Republic of the Philippines
Department of Education
Region I
Schools Division Office I Pangasinan
Lingayen
ASP Form 01
ADOPT-A-SCHOOL PROGRAM REPORT
3rd Quarter (July – September, 2017)
Calendar Year 2017 1st Quarter (Jan-March) Deadline 1st week of April
School: DALANGUIRING INTEGRATED SCHOOL 2nd Quarter (Apr-June) Deadline 1st week of July
Address: DALANGUIRING URBIZTONDO, PANGASINAN
3rd Quarter (Jul-Sept.) Deadline 1st week of October
School ID: 500612
4th Quarter (Oct-Dec.) Deadline 1st week of January
A. LEARNING ENVIRONMENT
DONOR
DONATION PARTICULARS QTY. AMOUNT PRIVATE COMPLETE NAME OF DATE
SECTOR LGU/NGO COMPLETED/TURN
OVER
1. Classroom
- New Construction
- Rehabilitation/Repair
2. Furniture
3. Toilet & Wash Facilities
- New Construction
- Rehabilitation/Repair
4. Maintenance
5. Real Estate
[Link] Please specify
Total
Please attach the following documents: Prepared by:
1. Deed of Donation JOEGIE M. GALANO, Ph. D.
2. Deed of Acceptance Principal II
Republic of the Philippines
Department of Education
Region I
Schools Division Office I Pangasinan
Lingayen
ASP Form 02
ADOPT-A-SCHOOL PROGRAM REPORT
3rd Quarter (July – September, 2017)
Calendar Year 2017 1st Quarter (Jan-March) Deadline 1st week of April
School: DALANGUIRING INTEGRATED SCHOOL
2nd Quarter (Apr-June) Deadline 1st week of July
Address: DALANGUIRING URBIZTONDO, PANGASINAN
School ID: 500612 3rd Quarter (Jul-Sept.) Deadline 1st week of October
4th Quarter (Oct-Dec.) Deadline 1st week of January
B. LEARNING SUPPORT
DONOR
DONATION PARTICULARS QTY. AMOUNT PRIVATE COMPLETE NAME OF DATE
SECTOR LGU/NGO COMPLETED/TURN
OVER
1. Audio Visual
- Educational Materials
2. School Supplie
3. Educational Film/Library
4. Others Please specify
Total
Please attach the following documents: Prepared by:
1. Deed of Donation JOEGIE M. GALANO, Ph. D.
2. Deed of Acceptance Principal II
Republic of the Philippines
Department of Education
Region I
Schools Division Office I Pangasinan
Lingayen
ASP Form 03
ADOPT-A-SCHOOL PROGRAM REPORT
3rd Quarter (July – September, 2017)
Calendar Year 2017 1st Quarter (Jan-March) Deadline 1st week of April
School: DALANGUIRING INTEGRATED SCHOOL
2nd Quarter (Apr-June) Deadline 1st week of July
Address: DALANGUIRING URBIZTONDO, PANGASINAN
School ID: 500612 3rd Quarter (Jul-Sept.) Deadline 1st week of October
4th Quarter (Oct-Dec.) Deadline 1st week of January
C. TECHNOLOGY SUPPORT
DONOR
DONATION PARTICULARS QTY. AMOUNT PRIVATE COMPLETE NAME OF DATE
SECTOR LGU/NGO COMPLETED/TURN
OVER
1. Computer
2. Electronic Learning Materials
3. Internet Connectivity
4. Others Please Specify
Total
Please attach the following documents: Prepared by:
5. Deed of Donation JOEGIE M. GALANO, Ph. D.
6. Deed of Acceptance Principal II
Republic of the Philippines
Department of Education
Region I
Schools Division Office I Pangasinan
Lingayen
ASP Form 04
ADOPT-A-SCHOOL PROGRAM REPORT
3rd Quarter (July – September, 2017)
Calendar Year 2017 1st Quarter (Jan-March) Deadline 1st week of April
School: DALANGUIRING INTEGRATED SCHOOL
2nd Quarter (Apr-June) Deadline 1st week of July
Address: DALANGUIRING URBIZTONDO, PANGASINAN
School ID: 500612 3rd Quarter (Jul-Sept.) Deadline 1st week of October
4th Quarter (Oct-Dec.) Deadline 1st week of January
D. HEALTH AND NUTRITION
DONOR
DONATION PARTICULARS QTY. AMOUNT PRIVATE COMPLETE NAME OF DATE
SECTOR LGU/NGO COMPLETED/TURN
OVER
1. Feeding Program
2. Medical/Dental
Mission/Check-Ups
3. Deworming Intervention
4. Health Supplies
5. Others Please Specify
Total
Please attach the following documents: Prepared by:
