorica
none
none
DONOR
LGU
none
October 24,
October 18,
October 16,
October 25,
October 26,
October 28,
none
none
none
2015
2015
2015
2015
2015
2015
Noted by:
________________________________________

Region:
Division:
Marikina City
School:
Address:
School ID:
305401
Contact Nos: 647-9457 / 239-2033
TRAINING DEVELOPMENT
DONATIONS
PARTICULARS
QTY.
DONOR
AMOUNT
1. STIPEND
none
0.00
PRIVATE SECTOR
none

AND FIELD TRIP
none
0.00
none
TOTAL
1. Deed of Donation
0.00
Prepared by:
ALBERTO D. VILLAMOR
Principal III
Approved by:
HELEN GRACE V. GO
Officer-In-Charge
DONOR
LGU
none
none

none
none
Noted by:
________________________________________

Region:
Division:
Marikina City
School:
Address:
School ID:
305401
Contact Nos: 647-9457 / 239-2033
ASSITIVE LEARNING DEVICE FOR STUDENT WITH SPECIAL NEEDS
DONATIONS
PARTICULARS
QTY.
DONOR
AMOUNT
1. PENCIL GRIPS
none
0.00
PRIVATE SECTOR
none
2. SPECIAL CHAIRS
none
0.00
none
3. SPELLING CHECK DEVICES
none
0.00
none
4. HEARING AIDES
none
0.00
none
5. TALKING COMPUTERS
none
0.00
none
6. SPECIALIZED KEYBORDS
none
0.00
none
7. BRAILL (BOOKS0
none
0.00
none
8. COMPUTERIZED SYSTEMS
none
0.00
none
none
0.00
none
TOTAL
1. Deed of Donation
0
Prepared by:
ALBERTO D. VILLAMOR
Principal III
Approved by:
HELEN GRACE V. GO
Officer-In-Charge
DONOR
LGU
none

none
none
none
none
none
none
none
none
none
none
none
none
none
none
none
none
none
Noted by:
________________________________________

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ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

As of December 30, 2015

3. TOILET AND WASH FACILITIES

6. OTHERS PLS. SPECIFY

DATE COMPLETED TURNOVER

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

4. OTHERS PLS. SPECIFY

DATE COMPLETED TURNOVER

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

Desk top Computer

4. OTHERS PLS. SPECIFY

DATE COMPLETED TURNOVER

November 14, 2015

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

National Capital Region

HEALTH AND NUTRITION

DATE COMPLETED TURNOVER

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

3. OTHERS PLS. SPECIFY

DATE COMPLETED TURNOVER

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

3. OTHERS PLS. SPECIFY

DATE COMPLETED TURNOVER

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

2. OTHERS PLS. SPECIFY

DATE COMPLETED TURNOVER

ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT

3. SPELLING CHECK DEVICES

9. OTHERS PLS. SPECIFY

DATE COMPLETED TURNOVER

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