You are on page 1of 4

RESEARCH PROPOSAL APPLICATION FORM AND ENDORSEMENT OF

IMMEDIATE SUPERVISOR
A. RESEARCH INFORMATION

RESEARCH Project PANIBE: It’s Effectiveness on Improving the


TITLE
Numeracy Level of Kindergarten Learners
SHORT
DESCRIPTION
OF THE
RESEARCH
RESEARCH CATEGORY (check only one) RESEARCH AGENDA CATEGORY
o National (check only one main research theme)
o Region o Teaching and Learning
o Schools Division o Child Protection
o District o Human Resource Development
o School o Governance
(check up to one cross-cutting theme, if
(check only one) applicable)
o Action Research o DRRM
o Basic Research o Gender and Development
o Inclusive education
o Others (please specify)
FUND SOURCE (e.g. BERF, SEF, others)* AMOUNT

BERF

TOTAL AMOUNT 5,000.00


*indicate also if proponent will use personal funds

B. PROPONENT INFORMATION
LEAD PROPONENT/ INDIVIDUAL PROPONENT

LAST NAME: FIRST NAME: MIDDLE NAME:


PANIBE MELCHORA BENAID

BIRTHDATE (MM/DD/YYYY) SEX: POSITION/DESIGNATION:


TEACHER 1
01/061989 FEMALE
REGION/ DIVISION/ SCHOOL (whichever is applicable)
REGION V/ CAMARINES SUR/TINAMBAC CENTRAL SCHOOL 1

CONTACT NUMBER 1: CONTACT NUMBER 2: EMAIL ADDRESS:


09334683697
EDUCATIONAL ATTAINMENT TITLE OF THESIS/ RELATED RESEARCH PROJECT
(DEGREE TITLE)
Enumerate from bachelor’s
degree up to doctorate degree

SIGNATURE OF PROPONENT:

Proponent 2:

LAST NAME: FIRST NAME: MIDDLE NAME:

N/A

BIRTHDATE (MM/DD/YYYY) SEX: POSITION/DESIGNATION:

REGION/ DIVISION/ SCHOOL (whichever is applicable)

CONTACT NUMBER 1: CONTACT NUMBER 2: EMAIL ADDRESS:

EDUCATIONAL ATTAINMENT TITLE OF THESIS/ RELATED RESEARCH PROJECT


(DEGREE TITLE)
Enumerate from bachelor’s
degree up to doctorate degree

SIGNATURE OF PROPONENT:

Proponent 3:

LAST NAME: FIRST NAME: MIDDLE NAME:

N/A

BIRTHDATE (MM/DD/YYYY) SEX: POSITION/DESIGNATION:

REGION/ DIVISION/ SCHOOL (whichever is applicable)


CONTACT NUMBER 1: CONTACT NUMBER 2: EMAIL ADDRESS:

EDUCATIONAL ATTAINMENT TITLE OF THESIS/ RELATED RESEARCH PROJECT


(DEGREE TITLE)
Enumerate from bachelor’s
degree up to doctorate degree

SIGNATURE OF PROPONENT:

IMMEDIATE SUPERVISOR’S CONFORME


I hereby endorse the attached research proposal. I certify that the proponent/s has/have the
capacity to implement a research study without compromising his/her office functions

CARIDAD B. SALES
Name And Signature of Immediate Supervisor

Position/Designation: PRINCIPAL II

Date:

MANUEL R. CABILES JR.

Name And Signature of Immediate Supervisor

Position/Designation:
Public Schools District Supervisor

Date:
HERACLEO E. BARCILLANO

Name And Signature of Immediate Supervisor

Position/Designation:
Education Program Specialist

Date:

You might also like