3. Deed of Donation JOEGIE M. GALANO, Ph. D.
4. Deed of Acceptance Principal II
Republic of the Philippines
Department of Education
Region I
Schools Division Office I Pangasinan
Lingayen
ASP Form 05
ADOPT-A-SCHOOL PROGRAM REPORT
3rd Quarter (July – September, 2017)
Calendar Year 2017 1st Quarter (Jan-March) Deadline 1st week of April
School: DALANGUIRING INTEGRATED SCHOOL
2nd Quarter (Apr-June) Deadline 1st week of July
Address: DALANGUIRING URBIZTONDO, PANGASINAN
School ID: 500612 3rd Quarter (Jul-Sept.) Deadline 1st week of October
4th Quarter (Oct-Dec.) Deadline 1st week of January
E. READING PROGRA
DONOR
DONATION PARTICULARS QTY. AMOUNT PRIVATE COMPLETE NAME OF DATE
SECTOR LGU/NGO COMPLETED/TURN
OVER
1. Donation
2. Supplementary
Reading Materials
[Link] Please Specify
Total
Please attach the following documents: Prepared by:
1. Deed of Donation JOEGIE M. GALANO, Ph. D.
2. Deed of Acceptance Principal II
Republic of the Philippines
Department of Education
Region I
Schools Division Office I Pangasinan
Lingayen
ASP Form 06
ADOPT-A-SCHOOL PROGRAM REPORT
3rd Quarter (July – September, 2017)
Calendar Year 2017 1st Quarter (Jan-March) Deadline 1st week of April
School: DALANGUIRING INTEGRATED SCHOOL
2nd Quarter (Apr-June) Deadline 1st week of July
Address: DALANGUIRING URBIZTONDO, PANGASINAN
School ID: 500612 3rd Quarter (Jul-Sept.) Deadline 1st week of October
4th Quarter (Oct-Dec.) Deadline 1st week of January
F. TRAINING AND DEVELOPMENT
DONOR
DONATION PARTICULARS QTY. AMOUNT PRIVATE COMPLETE NAME OF DATE
SECTOR LGU/NGO COMPLETED/TURN
OVER
1. Teachers/Principal Training
2. Students/Pupils Training
And Field Trip
[Link] Please Specify
Total
Please attach the following documents: Prepared by:
3. Deed of Donation JOEGIE M. GALANO, Ph. D.
4. Deed of Acceptance Principal II
Republic of the Philippines
Department of Education
Region I
Schools Division Office I Pangasinan
Lingayen
ASP Form 07
ADOPT-A-SCHOOL PROGRAM REPORT
3rd Quarter (July – September, 2017)
Calendar Year 2017 1st Quarter (Jan-March) Deadline 1st week of April
School: DALANGUIRING INTEGRATED SCHOOL
2nd Quarter (Apr-June) Deadline 1st week of July
Address: DALANGUIRING URBIZTONDO, PANGASINAN
School ID: 500612 3rd Quarter (Jul-Sept.) Deadline 1st week of October
4th Quarter (Oct-Dec.) Deadline 1st week of January
G. TRAINING AND DEVELOPMENT
DONOR
DONATION PARTICULARS QTY. AMOUNT PRIVATE COMPLETE NAME OF DATE
SECTOR LGU/NGO COMPLETED/TURN
OVER
1. Stipend
[Link] Please Specify
Total
Please attach the following documents: Prepared by:
2. Deed of Donation JOEGIE M. GALANO, Ph. D.
3. Deed of Acceptance Principal II
Republic of the Philippines
Department of Education
Region I
Schools Division Office I Pangasinan
Lingayen
ASP Form 08
ADOPT-A-SCHOOL PROGRAM REPORT
3rd Quarter (July – September, 2017)
Calendar Year 2017 1st Quarter (Jan-March) Deadline 1st week of April
School: DALANGUIRING INTEGRATED SCHOOL 2nd Quarter (Apr-June) Deadline 1st week of July
Address: DALANGUIRING URBIZTONDO, PANGASINAN 3rd Quarter (Jul-Sept.) Deadline 1st week of October
School ID: 500612
4th Quarter (Oct-Dec.) Deadline 1st week of January
H. DIRECT ASSISTANCE
DONOR
DONATION PARTICULARS QTY. AMOUNT PRIVATE COMPLETE NAME OF DATE
SECTOR LGU/NGO COMPLETED/TURN
OVER
1. Pencil Grips
2. Special Chairs
3. Spelling Check Devices
4. Hearing Aides
5. Talking Computers
6. Specialized Keyboard
7. Braille (Books)
8. Computerized Systems
9. Others Please Specify
Total
Please attach the following documents: Prepared by:
5. Deed of Donation JOEGIE M. GALANO, Ph. D.
6. Deed of Acceptance Principal II
