ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAK
1
ANNEX 1
2
3
4
Republic of the Philippines
5
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
6
7
BARANGAY DEVELOPMENT COUNCIL FUNCTIONALITY ASSESSMENT
8
SELF - ASSESSMENT FORM
9
YEAR UNDER REVIEW: ____________
10
(to be filled-out by the Punong Barangay)
11
12
Region:
City:
13
Province:
Barangay:
14
15
Instruction: Put a check (Ö ) on the box that corresponds to the given questions
16
17
A.
STRUCTURE
18
1
The BDC is organized/reconsitituted
YES
NO
MEANS OF VERIFICATION
19
Sangguniang Barangay Resolution
20
Executive Order
21
Others:
(Please Specify)
22
23
2
The BDC is organized/reconstituted within 100
YES
NO
MEANS OF VERIFICATION
24
days upon assumption to office
Oath of Office of the Punong Barangay
25
Date of organization/reconstitution: ______________
Sangguniang Barangay Resolution
26
Executive Order
27
Others:
(Please Specify)
28
29
3
The BDC Executive Committee is constituted
YES
NO
MEANS OF VERIFICATION
30
Sangguniang Barangay Resolution
31
Executive Order
32
Others:
(Please Specify)
33
34
4
The BDC Secretariat is constituted
YES
NO
MEANS OF VERIFICATION
35
Sangguniang Barangay Resolution
36
Executive Order
37
Minutes of the meetings prepared by the Secretary
38
Others:
(Please Specify)
39
40
5
BDC sectoral or functional committees are
YES
NO
MEANS OF VERIFICATION
41
organized
Sangguniang Barangay Resolution
42
Executive Order
43
Others:
(Please Specify)
44
45
B.
PEOPLE
46
1
BDC membership is in accordance with
YES
NO
MEANS OF VERIFICATION
47
prescribed members per Section 107 of RA 7160
Sangguniang Barangay Resolution
48
Number of members of BDC: _________
Executive Order
49
Others:
(Please Specify)
50
51
2
At least 4 or 1/4 members of the BDC are
YES
NO
MEANS OF VERIFICATION
52
representatives from accredited NGOs
Sangguniang Barangay Resolution
53
Number of representative from
Executive Order
54
accredited NGOs: _______________
Certification of NGO/CSO accreditation
55
Directory/List of accredited NGOs
56
Certification/Endorsement to represent the NGO
57
Others:
(Please Specify)
58
59
60
3
At least 6 or 40% of all the BDC members are
YES
NO
MEANS OF VERIFICATION
61
composed of women pursuant to RA 9710 or the
Sangguniang Barangay Resolution
62
Magna Carta of Women of 2009
Executive Order
63
Total Number of BDC Members: ________________
Directory/Profile of BDC Members
64
Number of female BDC Members: ________________
Others:
(Please Specify)
65
Number of male BDC Members: _________________
66
67
4
BDC members attended any related trainings
YES
NO
MEANS OF VERIFICATION
68
or orientation at least once in the previous year
Post-activity Report of the Training
69
Attendance Sheets
70
Photocopy of Certficate of Participation/Attendance
71
Photo documentation with date and time stamp
72
Others:
(Please Specify)
73
74
C.
SYSTEM
75
1
Conduct of Meetings
76
a
BDC conducts meeting at least twice a year
YES
NO
MEANS OF VERIFICATION
77
Date of 1st semester meeting: _______________
Minutes of the meetings
78
Date of 2nd semester meeting: _______________
Attendance sheets
79
Photo documentation with date and time stamp
80
Others:
(Please Specify)
81
82
b
BDC Executive Committee conducts meetings
YES
NO
MEANS OF VERIFICATION
83
at least once every quarter
Minutes of the meetings
84
Date of 1stQ Meeting: __________
Attendance sheets
85
Date of 2ndQ Meeting: ________
Photo documentation with date and time stamp
86
Date of 3rdQ Meeting:__________
Agenda of the meeting with BDC related concerns
87
Date of 4thQ Meeting: __________
Others:
(Please Specify)
88
89
c
Sectoral and Functional Committee Meetings
YES
NO
MEANS OF VERIFICATION
90
are conducted
Minutes of the meetings
91
Attendance sheets
92
Photo documentation with date and time stamp
93
Others:
(Please Specify)
94
95
2
Fomulation of Plans and Programs
96
a
Barangay Development Plan is formulated
YES
NO
MEANS OF VERIFICATION
97
Barangay Development Plan (BDP)
98
Resolution of the BDC approving BDP
99
Sangguniang Barangay Resolution adopting BDP
100
Others:
(Please Specify)