Statement of Interest Form

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Department of Education

SAN LORENZO RUIZ SENIOR HIGH SCHOOL


BRIGADA ESKWELA
National Schools Maintenance Week

STATEMENT OF INTEREST FORM

I am interested to be a part of the national Schools Maintenance Week.

NAME:

NAME OF COMPANY / ORGANIZATION:

ADDRESS OF COMPANY / ORGANIZATION:

TELEPHONE NO.

NAME OF PUBLIC SCHOOL/S:


San Lorenzo Ruiz Senior High School
ADRESS OF SCHOOL/S:
Kaalinsabay St. Karangalan Village, Manggahan, Pasig City
FORM OF INTERVENTION: (Choose any of the two or you can choose both.)

a. Donations-in-kind for:
(please check the desired donation)
____ Painting the roofs (adds two or more years to the life of the roof)
____ Cementing existing footpaths and drains
____ Repairing leaking water pipes
____ Repairing comfort rooms and toilets
____ Painting exterior walls of classrooms
____ Repairing or replacing ceiling boards
____ Repairing, refinishing or repainting chairs, desks and furnitures
____ Cleaning up the gardens
____ Repairing or replacing broken windows, jalousies, doors
____ Replacing school signs
____ Any other type of repairs needed to be done
____ Financial Assistance

Specific donation to be given :


___________________________________________
_________________________________________
__
_________________________________________
__

b. Volunteer man-days/labor support:


Nature of volunteer services ________________
Time and date/s of availability_______________

Received by:

Gerolyn A. Postrano
School BE Coordinator Noted by:
DENNIS T. ALEX
School Head

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