asp quarterly report forms.xls
DESCRIPTION
ASP QUARTERLY REPORT FORMTRANSCRIPT
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY ____________
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _________________________
LEARNING ENVIRONMENT
DONATIONS
1. CLASSROOM
2. FURNITURE
3. TOILET & 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
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY ____________
_____________________ Email Address: _________________________
PARTICULARS QTY. AMOUNT
-
Prepared by:
School Head/Principal/OIC
Approved by:
SOCORRO V. DELA ROSA, CESO V
Schools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY ____________
DONOR
PRIVATE SECTOR LGUDATE COMPLETED/
TURN-OVER
Noted by:
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
SOCORRO V. DELA ROSA, CESO V
Schools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY __________
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: ____________________________
LEARNING SUPPORT
DONATIONS
1. AUDIO-VISUAL
EDUCATIONAL MATERIALS
2. SCHOOL SUPPLIES
3. EDUCATIONAL FILM/
LIBRARIES
4. OTHERS PLS. SPECIFY
school uniforms
TOTAL
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY __________
_____________________ Email Address: ____________________________
PARTICULARS QTY.
Prepared by:
School Head/Principal/OIC
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY __________
AMOUNTDONOR
PRIVATE SECTOR LGU
-
Noted by:
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
Approved by:
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY __________
DATE COMPLETED/ TURN-OVER
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ____________
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _________________________
TECHNOLOGY SUPPORT
DONATIONS
1. COMPUTER
2. ELECTRONIC LEARNING
MATERIALS
3. INTERNET CONNECTIVITY
4. OTHERS PLS. SPECIFY
TOTAL
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ____________
_____________________ Email Address: _________________________
PARTICULARS QTY. AMOUNT
-
Prepared by:
School Head/Principal/OIC
Approved by:
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ____________
DONOR
PRIVATE SECTOR LGUDATE COMPLETED/
TURN-OVER
Noted by:
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT___________ Quarter, SY ___________
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _________________________
HEALTH AND NUTRITION
DONATIONS
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 Donation2. Deed of Acceptance
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT___________ Quarter, SY ___________
_____________________ Email Address: _________________________
PARTICULARS QTY. AMOUNT
-
Prepared by:
School Head/Principal/OIC
Approved by:
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT___________ Quarter, SY ___________
DONOR
PRIVATE SECTOR LGUDATE COMPLETED/
TURN-OVER
Noted by:
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT___________ Quarter, SY _____________
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: ___________________________
READING PROGRAM
DONATIONS
1. BOOKS
2. SUPPLEMENTARY
READING MATERIALS
3. OTHERS PLS. SPECIFY
TOTAL
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT___________ Quarter, SY _____________
_____________________ Email Address: ___________________________
PARTICULARS QTY. AMOUNT
-
Prepared by:
School Head/Principal/OIC
Approved by:
SOCORRO V. DELA ROSA, CESO V
Schools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT___________ Quarter, SY _____________
DONOR
PRIVATE SECTOR LGUDATE COMPLETED/
TURN-OVER
Noted by:
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
SOCORRO V. DELA ROSA, CESO V
Schools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _______________________________
TRAINING AND DEVELOPMENT
DONATIONS
1. TEACHERS/PRINCIPAL TRAINING
2. STUDENT/PUPILS TRAINING
AND FIELD TRIP
3. OTHERS PLS. SPECIFY
TOTAL
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
_____________________ Email Address: _______________________________
PARTICULARS QTY.
Prepared by:
School Head/Principal/OIC
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
AMOUNTDONOR
PRIVATE SECTOR LGU
-
Noted by:
SHIRLEY E. LEGASPI, Ed.D. ASP Division Coordinator
SGOD-Social Mobilization & Networking
Approved by:
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
DATE COMPLETED/ TURN-OVER
SHIRLEY E. LEGASPI, Ed.D. ASP Division Coordinator
SGOD-Social Mobilization & Networking
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of March 31, 2012
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: ____________________________
DIRECT ASSISTANCE
DONATIONS
1. STIPEND
2. OTHERS PLS. SPECIFY
TOTAL
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of March 31, 2012
_____________________ Email Address: ____________________________
PARTICULARS QTY.
Prepared by:
School Head/Principal/OIC
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of March 31, 2012
AMOUNTDONOR
PRIVATE SECTOR LGU
-
Noted by:
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
Approved by:
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of March 31, 2012
DATE COMPLETED/ TURN-OVER
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
Region:
Division:
School:
Address:
School ID:
Contact Nos.: _____________________ Email Address: _____________________________
ASSITIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS
DONATIONS
1. PENCIL GRIPS
2. SPECIAL CHAIRS
3. SPELLING CHECK DEVICES
4. HEARING AIDES
5. TALKING COMPUTERS
6. SPECIALIZED KEYBOARDS
8. BRAILLE (BOOKS)
9. COMPUTERIZED SYSTEMS
10. OTHERS PLS. SPECIFY
TOTAL
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
_____________________ Email Address: _____________________________
ASSITIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS
PARTICULARS QTY.
Prepared by:
School Head/Principal/OIC
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
AMOUNTDONOR
PRIVATE SECTOR LGU
-
Noted by:
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist SGOD-Social Mobilization & Networking
Approved by:
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
DATE COMPLETED/ TURN-OVER
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist SGOD-Social Mobilization & Networking