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    Republic of The Philippines Department of Education Cordillera Administrative Region #82 Military Cut-Off, Baguio City

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    virginiadistor
    This document appears to be a quarterly report form for schools participating in an Adopt-A-School Program (ASP) run by the Department of Education in the Cordillera Administrative Region of the Philippines. The form collects information about donations received from private sector and local government donors during the quarter to support eight categories of school resources: learning environment, educational materials, technology, health and nutrition, reading programs, training and development, direct assistance, and assistive learning devices for students with special needs. Schools must attach documentation of donations including deeds of donation, acceptance, and photographs or receipts.

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    © All Rights Reserved
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    Republic of The Philippines Department of Education Cordillera Administrative Region #82 Military Cut-Off, Baguio City

    Uploaded by

    virginiadistor
    50 views9 pages
    This document appears to be a quarterly report form for schools participating in an Adopt-A-School Program (ASP) run by the Department of Education in the Cordillera Administrative Region of the Philippines. The form collects information about donations received from private sector and local government donors during the quarter to support eight categories of school resources: learning environment, educational materials, technology, health and nutrition, reading programs, training and development, direct assistance, and assistive learning devices for students with special needs. Schools must attach documentation of donations including deeds of donation, acceptance, and photographs or receipts.

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    adop-a-school-attachment1.docx

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    This document appears to be a quarterly report form for schools participating in an Adopt-A-School Program (ASP) run by the Department of Education in the Cordillera Administrative Region of the Philippines. The form collects information about donations received from private sector and local government donors during the quarter to support eight categories of school resources: learning environment, educational materials, technology, health and nutrition, reading programs, training and development, direct assistance, and assistive learning devices for students with special needs. Schools must attach documentation of donations including deeds of donation, acceptance, and photographs or receipts.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    50 views9 pages

    Republic of The Philippines Department of Education Cordillera Administrative Region #82 Military Cut-Off, Baguio City

    Uploaded by

    virginiadistor
    This document appears to be a quarterly report form for schools participating in an Adopt-A-School Program (ASP) run by the Department of Education in the Cordillera Administrative Region of the Philippines. The form collects information about donations received from private sector and local government donors during the quarter to support eight categories of school resources: learning environment, educational materials, technology, health and nutrition, reading programs, training and development, direct assistance, and assistive learning devices for students with special needs. Schools must attach documentation of donations including deeds of donation, acceptance, and photographs or receipts.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 9

    Republic of the Philippines

    Department of Education
    Cordillera Administrative Region
    DIVISION OF BAGUIO CITY
    #82 Military Cut-off, Baguio City
    ADOPT- A- SCHOOL PROGRAM QUARTERLY REPORT

    School:___________________________________________________________ School ID:_____________________________________________


    Address:________________________________________________ Contact Nos.:__________________________________________
    Emaill Address:________________________________________
    LEARNING ENVIRONMENT
    DONATIONS PARTICULARS QTY AMOUNT DONOR DATE COMPLETED/TURN-OVER
    PRIVATE SECTOR LGU
    1.Classroom
    > New Classroom
    > Rehabilitation/Repair
    2. Furniture
    3. Toilet and Wash Facilities
    4. Maintenance
    5. Real State
    6.Others (Pls.Specify)
    TOTAL
    Please attach the following documents:
    1.Deed of Donation
    2. Deed of Acceptance
    3. Pictures/Receipts (Photocopy)

    Prepared by:

    ASP Coordinator School Head/Principal


    asun/socmob/2016

    Form 2

    ADOPT- A- SCHOOL PROGRAM QUARTERLY REPORT

    School:___________________________________________________________ School ID:_________________________________________________________


    Address:__________________________________________________________ Contact Nos.:________________________________________
    Email Address:_____________________________________________
    LEARNING ENVIRONMENT
    DONATIONS PARTICULARS QTY AMOUNT DONOR
    DATE COMPLETED/TURN-OVER
    PRIVATE SECTOR LGU
    1. Audio Visual Educational Materials
    2. School Supplies
    3. Educational Films/Libraries
    4. Others (Pls. Specify)
    TOTAL
    Please attach the following documents:
    1.Deed of Donation
    2. Deed of Acceptance
    3. Pictures/Receipts (Photocopy)

    Prepared by:

    ASP Coordinator School Head/Principal

    acs/socmob/2016
    Form 3
    ADOPT- A- SCHOOL PROGRAM QUARTERLY REPORT

    School
    School:___________________________________________________________ ID:___________________________________________________________
    Address:__________________________________________________________ Contact Nos.:________________________________________
    Email Address:_______________________________________
    TECHNOLOGY SUPPORT
    DONATIONS PARTICULARS QTY AMOUNT DONOR
    DATE COMPLETED/TURN-OVER
    PRIVATE SECTOR LGU
    1. Computer
    2. Electronic Materials
    3.Internet Connectivity
    4. Others (Pls. Specify)
    TOTAL
    Please attach the following documents:
    1.Deed of Donation
    2. Deed of Acceptance
    3. Pictures/Receipts (Photocopy)

