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Fiscal Year: 2021

Month: September
Region: Region_IV_B
Division: Occidental Mindoro
School/LC Name: CAMINAWIT NATIONAL HIGH SCHOOL
School ID 308909
Offering: JUNIOR HIGH SCHOOL

SCHOOL/LEARNING CENTER PARTNERS

General Partner Type Specific Partner Type Remarks Partner Name Remarks

Civil_Society_Organizati
Rotary Club of San Jose
ons Professional Associations
Civil_Society_Organizati Rotary Club of San Jose
ons Professional Associations
Civil_Society_Organizati Rotary Club of San Jose
ons Professional Associations
Civil_Society_Organizati
Rotary Club of San Jose
ons Professional Associations
Civil_Society_Organizati Trisha Fabic
ons Others (specify in remarks) SK Fed. President
Private_Sector Trisha Fabic
Others (specify in remarks) SK Fed. President
Private_Sector Gabriel Blanco
Private Individual
John Laurence
Private_Sector
Private Individual Gumasing
Private_Sector Batch 2005
Others (specify in remarks) OMNC-CEP Alumni
Civil_Society_Organizati Religious Young Minds Adventist
ons Others (specify in remarks) Organization
Private_Sector Metropolitan Bank &
Private Company Trust Company
Private_Sector Metropolitan Bank &
Private Company Trust Company
Private_Sector Hannah Ludched Kline
Private Individual
Private_Sector Maricel Bongcol
Private Individual
Private_Sector Maricel Bongcol
Private Individual
Private_Sector Maricel Bongcol
Private Individual
Public_Sector Martime Police
Others (specify in remarks) PNP
Private_Sector Jean A. Arellano
Private Individual
Private_Sector Jean A. Arellano
Private Individual
Private_Sector Grade 10 Parents
Private Individual
Private_Sector Grade 10 Parents
Private Individual
Private_Sector Aicris Casasiempre
Private Individual
Private_Sector Maria Belinda Munar
Private Individual
Private_Sector Maria Belinda Munar
Private Individual
Private_Sector Maria Belinda Munar
Private Individual
Private_Sector Susana Daduros
Private Individual
Private_Sector Susana Daduros
Private Individual
Private_Sector Jennifer Antonio
Private Individual
Private_Sector Magdalena Reotan
Private Individual
Private_Sector Ma. Nessa Ducado
Private Individual
Private_Sector Ma. Nessa Ducado
Private Individual
Private_Sector Aloha Baricaua
Private Individual
Private_Sector Aloha Baricaua
Private Individual
Private_Sector Janice Belarmino
Private Individual
Private_Sector Emi Jadia
Private Individual
Private_Sector Emi Jadia
Private Individual
Private_Sector Emi Jadia
Private Individual
Private_Sector Emi Jadia
Private Individual
Private_Sector Emi Jadia
Private Individual
Private_Sector Emi Jadia
Private Individual
Private_Sector Emi Jadia
Private Individual
Civil_Society_Organizati APO Brotherhood
ons People's Organizations
Civil_Society_Organizati
APO Brotherhood
ons People's Organizations
Civil_Society_Organizati M5 Brotherhood
ons People's Organizations
Civil_Society_Organizati M5 Brotherhood
ons People's Organizations
Civil_Society_Organizati
M5 Brotherhood
ons People's Organizations
Public_Sector Agosto Balmes
Others (specify in remarks) SK Chairman
Private_Sector FCB San Jose
Private Company
Private_Sector Business Dada's Pizza
Others (specify in remarks) Establishment
Civil_Society_Organizati Religious INC - Caminawit
ons Others (specify in remarks) Organization
Department of Education
SCHOOL PARTNERSHIPS DATA SH

