300508-Cagasat-NHS-Main-ADOPT A SCHOOL - 4thquarter

Republic of the Philippines
Department of Education
Region 02(Cagayan Valley)
Schools Division Office of Isabela
300508-CAGASAT NATIONAL HIGH SCHOOL MAIN
Gayong, Cordon, Isabela 3312
 cagasatnational@gmail.com
Form 1
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT
SECONDARY
4th Quarter 2020
School:_CAGASAT NATIONAL HIGH SCHOOL-MAIN________________ Address: Gayong, Cordon, Isabela

School ID: 300508 Contact Nos.:___09350913234____ Email Address: cagasatnational@gmail.com
LEARNING ENVIRONMENT
DONOR DATE
DONATIONS PARTICULARS QTY. AMOUNT PRIVATE LGU COMPLETED/
SECTOR TURN OVER
1. Classroom
-New Classroom NONE
-Rehabilitation/Repair
2. Furniture NONE
3. Toilet & Wash Facilities NONE
4. Maintenance NONE
5. Real Estate NONE
6. Others (Pls. Specify) NONE
TOTAL
Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
3. Pictures/Receipts (Xerox)
Prepared by:
SALLY J. FLORENTIN, PhD

Principal IV
Form 2
SECONDARY
4th Quarter 2020

LEARNING SUPPORT
DONATIONS PARTICULARS QTY. AMOUNT DONOR DATE
PRIVATE LGU COMPLETED/
SECTOR TURN OVER
1. Audio-Visual Educational Materials NONE
2. School Supplies A4 Bond Papers 10 reams 1,500.00 Felipe Tucay, Jr October 15, 2020
A4 Bond Papers 11 reams 2,090.00 Felipe Tucay, Jr October 29, 2020
3. Educational Film/Libraries NONE
4. Others (pls. Specify_______) Radio Pu Xing Radio w/ 203 120, 785.00 ✔ November 4,
flashdrive 2020
TOTAL P120, 785.00
4. Deed of Donation
Prepared by:

Principal IV
Form 3
SECONDARY
4th Quarter 2020

TECHNOLOGY SUPPORT
SECTOR TURN OVER
1. Computer NONE
2. Electronic Learning Materials NONE
3. Internet Connectivity NONE
TOTAL
7. Deed of Donation
Prepared by:

Principal IV
Form 4
SECONDARY
4th Quarter 2020
HEALTH AND NUTRITION

SECTOR TURN OVER
1. Feeding Program NONE
2. Medical/Dental Mission/Check Ups NONE
3. Deworming Interventions NONE
4. Health Supplies Face Shield 50 pcs 2,500.00 ✔ October 21, 2020
Ethyl Alcohol 42 bottles 840.00 ✔ October 21, 2020
Face Mask 42 pcs 420.00 October 21, 2020
✔
Washable Face Mask 42 pcs 420.00 October 27, 2020
✔
7. Others (Pls Specify) NONE
TOTAL P0.00
10. Deed of Donation
Prepared by:

Principal IV
Form 5
SECONDARY
4th Quarter 2020

READING PROGRAM
SECTOR TURN OVER
1. Books NONE
2. Supplementary Reading Materials NONE
TOTAL

Prepared by:

Principal IV
Form 6
SECONDARY
4th Quarter 2020

TRAINING AND DEVELOPMENT

SECTOR TURN OVER
1. Teachers/ Principal’s Training NONE
2. Students/Pupils Training NONE

Field Trip
TOTAL

Prepared by:

Principal IV
Form 7
SECONDARY
4th Quarter 2019

DIRECT ASSISTANCE
SECTOR TURN OVER
1. Stipend NONE
NONE
2. Others (Pls. Specify)
TOTAL
Prepared by:

Principal IV
Form 8
SECONDARY
4th Quarter 2020
ASSISTIVE LEARNING DEVICES FOR PUPIL/STUDENT WITH SPECIAL NEEDS

SECTOR TURN OVER
1. Pencil Grips NONE
2. Special Chairs NONE
3. Spelling Check devices NONE
4. Hearing Aides NONE
5. Talking Computers NONE
6. Specialized keyboards NONE
7. Braile (Books) NONE
8. Computer Systems NONE
TOTAL
Prepared by:

Principal IV
RESOURCE GAP/PROFILE ASSESSMENT TOOL

4th Quarter 2020
PROGRAM/PROJEC CURRENT STATE DESIRED STATE IDENTIFIED GAPS FACTORS RESOURCES AND
T ACTIVITY AND RESPONSIBLE ASSETS
DESCRIPTION FOR THE GAPS AVAILABLE AND
HOW IT CA BE
TAPPED TO
ADDRESS THE
GAPS
Install Air Conditioning No Air-conditioning Installed air Insufficient Funds Limited Resources Php 22,000.00 for
Unit unit in the SHS conditioning unit purchase of unit and
Production Area of installation.
Modules Requested Board
Member Clifford
Raspado
Prepared by:

Principal IV

300508-Cagasat-NHS-Main-ADOPT A SCHOOL - 4thquarter

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Republic of the Philippines

School:_CAGASAT NATIONAL HIGH SCHOOL-MAIN________________ Address: Gayong, Cordon, Isabela

SALLY J. FLORENTIN, PhD

School:_CAGASAT NATIONAL HIGH SCHOOL-MAIN________________ Address: Gayong, Cordon, Isabela

SALLY J. FLORENTIN, PhD

School:_CAGASAT NATIONAL HIGH SCHOOL-MAIN________________ Address: Gayong, Cordon, Isabela

2. Electronic Learning Materials NONE

3. Internet Connectivity NONE

SALLY J. FLORENTIN, PhD

HEALTH AND NUTRITION

SALLY J. FLORENTIN, PhD

School:_CAGASAT NATIONAL HIGH SCHOOL-MAIN________________ Address: Gayong, Cordon, Isabela

2. Supplementary Reading Materials NONE

3. Others (Pls Specify) NONE

Please attach the following documents:

SALLY J. FLORENTIN, PhD

School:_CAGASAT NATIONAL HIGH SCHOOL-MAIN________________ Address: Gayong, Cordon, Isabela

TRAINING AND DEVELOPMENT

2. Students/Pupils Training NONE

Please attach the following documents:

SALLY J. FLORENTIN, PhD

School:_CAGASAT NATIONAL HIGH SCHOOL-MAIN________________ Address: Gayong, Cordon, Isabela

SALLY J. FLORENTIN, PhD

ASSISTIVE LEARNING DEVICES FOR PUPIL/STUDENT WITH SPECIAL NEEDS

SALLY J. FLORENTIN, PhD

RESOURCE GAP/PROFILE ASSESSMENT TOOL

SALLY J. FLORENTIN, PhD

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