TEMPLATE FOR ACTION RESEARCH
(PROPOSAL)
TITLE OF ACTION RESEARCH
An Action Research Proposal
Presented to the
Schools Division Research Committee
SCARLETT T. O’HARA
Teacher I
Bangkal National High School
DIVISION OF DAVAO DEL SUR
January 2021
I. CONTEXT AND RATIONALE
II. PROPOSED INNOVATION, INTERVENTION AND STRATEGY
III. ACTION RESEARCH QUESTIONS
IV. ACTION RESEARCH METHODS
Participants and/or Other Sources of Data and Information
Data Gathering Methods
Data Analysis Plan
V. ACTION RESEARCH WORK PLAN AND TIMELINES
Theme/
Areas
Objective
Physical
Target
Approved
Research
Proposal
Activities
Time
Frame
Persons
Involved
Writing of
Proposal
Manuscript
May to
July 2021
Researcher
Approval of
Research
Proposal in
the school,
division and
regional
levels
May to
July 2021
DepEd
Authorities,
Researcher
Conduct of
Research
and Data
Collection
July to
August
2021
School
Head,
Teachers
and
Researcher
Interpretation
of the Data
Gathered
August to
Septembe
r 2021
Researcher
Writing of the
Final
Manuscript
October
2021
Researcher
Securing of
the
Certificate of
Acceptance
from the
Regional
Research
Committee
October
2021
DepEd
Authorities,
Researcher
November
2021
DepEd
Authorities,
Researcher
, Other
concerned
persons
Resources
Needed
Work Plan
Cost
Estimates
Data
Gathering
Methods
and
Instruments
Data
Collection
Activities
Human
Resource
Developmen
t
Improve the
21st century
skills of
teachers for
professional
developmen
t
Initial
Reports on
Findings and
Analysis
Interpretatio
n of the Data
Collected
Final
Research
Report
Acceptance
Report from
the
Committee
Action Plan
Liquidation
of Funds
Used
Disseminatio
n of the
Results to the
Field
Book paper,
computer ink,
food and
snacks,
transportation
allowance,
reproduction
cost, binding
expenses,
communicatio
n expenses
(internet)
VI. COST ESTIMATES
Budgetary Requirements
Activities
Physical
Target
Approved
Research
Proposal
1. Pre
Research
Stage
Work Plan
Certificate of
Acceptance
Copy of MOA
Data Collection
Activities
2. Actual
Research
Stage
Initial Reports
on Findings
and Analysis
Interpretation
of the Data
Collected
Final Research
Report
3. Post
Research
Stage
Acceptance
Report from
the Committee
Liquidation of
Funds Used
Copy of MOA
4. Research
Disseminati
on
Disseminated
the results in the
scholarly journal
and presented in
conferences and
research
congress
Expenditure
Items
Estimated
Cost
book paper,
computer ink,
food and
snacks,
transportation
allowance,
reproduction
cost,
communication
expenses
(internet)
PhP
4,000.00
book paper,
computer ink,
food and
snacks,
transportation
allowance;
reproduction
cost,
communication
expenses
(internet)
book paper,
computer ink,
food and
snacks,
transportation
allowance,
communication
expenses
(internet),
binding
expenses
book paper,
computer ink, food
and snacks,
transportation
allowance,
communication
expenses
(internet), binding
expenses
PhP
20,000.00
PhP
6,000.00
Funding
Source
DepEd
Basic
Education
Research
Fund
(BERF)
FIRST
TRANCHE
(80%)
DepEd
Basic
Education
Research
Fund
(BERF)
SECOND
TRANCHE
(20%)
Key
Persons
Involved
DepEd
Authorities,
Researcher
School
Head,
Teachers,
Researcher
DepEd
Authorities,
Researcher
DepEd
Authorities,
Researcher,
Research
Organizations
VII. PLANS FOR DISSEMINATION AND UTILIZATION
The results of this action research will be disseminated through existing
mechanisms of the Department of Education (DepEd) such as School Learning Action
Cell Session, In-Service Trainings, Enhanced School Improvement Plan (eSIP) of the
school, and even in the division, regional, national and international research
colloquium. The study will also be disseminated through an official research journal at
the Regional or Division Level.
When it comes to utilization, the results of the study may be utilized in the
decision-making process of the school with which this study concerned with. This may
also be utilized in making and revising the department’s policies related to the study
undertaken.
VIII. REFERENCES
Annex 1. RESEARCH PROPOSAL APPLICATION FORM AND ENDORSEMENT
OF IMMEDIATE SUPERVISOR
A. RESEARCH INFORMATION
RESEARCH TITLE:
SHORT DESCRIPTION OF THE RESEARCH
.
RESEARCH CATEGORY (Check only RESEARCH AGENDA CATEGORY (Check
one)
only one main research theme)
o National
o Teaching and Learning
o Region
o Child Protection
o Schools Division
o Human Resource Development
o District
o Governance
o School
(Check up to one cross-cutting theme, if
applicable)
o DRRM
(Check only one)
o Gender and Development
o Action Research
o Inclusive Education
o Basic Research
o Others (please specify):
______________
FUND SOURCE (e.g. BERF, SEF,
Others)*
*Indicate also if proponent will use personal funds
AMOUNT
B. PROPONENT INFORMATION
LEAD PROPONENT/INDIVIDUAL PROPONENT
LAST NAME:
FIRST NAME:
MIDDLE NAME:
BIRTHDATE
(mm/dd/yyyy):
SEX:
POSITION/DESIGNATION:
REGION/DIVISION/SCHOOL (whichever is applicable)
CONTACT NUMBER 1:
CONTACT NUMBER 2:
EDUCATIONAL ATTAINMENT
(DEGREE TITLE) Enumerate from
bachelor’s degree up to doctorate
degree
EMAIL ADDRESS:
TITLE OF THESIS/RELATED RESEARCH
PROJECT
SIGNATURE OF PROPONENT:
IMMEDIATE SUPERVISOR’S CONFORME
I hereby endorse to the District Research Committee the attached research
proposal. I certify further that the proponent/s have the capacity to implement a
research study without compromising his/her office functions.
____________________________
Name and Signature of Immediate Supervisor
Position/Designation:
Date:
_____
______________
Annex 2. 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
explicitly 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 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
and the Basic Education Research Fund grant mechanism.
PROPONENT:
_____________________
SIGNATURE:
DATE:
______________
Annex 3. 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 as per provision in the Research Management
Guidelines.
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 may be held accountable by the Department of Education and the
Basic Education Research Fund for any conflict of interest which I have intentionally
concealed.
PROPONENT:
_____________________
SIGNATURE:
DATE:
_______________
For Proposal in the Elementary/Secondary Schools
APPROVAL SHEET
This Action Research Proposal entitled “_____________________________”
prepared and submitted by _____________________________has been examined
and is hereby, recommended for the corresponding examination, approval and
acceptance by the District Research Committee.
School Head/Principal
DISTRICT RESEARCH COMMITTEE
This Action Research Proposal has been reviewed, evaluated and
recommended for implementation.
______________________________
Member, District Research Committee
______________________________
Member, District Research Committee
______________________________
Member, District Research Committee
______________________________
Member, District Research Committee
____________________________________
Chair, PSDS/DPIC
* (please include 1 or 2 representative/s from Secondary Schools under the District)
SCHOOLS DIVISION RESEARCH COMMITTEE (SDRC)
Recommending Approval:
Approved:
RAQUEL J. CARBOS, Ed.D.
SEPS, Planning and Research
JANETTE G. VELOSO
OIC, Assistant Schools Division Superintendent