Research Proposal Application Form and Endorsement of Immediate
Supervisor
A. RESEARCH INFORMATION
RESEARCH TITLE
SHORT DESCRIPTION OF THE RESEARCH
RESEARCH CATEGORY RESEARCH AGENDA CATEGORY
( check only one) (check only one main research theme)
o National o Teaching and Learning
o Region o Child Protection
o Schools Division o Human Resource and Development
o District o Governance
o School (check up to one cross-cutting theme, if
applicable)
(check only one) o DRRM
o Action Research o Gender and Development
o Basic Research o Inclusive Education
o Others (please specify): ___________________
____________________________________________
FUND SOURCE (e.g BERF, SEF, others)* AMOUNT
TOTAL AMOUNT
* indicate also if proponent will use personal funds
B. PROPONENT INFORMATION
LEAD PROPONENT/ INDIVIDUAL PROPONENT (PROPONENT 2-3)
LAST NAME: FIRST NAME: MIDDLE NAME:
BIRTHDATE (MM/DD/YYYY) SEX: POSIITON/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 COMFORME
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 and Signature of Immediate Supervisor: ____________________________________
Position/Designation: ____________________________________________________________
Date: __________________________________
DECLARATION OF ANTI-PLAGIARISM
1. I ________________________________________, 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 explicit copying the whole work of another person and/or using some
parts of their work without proper acknowledgement 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 the proposal shall be of original content. I shall use
appropriate citations in referencing other works from various sources.
3. I understand that violation from the declaration and commitment shall be
subject to consequences and shall be dealt with accordingly by the Department of
Education and (insert grant mechanism).
Proponent: _________________________________
Signature: __________________________________
Date: _______________________________________
Proponent: _________________________________
Signature: __________________________________
Date: _______________________________________
Proponent: _________________________________
Signature: __________________________________
Date: _______________________________________
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 judgement 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 there is conflict of
interest during the initial screening as per (insert RMG provision).
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
and (insert grant mechanism) fpr any conflict of interest which I have intentionally
concealed.
Proponent: _________________________________
Signature: __________________________________
Date: _______________________________________
Proponent: _________________________________
Signature: __________________________________
Date: _______________________________________
Proponent: _________________________________
Signature: __________________________________
Date: _______________________________________
MINIMUM REQUIREMENTS OF THE RESEARCH PROPOSAL
A. BASIC RESEARCH PROPOSAL TEMPLATE
I. Introduction and Rationale
II. Literature Review
III. Research Questions
IV. Scope and Limitation
V. Research Methodology
a. Sampling
b. Data Collection
c. Ethical Issues
d. Plan for Data Analysis
VI. Timetable/ Gantt Chart
VII. Cost Estimates
VIII. Plans for Dissemination and Advocacy
IX. References
B. ACTION RESEARCH TEMPLATE
I. Context and Rationale
II. Action Research Questions
III. Proposed Innovation, Intervention, and Strategy
IV. Action Research Methods
a. Participants and/or other Source of Data and Information
b. Data Gathering Methods
c. Data Analysis Plan
V. Action Research Work Plan and Timelines
VI. Cost Estimates
VII. Plans for Dissemination and Utilization
VIII. References
MINIMUM REQUIREMENTS OF COMPLETED RESEARCH REPORT
A. COMPLETED BASIC RESEARCH TEMPLATE
Title Page
Certificate of Acceptance
Acknowledgement
Abstract
Table of Contents
List of Tables
List of Figures
Introduction of the Research
Literature Review
Research Questions
Scope and Limitation
Research Methodology
a. Sampling
b. Data Gathering Methods (to include Data Analysis)
c. Ethical Issues
Discussion of Results and Recommendations
a. Findings
b. Summary
c. Conclusion
d. Recommendations
Dissemination and Advocacy Plan
References
Appendices
a. Letters/Requests for Permission to Conduct Research
b. Research Instruments/Tools
c. Reliability Test Results (if applicable)
d. Statistical Computation/Results
c. Conclusion
Financial Report
a. Summary of Expenses
b. Liquidation Report
B. COMPLETED ACTION RESEARCH TEMPLATE
Title Page
Certificate of Acceptance
Acknowledgement
Abstract
Table of Contents
List of Tables
List of Figures
Context and Rationale
Innovation, Intervention and Strategy
Action Research Questions
Action Research Methods
A. Participants and/or other Sources of Data and Information
B. Data Gathering Methods
C. Ethical Issues
Discussion of Results and Recommendations
a. Findings
b. Summary
c. Conclusion
d. Recommendations
e. Reflection
Action Plan (for Dissemination and Advocacy)
References
Appendices
a. Letters/Requests for Permission to Conduct Research
b. Research Instruments/Tools
c. Reliability Test Results (if applicable)
d. Statistical Computation/Results
Financial Report
c. Summary of Expenses
d. Liquidation Report
RESEARCH PROPOSAL EVALUATION AND REVIEW SHEET
BASIC AND ACTION RESEARCH
___________________________________________________________
(Title of Research)
Proponent/s
___________________________________
___________________________________
___________________________________
EVALUATED AND REVIEWED BY:
SCHOOL RESEARCH COMMITTEE (SRC)
___________________________________
(Name of School)
___________________________________
(Name of Principal/Chairperson)
DISTRICT RESEARCH COMMITTEE (DRC)
___________________________________
(Name of District)
___________________________________
(Name of District Head)
DIVISION RESEARCH COMMITTEE (DRC)
FELIPE B. TUYOGON, JR. MA. SHIRLEY M. CARDINAL
SEPS. Planning & Research Chief Education Supervisor, SGOD
ATTY. NELYN B. FRINAL, CESO VI
Assistant Schools Division Superintendent
RUTH L. ESTACIO PhD, CESO V
Schools Division Superintendent
COMPLETED RESEARCH REVIEW SHEET
BASIC AND ACTION RESEARCH
___________________________________________________________
(Title of Research)
Proponent/s
___________________________________
___________________________________
___________________________________
EDITEDD AND REVIEWED BY:
SCHOOL RESEARCH COMMITTEE (SRC)
___________________________________
(Name of School)
___________________________________
(Principal/Chairperson)
DISTRICT RESEARCH COMMITTEE (DRC)
___________________________________
(Name of District)
___________________________________
(Name of District Head)
DIVISION RESEARCH COMMITTEE (DRC)
FELIPE B. TUYOGON, JR. MA. SHIRLEY M. CARDINAL
SEPS. Planning & Research Chief Education Supervisor, SGOD
ATTY. NELYN B. FRINAL, CESO VI
Assistant Schools Division Superintendent
RUTH L. ESTACIO Ph D, CESO V
Schools Division Superintendent
Sample Letter Requests for Permission to Conduct Research
Date:
RUTH L. ESTACIO PhD. CESO V
Schools Division Superintendent
Capitol Compd., Alabel, Sarangani Province
Madam:
We are implementing the research study entitled “Research Project Title”. The
research aims to ________________________________________________________________.
To achieve our objectives, we are respectfully requesting for Permission to Conduct
Research at the _________________________________________________________(location)
We have attached our documents for your reference.
Thank you very much.
Very truly yours,
Name of Researcher/s Noted:
(School Head/District Head)
Reviewed by:
FELIPE B. TUYOGON, JR. MA. SHIRLEY M. CARDINAL
SEPS. Planning & Research Chief Education Supervisor, SGOD
Recommending Approval:
ATTY. NELYN B. FRINAL, CESO VI
Assistant Schools Division Superintendent
Approved:
RUTH L. ESTACIO Ph D, CESO V
Schools Division Superintendent
