BE Form 01

Republic of the Philippines

Department of Education
Region III – Central Luzon
SCHOOLS DIVISION OF PAMPANGA
Cluster V
PULONG GUBAT HIGH SCHOOL
Sitio 2, Pulong Gubat, Candaba, Pampanga
pulonggubaths@yahoo.com
School Year 2019 - 2020

BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM

Nature of Material
Manpower Needed
Improvement Needed Resources
Condition (Indicate quantity and
Remarks (e.g. repair, Needed
(Check One) nature of labor services
repainting, (Indicate kind
FACILITIES needed)
replacement, etc.) and quantity)
If Unsatisfactory,
Satisfactory Unsatisfactory describe the
problem.
 Roofs/cutters √
 Ceilings √
 Walls √ Peeling paint Need to be Paints, Roller Painter
repainted Brush, Roller
Trayand Paint
Brush
 Blackboards √
 Chairs/desks/tables √ Peeling paint Need to be Varnish Students
varnished
 Water facilities/ Drainage System √ No Water facilities/ Need to be put Parents,
Drainage System volunteer
s
 Signages √ No signage Need to be put Teachers,
Students
 School garden √ Full of weeds and Need to be cut Grass cuter Parents,
grasses volunteer
s
 Lighting √ Bulbs are Need to be Bulbs Volunteer
malfunctioning replaced s
 Windows √ Broken windows Need to be Windows Volunteer
replaced s
 Doors √ Broken doorknobs Need to be Door knobs Volunteer
replaced s
 Comfort rooms √
 School grounds √
 School canteen/clinic √
 School fence √ Need to be Parents,
constructed volunteer
s
 Others, School Gate √ Need to be
constructed

Prepared by: Noted:

GIEZEL P. YAMBAO January 2019 LIDA D. MANANGU

School Physical Facilities Coordinator Date of Inspection Officer – in - Charge
BE Form 03
Republic of the Philippines
Department of Education
Region III – Central Luzon
SCHOOLS DIVISION OF PAMPANGA
Cluster V
PULONG GUBAT HIGH SCHOOL
Sitio 2, Pulong Gubat, Candaba, Pampanga
pulonggubaths@yahoo.com
School Year 2019 - 2020

BRIGADA ESKWELA
RESOURCE MOBILIZATION FORM

Key
Quantit Persons/Organizatio
Materials Needed Strategies/Plan of Action Person Responsible Status Remarks
y ns
to be tapped
2 Sanggunian Brgy. Solicited Provided

Liquid Cleaning agent gallon Officials, and

Whisk Broom 10 Solicited Provided
other Send letters of invitation Brigada Eskwela
Dustpan 6 Solicited Provided
Broom sticks 6 stakeholders like and follow - ups Coordinator and Solicited Provided
Dust pan 6 Solicited Provided
the city Resource
government, NGO Mobilization
and other Committee
community
members,
Corporations and
 all other possible
donors

Key
Labor Skills/Volunteers Persons/Organizati
Quantity Strategies/Plan of Action Person Responsible Status Remarks
Needed ons
to be tapped
4P’s Members 266 4P’s Information Campaign 4P’s Coordinator Complied A lot of
SSG Officers 13 SSG Orientation Officers Complied
volunteers
PTA Officers 8 PTA Meetings Officers Complied
Class Officers 20 Classroom Meetings Officers Complied came during

Officers the BE Week.

Painter 11 Volunteers Meetings Brigada Eskwela Complied They are more
Electrician 2 Volunteers Complied
Coordinator and than the
Resource needed
Mobilization volunteers.
Committee

Prepared by: Noted:

GIEZEL P. YAMBAO LIDA D. MANANGU

Resource Mobilization Committee Chairman Officer – in - Charge