Download - ASP Quarterly Report Forms.xls
![Page 1: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/1.jpg)
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
![Page 2: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/2.jpg)
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
![Page 3: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/3.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY ____________
_____________________ Email Address: _________________________
PARTICULARS QTY. AMOUNT
-
![Page 4: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/4.jpg)
Prepared by:
School Head/Principal/OIC
Approved by:
SOCORRO V. DELA ROSA, CESO V
Schools Division Superintendent
![Page 5: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/5.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY ____________
DONOR
PRIVATE SECTOR LGUDATE COMPLETED/
TURN-OVER
![Page 6: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/6.jpg)
Noted by:
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
SOCORRO V. DELA ROSA, CESO V
Schools Division Superintendent
![Page 7: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/7.jpg)
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
![Page 8: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/8.jpg)
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
![Page 9: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/9.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY __________
_____________________ Email Address: ____________________________
PARTICULARS QTY.
![Page 10: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/10.jpg)
Prepared by:
School Head/Principal/OIC
![Page 11: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/11.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY __________
AMOUNTDONOR
PRIVATE SECTOR LGU
-
![Page 12: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/12.jpg)
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
![Page 13: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/13.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________Quarter, SY __________
DATE COMPLETED/ TURN-OVER
![Page 14: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/14.jpg)
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
![Page 15: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/15.jpg)
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
![Page 16: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/16.jpg)
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
![Page 17: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/17.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ____________
_____________________ Email Address: _________________________
PARTICULARS QTY. AMOUNT
-
![Page 18: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/18.jpg)
Prepared by:
School Head/Principal/OIC
Approved by:
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
![Page 19: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/19.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ____________
DONOR
PRIVATE SECTOR LGUDATE COMPLETED/
TURN-OVER
![Page 20: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/20.jpg)
Noted by:
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
![Page 21: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/21.jpg)
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
![Page 22: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/22.jpg)
* Please attach the following documents:
1. Deed of Donation2. Deed of Acceptance
![Page 23: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/23.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT___________ Quarter, SY ___________
_____________________ Email Address: _________________________
PARTICULARS QTY. AMOUNT
-
![Page 24: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/24.jpg)
Prepared by:
School Head/Principal/OIC
Approved by:
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
![Page 25: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/25.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT___________ Quarter, SY ___________
DONOR
PRIVATE SECTOR LGUDATE COMPLETED/
TURN-OVER
![Page 26: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/26.jpg)
Noted by:
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
![Page 27: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/27.jpg)
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
![Page 28: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/28.jpg)
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
![Page 29: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/29.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT___________ Quarter, SY _____________
_____________________ Email Address: ___________________________
PARTICULARS QTY. AMOUNT
-
![Page 30: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/30.jpg)
Prepared by:
School Head/Principal/OIC
Approved by:
SOCORRO V. DELA ROSA, CESO V
Schools Division Superintendent
![Page 31: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/31.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT___________ Quarter, SY _____________
DONOR
PRIVATE SECTOR LGUDATE COMPLETED/
TURN-OVER
![Page 32: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/32.jpg)
Noted by:
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
SOCORRO V. DELA ROSA, CESO V
Schools Division Superintendent
![Page 33: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/33.jpg)
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
![Page 34: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/34.jpg)
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
![Page 35: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/35.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
_____________________ Email Address: _______________________________
PARTICULARS QTY.
![Page 36: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/36.jpg)
Prepared by:
School Head/Principal/OIC
![Page 37: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/37.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
AMOUNTDONOR
PRIVATE SECTOR LGU
-
![Page 38: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/38.jpg)
Noted by:
SHIRLEY E. LEGASPI, Ed.D. ASP Division Coordinator
SGOD-Social Mobilization & Networking
Approved by:
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
![Page 39: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/39.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
DATE COMPLETED/ TURN-OVER
![Page 40: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/40.jpg)
SHIRLEY E. LEGASPI, Ed.D. ASP Division Coordinator
SGOD-Social Mobilization & Networking
![Page 41: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/41.jpg)
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
![Page 42: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/42.jpg)
2. Deed of Acceptance
![Page 43: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/43.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of March 31, 2012
_____________________ Email Address: ____________________________
PARTICULARS QTY.
Prepared by:
![Page 44: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/44.jpg)
School Head/Principal/OIC
![Page 45: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/45.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of March 31, 2012
AMOUNTDONOR
PRIVATE SECTOR LGU
-
Noted by:
![Page 46: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/46.jpg)
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
Approved by:
SOCORRO V. DELA ROSA, CESO VSchools Division Superintendent
![Page 47: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/47.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORTAs of March 31, 2012
DATE COMPLETED/ TURN-OVER
![Page 48: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/48.jpg)
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist
SGOD-Social Mobilization & Networking
![Page 49: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/49.jpg)
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
![Page 50: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/50.jpg)
* Please attach the following documents:
1. Deed of Donation
2. Deed of Acceptance
![Page 51: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/51.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
_____________________ Email Address: _____________________________
ASSITIVE LEARNING DEVICES FOR STUDENT WITH SPECIAL NEEDS
PARTICULARS QTY.
![Page 52: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/52.jpg)
Prepared by:
School Head/Principal/OIC
![Page 53: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/53.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
AMOUNTDONOR
PRIVATE SECTOR LGU
-
![Page 54: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/54.jpg)
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
![Page 55: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/55.jpg)
ADOPT-A-SCHOOL PROGRAM QUARTERLY REPORT__________ Quarter, SY ___________
DATE COMPLETED/ TURN-OVER
![Page 56: ASP Quarterly Report Forms.xls](https://reader034.vdocuments.us/reader034/viewer/2022042721/577c804c1a28abe054a817b8/html5/thumbnails/56.jpg)
SHIRLEY E. LEGASPI, Ed.D. Senior Education Program Specialist SGOD-Social Mobilization & Networking