PARTNERS' CONTRIBUTIONS

Partner Contact Specific Contribution Unit of


Contribution Type Remarks Remarks
Details Type Contribution

Disinfection_and_Cl Anti-Bacterial or
eaning_Supplies_an bottle
d_Equipment Germicidal Soaps
Disinfection_and_Cl
eaning_Supplies_an Alcohol bottle
d_Equipment
Learner_School_Sup Others (specify in Bond Paper reams
plies_Uniforms remarks)
Learner_School_Sup Others (specify in
plies_Uniforms remarks) Notebook pcs
Others (specify in Refreshment Others (specify in Mineral Water bottles
remarks) remarks)
Others (specify in Refreshment Others (specify in Snacks pcs
remarks) remarks)
Learner_School_Sup Others (specify in Steel Signage pc
plies_Uniforms remarks)
Learner_School_Sup Others (specify in
plies_Uniforms remarks) Steel Signage pcs
Learner_School_Sup Others (specify in Bond Paper ream
plies_Uniforms remarks)
Others (specify in Tools Others (specify in Paint Brush pcs
remarks) remarks)
Learner_School_Sup Others (specify in Learner's Kit pcs
plies_Uniforms remarks)
Learner_Wellness_H Personal Hygiene pcs
ealth_Nutrition
Others (specify in Others (specify in
remarks) Refreshment remarks) Snacks pcs
Disaster_Prevention First
_and_Emergency_Ki Aid/Emergency pcs
ts Kits
Others (specify in Refreshment Others (specify in Mineral Water bottles
remarks) remarks)
Learner_School_Sup Others (specify in Tent for BE
plies_Uniforms remarks) Pagbasa pc
Others (specify in Others (specify in
Material Paint Remover bottle
remarks) remarks)
Disinfection_and_Cl Others (specify in
eaning_Supplies_an Bleach bottles
remarks)
d_Equipment
Learner_School_Sup Others (specify in Bond Paper reams
plies_Uniforms remarks)
Disinfection_and_Cl Others (specify in
eaning_Supplies_an remarks) Detergent powder sachets
d_Equipment
Disinfection_and_Cl
eaning_Supplies_an Others (specify in Fabric Conditioner sachets
d_Equipment remarks)
Learner_Wellness_H Others (specify in First Aid Kit pc
ealth_Nutrition remarks)
Learner_Wellness_H Others (specify in
ealth_Nutrition remarks) Face Mask box
Others (specify in Doormat pcs
remarks)
Disinfection_and_Cl Cleaning
eaning_Supplies_an pc
Equipment
d_Equipment
Others (specify in Water pail pc
remarks)
Others (specify in
remarks) Water pail pc
Disinfection_and_Cl Others (specify in Gloves
eaning_Supplies_an box
d_Equipment remarks)
Furniture Tables pc
Disinfection_and_Cl Cleaning
eaning_Supplies_an Equipment pcs
d_Equipment
Disinfection_and_Cl Cleaning
eaning_Supplies_an pcs
d_Equipment Equipment
Others (specify in Trash Bin pc
remarks)
Others (specify in Garbage Bag box
remarks)
Others (specify in
remarks) Paint cans
Disinfection_and_Cl Others (specify in Cleaning Powder
eaning_Supplies_an sachets
d_Equipment remarks)
Disinfection_and_Cl
eaning_Supplies_an Others (specify in Bleach bottle
d_Equipment remarks)
Disinfection_and_Cl Cleaning
eaning_Supplies_an pcs
Equipment
d_Equipment
Disinfection_and_Cl
eaning_Supplies_an Cleaning pc
Equipment
d_Equipment
Others (specify in
remarks) Trash Bin pcs
Disinfection_and_Cl Cleaning
eaning_Supplies_an pc
d_Equipment Equipment
Others (specify in Doormat pc
remarks)
Others (specify in Paint can
remarks)
Learner_Wellness_H Others (specify in
ealth_Nutrition remarks) Feeding Program
Disinfection_and_Cl
eaning_Supplies_an Alcohol bottle
d_Equipment
Learner_Wellness_H Others (specify in Face Mask boxes
ealth_Nutrition remarks)
Others (specify in Others (specify in
remarks) Tools remarks) Paint Brush pcs
Others (specify in Tools Others (specify in Paint cans
remarks) remarks)
Learner_School_Sup Others (specify in
plies_Uniforms remarks) Learner's Kit pcs
Others (specify in Refreshment Others (specify in Snacks boxes
remarks) remarks)
Others (specify in Gutter pcs
remarks)
Department of Education
OOL PARTNERSHIPS DATA SHEET

Prepared by: DR. MARIPHE M. DUSARAN


Position/Designation: Principal III
Contact No. 09985465895
Date: November 05, 2021

