ACTION RESEARCH PROPOSAL TITLE

NAME OF RESEARCHER

NAME OF SCHOOL

MONTH AND YEAR

 RESEARCH PROPOSAL APPROVAL SHEET

The action research approval attached hereto, entitled _____INSERT HERE

RESEARCH TITLE_____ prepared and submitted by INSERT HERE NAME OF

RESEARCHER, INSERT HERE NAME OF SCHOOL, INSERT HERE SCHOOL YEAR

IMPLEMENTED, is hereby accepted and approved by the division research committee.

IRENE C. QUIMBO, PhD ________________________

SEPS Planning & Research/Member Date Signed

_____________________________ ________________________
CID Learning Area Concerned or Date Signed
SGOD Program Holder Concerned/ Member

ARTEMIO REY S. ADAJAR, PhD ________________________

Chief, SGOD/ Co-Chair Date Signed

ELBERT R. FRANCISCO, PhD ________________________

Chief, CID/ Co-Chair Date Signed

LANILA M. PALAPAR, PhD ________________________

ASDS/ Chair Date Signed

AUDIE S. BORRES, PhD ________________________

ASDS/Chair Date Signed

RANDOLPH B. TORTOLA, PhD ________________________

SDS/Adviser Date Signed
 3

GUIDE FOR APPRAISING ACTION RESEARCH PROPOSAL

Division of Bukidnon

Proponent: Macabago et al School: ____________________________________

Research Title: ____________________________________ District: ___________________________________

Increasing Levels of Quality and their Descriptions

Main Sub-Criteria low high Score
Criteria
Context Not The action research proposal The educational relevance and The nature, extent and salience of
(15) described presents a general description timeliness of the problem or issue the identified problem or issue are
(no points) of the problem or issue as its are shown. The need to conduct comprehensive discussed.Different
focus of inquiry action research as a way to aspects of the action research
(8 points) address or improve the situation is setting are elaborated showing in
Rationale of explained. depth and critical analysis of the
the Action (12 points) situation.
Research (15 points)

30 points Proposed Not The action research proposal The proposal outlines when and The rationale, extent and limitation
Intervention, presented mentions an intervention, where the intervention, innovation of the intervention, innovation or
Innovation (no points) innovation or strategy to be or strategy will be undertaken, and strategy are explained in detail. Its
Strategy tried out to address the who will be involved. Activities to plausibility as a way to address the
(15) problem or issue. be undertaken are stated. problem or issue is given support.
(8 points) (12 points) (15 points)
Not stated The action research poposal The research question(s) specifies The research question(s) logically
(no points) has a stated aim, objective or the action research variable(s) or proceeds from the context of the
general research question(s). the focus of inquiry. Key elements inquiry. It clearly relates to the
Action Research Question(s) (15 points) of the research question(s) are identified problem or issue, and
reflected in the title of the conveys the desired change or
30 points proposal improvement.
(25 points) (30 points)
 4

Increasing Levels of Quality and their Descriptions

Sub-
Main Criteria Score
Criteria low high

Participants Not stated The action research proposal states the target Details are provided about the
and/or (no points) participants and/or other sources of data and target participants (ex: number,
other information (ex: learners, teachers, documents, characteristics, sampling
Sources of regalia, learner’s products, others) procedure, if any) and/or other
Data and (5 points) sources of data and information.
Information Clear rationale for their inclusion
(10) in the study is given.
(10 points)
Data Not described The action research Details of the data The proposal explains why the
Gathering (no points) proposal presents a gathering method(s) are selected data gathering method(s)
Method(s) general description provided: the specific is suited to the nature and purpose
(10) of the method(s) to kinds of data, how and of the action research. The data
be employed for when they will be gathering method(s) is aligned
gathering data. collected (ex: pre-test with the research question(s).
Action Research methods (5 points) and post-test scores). Research instruments, if any, are
Research instruments, if appropriate for obtaining the
30 points any, are described (ex: desired kind of data/information.
test, scale, survey, (10 points)
questionnaire, checklist,
interview guide, others).
(8 points)
Data Not stated The action research Details of the method(s) The selected method data analysis
Analysis (no points) proposal presents a of data analysis are is shown to be appropriate to the
Plan general description given. Techniques (ex: nature of the data/informationto be
(10) of how the gathered quantitative/statistical, gathered and for addressing the
data/information qualitative, or both research question(s).
will be analyzed. methods), as well as (10 points)
(5 points) tools (ex: software) to
be employed are
specified.
(8 points)
 5

Increasing Levels of Quality and their Descriptions

Main Criteria low high Score

Not included The action research proposal A detailed work plan is provided covering start to completion
(no points) includes a list of major activities of the action research. Timelines are realistic and show
Action Research Work
and their timelines. concretely how the action research will unfold over the
Plan and Timelines
(3 points) allowed period. The overall plan reflects the proponent’s
capacity to concretize ideas into clear and sequential steps to
5 points
be undertaken.
(5 points)
Not included The action research proposal A detailed breakdown of items with their corresponding costs
(no points) includes a list of major items and is furnished. The items and costs reasonably reflect the
Cost Estimates
their estimated costs. The total funding needs of the action research, adhere to the BERF
cost is shown. guidelines. The overall plan reflects the proponent’s capacity
5 points
(3 points) to project specific expenses that she or he be accountable for.
(5 points)

