Republic of the Philippines

Department of Education
CARAGA Region
DIVISION OF AGUSAN DEL SUR
ZILLOVIA NATIONAL HIGH SCHOOL
Zillovia ,Talacogon Agusan del Sur
TALACOGON WEST DISTRICT

NATIONAL SCHOOLS MAINTENANCE WEEK

I am interested to be part of the National Maintenance Week.

Name: _____________________________________________________________

Name of Company/ Organization: ________________________________________

Address: ___________________________________________________________

Cellphone/ Telephone Number: _________________________________________

Signature: __________________________________________________________

Name of the School Principal: ROLLY C. CATACATA

Name of Public School: ZILLOVIA NATIONAL HIGH SCHOOL

(CHOOSE ANY OF THE TWO OR YOU CAN CHOOSE BOTH.)

DONATIONS IN KIND FOR:

___________ Cleaning of the school ground

___________ Repainting of school walls
___________ Renovating classroom ceilings
___________ Repainting, Varnishing and repainting of chair and tables
___________ Replanting of vegetables and weeding for Gulayan sa Paaralan
___________ Construction / Rehabilitation of Hand washing Facility and other
structures
___________ Reproduction of modules and other learning materials

VOLUNTEER/LABOR SUPPORT:

Name of volunteer services: _______________________________________

Time and Date: ________________________________________________