NTRIBUTIONS

Actual Amount/Value of No. of


Quantity No. of Beneficiary
Contribution Beneficiary Form of Agreement Signatory Name
Contributed Learners
(in Pesos) Personnel
No Signed
1 ₱280.00 50
Agreement
1 ₱180.00 50 No Signed
Agreement
2 ₱250.00 50 No Signed
Agreement
No Signed
10 ₱15.00 10 Agreement
96 ₱18.00 50 46 No Signed
Agreement
20 ₱50.00 20 No Signed
Agreement
1 ₱500.00 100 No Signed
Agreement
No Signed
2 ₱750.00 100 Agreement
1 ₱250.00 50 No Signed
Agreement
10 ₱100.00 No Signed
Agreement
40 ₱100.00 40 No Signed
Agreement
40 ₱25.00 40 No Signed
Agreement
No Signed
10 ₱50.00 10 Agreement
20 ₱50.00 20 No Signed
Agreement
72 ₱15.00 36 36 No Signed
Agreement
No Signed
1 ₱2,500.00 40 20 Agreement
No Signed
1 ₱380.00
Agreement
2 ₱180.00 No Signed
Agreement
2 ₱250.00 50 No Signed
Agreement
No Signed
23 ₱8.00 200 Agreement
2 ₱8.00 200 No Signed
Agreement
1 ₱245.00 50 No Signed
Agreement
No Signed
1 ₱200.00 50 Agreement
3 ₱35.00 50 No Signed
Agreement
1 ₱50.00 No Signed
Agreement
1 ₱70.00 25 1 No Signed
Agreement
No Signed
1 ₱50.00 25 1 Agreement
1 ₱180.00 50 1 No Signed
Agreement
1 ₱1,000.00 25 1 No Signed
Agreement
No Signed
2 ₱60.00 25 2 Agreement
No Signed
2 ₱75.00 25 2
Agreement
1 ₱60.00 No Signed
Agreement
1 ₱60.00 No Signed
Agreement
No Signed
2 ₱450.00 200 2 Agreement
6 ₱5.00 25 2 No Signed
Agreement
1 ₱40.00 25 2 No Signed
Agreement
2 ₱35.00 25 2 No Signed
Agreement
1 ₱65.00 25 2 No Signed
Agreement
No Signed
3 ₱85.00 25 2 Agreement
1 ₱25.00 25 2 No Signed
Agreement
3 ₱35.00 25 2 No Signed
Agreement
1 ₱2,600.00 500 46 No Signed
Agreement
No Signed
1 ₱10,000.00 200 Agreement
1 ₱280.00 50 No Signed
Agreement
2 ₱200.00 100 No Signed
Agreement
No Signed
3 ₱45.00 Agreement
2 ₱650.00 No Signed
Agreement
No Signed
100 ₱50.00 100 Agreement
5 ₱300.00 48 No Signed
Agreement
2 ₱350.00 No Signed
Agreement
Approved by:
Position/Designation:
Contact No.
Date:

PARTNERSHIP AGREEMENTS

Status of
Signatory Agreement Start Date Agreement End Date
Project Category Project Name Agreement/
Designation (dd/mm/yyyy) (dd/mm/yyyy)
Project

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Other Category BE Pagbasa Completed

Other Category BE Pagbasa Completed

Other Category BE Pagbasa Completed

Other Category BE Pagbasa Completed

Other Category BE Pagbasa Completed

Other Category BE Pagbasa Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed


Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed

Brigada Eskwela Completed


Brigada Eskwela Completed
Remarks Initiated by

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School
School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School

School
School
PARTNERSHIPS DATA SHEET
DATA ELEMENT DESCRIPTION

PERIOD INDICATOR
No. Data Element
1 Fiscal Year
2 Quarter Report

3 Monthly Report

SCHOOL INFORMATION
No. Data Element

1 Region

2 Division
3 School/Community Learning Center Name

4 School ID

5 School Offering

ACCOUNTABLE PERSON
No. Data Element
1 Prepared by
2 Position/Designation
3 Contact No.
4 Date
5 Approved by
6 Position/Designation
7 Contact No.
8 Date

SCHOOL / COMMUNITY LEARNING CENTER PARTNERS


No. Data Element
1 General Partner Type
2 Specific Partner Type

Private Sector
Private Sector

Public Sector

Civil Society Organization

International

3 Partner Name
4 Partner Contact Details

PARTNER’S CONTRIBUTIONS
No. Data Element
1 Contribution Type
2 Specific Contribution Type
Advocacy/Policy Support
Appliances / Equipment

Attendance
Disaster Prevention and Emergency Kits
Disinfection and Cleaning Supplies and Equipment

Educational Field Trip and Similar Activities


Financial Literacy
Financial Support
Furniture

ICT Equipment and Technology


Infrastructure
Learner School Supplies and Uniforms

Learner's Wellness Health and Nutrition

Learning Sessions on Health and Wellness of Personnel


Mental Health and Psychosocial Support Services

Printed and Electronic Learning Materials

Technical Assistance
Transportation Support

TV and Radio-Broadcast/Airtime and Learning Management


System (LMS)

Use of Facilities

Volunteer Hours
Work Immersion

Others (specify in remarks)