Approved: Disapproved: Re-submit: Total Score

IRENE C. QUIMBO, PhD

SEPS, Planning and Research
General Findings/Remarks:
 RESEARCH PROPOSAL APPLICATION FORM
AND ENDORSEMENT OF IMMEDIATE SUPERVISOR

A. RESEARCH INFORMATION
RESEARCH TITLE:

SHORT DESCRIPTION OF THE RESEARCH:

RESEARCH CATEGORY (check RESEARCH AGENDA CATEGORY

only one) (check only one main research theme)
o National Kindly check (/)
o Region A. Theme 1-Teaching and Learning (by
o Schools Division subject area)
o District o A. 1. English
o School o A. 2. Mathematics
o A. 3. Science
(check only one) o A. 4. Filipino
o A. 5. Araling Panlipunan
o Action Research o A. 6. Edukasyon sa Pagpapakatao
o Basic Research o A. 7. MAPEH
o A. 8. Mother Tongue

B. Theme 2-Child Protection

o B. 1. Bullying
o B. 2. Early Pregnancy
o B. 3. Premarital Sex

C. Theme 3-Human Resource

Development
o C. 1. Professional Development
o C. 2. Scholarship Grant
o C. 3. Awards and Recognition
o C. 4. Employees Welfare
o C. 5. Succession and Exit
o C. 6. Career Guidance

D. Theme 4-Governance
o D. 1. Disaster Risk Reduction and
Management (DRRM)
o D. 2. Gender and Development (GAD)
o D. 3. Inclusive Education
o D. 4. School Operation
o D. 5. School Management

E. Continuous Improvement
 vii

FUND SOURCE (if applicable)*:

YEAR THE RESEARCH WAS CONDUCTED:

B. RESEARCH INFORMATION

LEAD RESEARCHER/INDIVIDUAL RESEARCHER

LAST NAME: FIRST NAME: MIDDLE NAME:

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

SCHOOL/
OFFICIAL ADDRESS:
CONTACT NUMBER 1: CONTACT NUMBER 2: EMAIL ADDRESS:

EDUCATION
ATTAINMENT (DEGREE TITLE OF THESIS/RELATED RESEARCH
TITLE) (enumerate from PROJECT
bachelor’s degree up to
doctorate degree)

SIGNATURE OF
RESEARCHER:

RESEARCHER 2
LAST NAME: FIRST NAME: MIDDLE NAME:

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

SCHOOL/
OFFICIAL ADDRESS:
CONTACT NUMBER 1: CONTACT NUMBER 2: EMAIL ADDRESS:

EDUCATION
ATTAINMENT (DEGREE TITLE OF THESIS/RELATED RESEARCH
TITLE) (enumerate from PROJECT
 viii

bachelor’s degree up to
doctorate degree)

SIGNATURE OF
RESEARCHER:

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.

NAME OF SCHOOL HEAD WITH SIGNATURE

Position
Date: _____________

NAME OF PSDS/DIC WITH SIGNATURE

Public Schools District Supervisor/District In-Charge
Date: _____________
 ix

DECLARATION OF ANTI-PLAGIARISM

1. We, _______________________________, understand that plagiarism is the act of

taking and using another’s ideas and works and passing them off as one’s own. This
includes explicitly copying the whole work of another person and/or using some parts
of their work without proper acknowledgment and referencing.

2. I hereby attest to the originality of this research proposal and has cited properly all the
references used. I further commit that all deliverables and the final research study
emanating from this proposal shall be of original content. I shall use appropriate
citations in referencing other works from various sources.

3. I understand that violation from this declaration and commitment shall be subject to
consequences and shall be dealt with accordingly by the Department of Education.

PRINTED NAME OF RESEARCHER WITH SIGNATURE

Proponent/Position
Date Signed
 x

DECLARATION OF ABSENCE OF CONFLICT OF INTEREST

1. I, ________________________________, understand that conflict of interest refers to

situations in which financial or other personal considerations may compromise my
judgment in evaluating, conducting, or reporting research.

2. I hereby declare that I do not have any personal conflict of interest that may arise
from my application and submission of my research proposal. I understand that my
research proposal may be returned to me if found out that there is conflict of interest
during the initial screening.

3. Further, in case of any form of conflict of interest (possible or actual) which may
inadvertently emerge during the conduct of my research, I will duly report it to the
research committee for immediate action.

4. I understand that I may be held accountable by the Department of Education for any
conflict of interest which I have intentionally concealed.

PRINTED NAME OF RESEARCHER WITH SIGNATURE

Proponent/Position
Date Signed
 11

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