BADAC Functionality Assessment Form.xlsx

	A	H	J	L	N	P	R	S	T	V
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6	Republic of the Philippines
7	DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
8	DILG-NAPOLCOM Center, EDSA cor. Quezon Ave., Quezon City
9	Telephone Number (02) 925-1137
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12	BADAC FUNCTIONALITY SELF-ASSESSMENT AND AUDIT FORM
13	for the Year ___________________
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15	Region:		City/Municipality:
16	Province:		Barangay:				Contact #
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18	Instruction: Put a check ✓ on the box that corresponds to the given questions.							FOR C/MLGOO / CD USE ONLY
19	INDICATORS	YES	NO	MEANS OF VERIFICATION					POINTS	REMARKS
20	1. Is BADAC composed of at least seven (7) members?				Executive Order (Required)
21					BADAC Organizational Structure
22					Copies of IDs issued to BADAC members
23					Appointment papers
24					Others, please specify: ______________________
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27	2. Did the BADAC organize a Committee on Operations?				Executive Order (Required)
28					BADAC Organizational Structure
29					Copies of IDs issued to BADAC members
30					Appointment papers
31					Others, please specify: ______________________
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34	3. Did the BADAC organize a Committee on Advocacy?				Executive Order (Required)
35					BADAC Organizational Structure
36					Copies of IDs issued to BADAC members
37					Appointment papers
38					Others, please specify: ______________________
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41	4. Did the BADAC organize a BADAC Auxiliary Team?				Executive Order w/ attached list of updated
42					BAT members (Required)
43					BADAC Organizational Structure
44					Copies of IDs issued to BAT members
45					Appointment papers
46					Others, please specify: ______________________
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48								FOR C/MLGOO / CD USE ONLY
49	INDICATORS	YES	NO	MEANS OF VERIFICATION					POINTS	REMARKS
50	5. Did the BADAC organize House Clusters?				Executive Order (Required)
51					BADAC Organizational Structure
52					Copies of IDs issued to House Cluster Leaders
53					Appointment papers
54					Others, please specify: ______________________
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57	6. Did the BADAC designate Barangay Duty Officers (BDO)?				Executive Order (Required)
58					BADAC Organizational Structure
59					Copies of IDs issued to Barangay Duty Officers
60					Appointment papers
61					Others, please specify: ______________________
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64	7. Is there a desk or space in the barangay designated				Actual photo of the desk (Required)
65	as Referral/BADAC Desk?				Others, please specify: ______________________
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68	8. Did the Punong Barangay attend training on				Copy of Certificate of Participation (Required)
69	Strengthening BADACs, or other relevant trainings?				Copy of attendance sheet w/ the title of the
70					activity, date/time, and venue
71					Attestation from the lead organizer
72					Others, please specify: ______________________
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75	INDICATORS	YES	NO	N/A	MEANS OF VERIFICATION
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77	9. Did the Punong Barangay attend any training or planning					Copy of Cert. of Participation (Required)
78	session on Community Support, Aftercare, and Reintegration					Copy of attendance sheet w/ the title of the
79	Program (CSAR)?					activity, date/time, and venue
80						Attestation from the lead organizer
81	In case the CADAC/MADACs were not able to organize any consultation or planning workshop on reintegration program, the BADACs should check the corresponding box for “N/A” in page 2, item number nine (9) of BADAC Self-Assessment and Audit Form. With respect to this, the C/M LGOO or CD shall allocate the corresponding one (1) point					Others, please specify: _______________
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90								FOR C/MLGOO / CD USE ONLY
91	INDICATORS	YES	NO	MEANS OF VERIFICATION					POINTS	REMARKS
92	10. Did the BADAC conduct at least one (1) training for the				BADAC Activity Report with attendance sheets (Required)
93	BADAC House Cluster Leaders?				Photo/video documentation
94					Copies of evaluation or feedback forms
95					Copy of signed liquidation report
96					Copy of Certificate of Participation awarded to
97					cluster leaders
98					Others, please specify: ______________________
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