3 Unit of Contribution

4 Quantity Contributed

5 Actual Amount / Value of Contribution (in Pesos)


6 Number of Beneficiary Learners
7 Number of Beneficiary Personnel

PARTNERSHIP AGREEMENTS
No. Data Element
1 Form of Agreement

2 Signatory Name
3 Signatory Designation
4 Agreement start date
5 Agreement end date
6 Project Category

7 Project Name (if applicable)


8 Status of agreement/project
8 Status of agreement/project

9 Remarks

10 Initiated by
Description
Fiscal year when the PDS was accomplished.
Quarter of the fiscal year when the PDS was accomplished.
Month of the fiscal year when the PDS was accomplished. (shall be available on October
2021)

Description
Geographic location of school defined according to NSCB’s National Standard Geographic
Classification Code.
DepEd Division (province or city) supervising the school.
Official name as registered in DepEd (E-BEIS)
Unique 6-digit reference number issued to schools in the basic education system (not
applicable for CLC).
Classification of the level of education/curricular offering of the school/community learning
center.
·        ES
·        JHS
·        SHS
·        CLC

Description
Name of the person who prepared the PDS.
Position and Designation of the person who prepared the PDS.
Contact information of the person who prepared the PDS.
Date when the PDS was prepared
Name of the person who approved the PDS.
Position and Designation of the person who approved the PDS.
Contact information of the person who approved the PDS.
Date when the PDS was approved

Description
Sector classification of the partner organization/individual.
Specific classification of partner organization/individual based on sector.
·        Private Company
·        Corporate Foundation
·        Private Individual
·        Others (specify in remarks)
·        National Government Agency
·        Congress (House of Representative/Senate)
·        GOCC (Government-owned and controlled corporations)
·        LGU-Province: Local Funds
·        LGU-Province: SEF
·        LGU-Municipality: Local Funds
·        LGU-Municipality: SEF
·        LGU-City: Local Funds
·        LGU-City: SEF
·        LGU-Barangay: Local Funds
·        LGU-Barangay: SEF
·        State Universities and Colleges (SUCs)
·        Others (specify in remarks)
·        Non-Government Organizations
·        Faith-Based Organizations
·        People’s Organizations
·        Professional Associations
·        Cooperatives
·        Trade Unions
·        Media Associations
·        Others (specify in remarks)
·        Government
·        INGO-International
Non-Government Organizations
·        Others (specify in remarks)
Name of the partner organization/individual.
Contact information of the partner organization/individual.

Description
Class of partner’s contribution
·        Advocacy Support
·        Appliances
·        Attendance
·        Disaster Prevention and Emergency Kits
·        Disinfection and Cleaning Supplies and Equipment
·        Educational Field Trip and Similar Activities
·        Financial Literacy
·        Financial Support
·        Furniture
·        ICT Equipment and Technology
·        Infrastructure
·        Learner’s school supplies and uniforms
·        Learner’s wellness, health and nutrition
·        Learning Session on Health and Wellness of Personnel
·        Mental Health and Psychological Support Services
·        Printed and Electronic Learning Materials
·        Policy Support
·        Technical Assistance
·        Transportation Support

·        TV and Radio Broadcast/Airtime and Learning Management System (LMS)

·        Use of facilities


·        Volunteer Hours
·        Work Immersion
·        Others (specify in remarks)
Specific Type of contribution based on class
-
Airconditioning Units
CCTV
DRR Equipment
Electric Fans
Microwave
Television
Wall/Alarm Clock
Gardening Tools
Gas Stove
Glassware
Kitchen ware
Oven
Radio System
Science Laboratory Equipment
Solar Panels
Sound System
Sports Equipment
Sprinkler
Others (specify in remarks)
-
Fire Extinguishers
Emergency Lights
Hard Caps
Whistle with Lace