    Prepared by:

    ASP Coordinator School Head/Principal

    acs/socmob/2016
    Form 4
    ADOPT- A- SCHOOL PROGRAM QUARTERLY REPORT

    School
    School:___________________________________________________________ ID:___________________________________________________________
    Address:__________________________________________________________ Contact Nos.:________________________________________
    Email Address:_______________________________________

    HEALTH AND NUTRITION


    DONATIONS PARTICULARS QTY AMOUNT DONOR
    DATE COMPLETED/TURN-OVER
    PRIVATE SECTOR LGU
    1.Feeding Program
    2. Medical/Dental Mission/Check-ups
    3. Deworming Intervention
    4.Health Supplies
    5. Others (Pls. Specify)
    TOTAL
    Please attach the following documents:
    1.Deed of Donation
    2. Deed of Acceptance
    3. Pictures/Receipts (Photocopy)

    Prepared by:

    ASP Coordinator School Head/Principal

    acs/socmob/2016
    Form 5
    ADOPT- A- SCHOOL PROGRAM QUARTERLY REPORT

    School
    School:___________________________________________________________ ID:___________________________________________________________
    Address:__________________________________________________________ Contact Nos.:________________________________________
    Email Address:_______________________________________
    READING PROGRAM
    DONATIONS PARTICULARS QTY AMOUNT DONOR
    DATE COMPLETED/TURN-OVER
    PRIVATE SECTOR LGU
    1. Books
    2.Supplementary Reading Materials
    3. Others (Pls. Specify)

    TOTAL
    Please attach the following documents:
    1.Deed of Donation
    2. Deed of Acceptance
    3. Pictures/Receipts (Photocopy)

    Prepared by:

    ASP Coordinator School Head/Principal

    acs/socmob/2016
    Form 6
    ADOPT- A- SCHOOL PROGRAM QUARTERLY REPORT

    School
    School:___________________________________________________________ ID:___________________________________________________________
    Address:__________________________________________________________ Contact Nos.:________________________________________
    Email Address:_______________________________________
    TRAINING AND DEVELOPMENT
    DONATIONS PARTICULARS QTY AMOUNT DONOR
    DATE COMPLETED/TURN-OVER
    PRIVATE SECTOR LGU
    1.Teachers /Principal's Training
    2.Students/Pupils Training /Field Trip
    3. Others (Pls. Specify)

    TOTAL
    Please attach the following documents:
    1.Deed of Donation
    2. Deed of Acceptance
    3. Pictures/Receipts (Photocopy)

    Prepared by:

    ASP Coordinator School Head/Principal

    acs/socmob/2016
    Form 7
    ADOPT- A- SCHOOL PROGRAM QUARTERLY REPORT

    School:___________________________________________________________ School ID:_________________________________________________________


    Address:__________________________________________________________ Contact Nos.:________________________________________
    Email Address:_______________________________________
    DIRECT ASSISTANCE
    DONATIONS PARTICULARS QTY AMOUNT DONOR
    DATE COMPLETED/TURN-OVER
    PRIVATE SECTOR LGU
    1.Stipend
    2. Others (Pls. Specify)

    TOTAL
    Please attach the following documents:
    1.Deed of Donation
    2. Deed of Acceptance
    3. Pictures/Receipts (Photocopy)

    Prepared by:

    ASP Coordinator School Head/Principal

    acs/socmob/2016
    Form 8
    ADOPT- A- SCHOOL PROGRAM QUARTERLY REPORT
    School
    School:___________________________________________________________ ID:___________________________________________________________
    Address:__________________________________________________________ Contact Nos.:________________________________________
    Email Address:_______________________________________
    ASSISTIVE LEARNING DEVICES FOR PUPILS/STUDENT WITH SPECIAL NEEDS
    DONATIONS PARTICULARS QTY AMOUNT DONOR
    DATE COMPLETED/TURN-OVER
    PRIVATE SECTOR LGU
    1. Pencil Grips
    2.Special Chairs
    3.Spelling Check Devices
    4. Hearing Aids
    5. Talking Computers
    6. Specialized Keyboards
    7.Braille (Books)
    8. Computerized Systems
    9. Others (Pls.specify)

    TOTAL
    Please attach the following documents:
    1.Deed of Donation
    2. Deed of Acceptance
    3. Pictures/Receipts (Photocopy)

    Prepared by:

    ASP Coordinator School Head/Principal

    acs/soc-mob/2016

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