Personal Protective supplies (facemask, shield, hand gloves, eye googles, PPEs, etc.)
Go Bags
DRR Equipment
Fire Alarm
Fire Hose
Thermal/ Temperature Scanner
First Aid/Emergency Kits
Medical Consultation
Food items and Food Supplements
Medical Services Supplies and Equipment
Others (specify in remarks)
Hand Sanitizers
Alcohol
Disinfectants
Anti-Bacterial or Germicidal Soaps
Cleaning Equipment
Personal hygiene
Misting Machine
Foot Bath
Others (specify in remarks)
-
-
-
Armchairs
Blackboard
Desks
Door
Monoblock Chairs
Shelves/Cabinets
Sofa/Sala sets
Tables
Teachers' Chair
Teachers' Table
Window/Panels
Others (specify in remarks)
Computer Peripherals
Computers
DVD Player
DVD/CD
Earphone/Headphone
E-Books
E-channel Subscription
Fax Machine
Flashdrive
Internet Connectivity
Ipad/Tablets
Laptops
LCD Projector
Photocopier
Printer
Scanner
Software
Telephone Line
Monitors
Interactive Whiteboard
White Screen
Solar Panels
Electricity
Car batteries
Generator
Premium membership in remote working tools (Zoom, MS teams, etc.)
Prepaid load card (Call text and data)
Hard drive and USB storage
Risograph/Duplo Machine
Voice Recorder
Others (specify in remarks)
New Classroom Construction
Classroom Repair
New Comfort Room Construction
Comfort Room Repair
Hardware/Construction Materials
New Laboratory Construction
Laboratory Repair
New Library Construction
Library Repair
New Handwashing Facility Construction
Handwashing Facilitity Repair
New Covered Court Construction
Covered Court Repair
New Stage Construction
Stage Repair
New Pathwalk Construction
Pathwalk Repair
Construction of Fence and Gate
Fence and Gate Repair
Water System Provision
Water System Repair
Electrical Facilities Provision
Electrical Facilities Repair
Construction of Sports Facilities
Repair of Sports Facilities
Construction of School Signage
School signage repair
Land/Real Property Donation
Paint and Painting supplies
Installation of Flag Pole and Flags
Installation of Watch Tower
Other New Construction (specify in remarks)
Others (specify in remarks)
Bags
Bicycles
Boats
Books
Copy Papers
Footwear
Lamps
Leaflets
Learning Modules
Reference Materials
School supplies
Uniform
Others (specify in remarks)
Assistive Devices
Dental services
Eyeglasses
Feeding Program
Medical check-up
Medicine
Personal Hygiene
Physcial Fitness Activities
Rubber Mat
Seedlings/Saplings
Seeds
Sports Clinic
Vitamins
Others (specify in remarks)

Capacity Building (Webinar or face-to-Face)


Footwear
Insurance
Scholarship grant
Training, Skills Development
Teaching and Learning Aids and Devices
Wellness, Health and Nutrition Packages
Others (specify in remarks)
Provision of Psychological First Aid
Mental Health Survey
Consultation with Professional Psychologists
Mental Health Check Up
Mindfulness Exercises and Activities
Others (specify in remarks)

Self-Learning Modules (SLM)/ Electronic and printed


Printed Learning Materials (Textbook, Activity Sheets, Study Guides, references materials)

Reproduction and Distribution of Printed Materials


Others (specify in remarks)

Bicycles
Boat
Bus
Car
Jeepney
Motorcycles
Pick-up
Vans
Logistics and Delivery
Transportation Allowance
Others (specify in remarks)

Antenna/Cable or Satellite Connection

Online Learning Platform - Learning Management system


Indigenous Mode of Communication
Radio with AM/FM Channel Airtime
TV Channel and Airtime
Others (specify in remarks)
Work Immersion workshop
Livelihood
Venue for Training
Venue for Special Events
Venue for Religious Events
Other (specify in remarks)
Brigada Pagbasa
Carpentry
Electrical/Electronics
Landscaping/Gardening
Masonry
Ordinary Labor
Painting
Plumbing
Professional services (Medical/Legal/etc.)
Tutorial learning sessions for online learnings
Others (specify in remarks)
Academic
TVL
Sports
Arts and Design
Services of Work Immersion Partner Institution Supervisor
Allowances (meals and transportation)
Grant on Certifcation and Assessment
Other (specify in remarks)

Unit by which the partners’ contribution is measured. (i.e. piece, classroom constructed, set,
classroom, Php, activities attended, etc.)
Number of units that the partner contributed. (i.e. if the contribution was 5 classroom, write
“5” as quantity contributed)
Value of partners’ contribution in pesos.
Number of learners that benefitted from the partners’ contribution
Number of teaching and/ or non-teaching personnel that benefitted from the partners’
contribution.

Description
Document by which the partnership was formalized.
·        Memorandum of Agreement
·        Memorandum of Understanding
·        Deed of Donation
·        Usufruct
·        Acknowledgment Receipt
·        No signed Agreement
·        Others (specify in remarks)
Name of the signatory of agreement from the partner organization.
Designation of the signatory of agreement from the partner organization.
Date when the agreement was signed
Date when the agreement ended
·        Brigada Eskwela
·        Other Category
Name of the project as indicated in the agreement
Status of the implementation of the agreement/project
·        Completed
·        On-going
·        For implementation
·        Pending
·        Others (specify in remarks)
Relevant information that may affect the project/partnership or entry for other data field
options.
Office that initiated the partnership
·        Central Office
·        Regional Office
·        Schools Division Office
·        School

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