Republic of the Philippines

Department of Education
National Capital Region
DIVISION OF CITY SCHOOLS- MANILA
Manila Education Center Administration Bldg.
People’s Park A.J. Villegas St., Ermita, Manila
Telefax: 5272315/ 52751854/ 5275180
manila.deped@yahoo.com

Title:
Proponent:
School:

Rationale of the Context

Action Research (Cite school data, classroom data
that supports the problem)

Proposed Intervention,
Innovation, Strategy
(Explain the intervention and cite
literature that supports/validates the
strategy to be used)

Action Research Objectives and Questions

Action Research  Participants

Method

 Sources of Data
Information

 Data Gathering Methods

 Data Analysis

Pre-implementation 
Action Research Work Plan
and Timelines Implementation 
proper

Post-implementation

References

Submitted by:

NAME
Position
 School

Noted by:

NAME
Research Coordinator
School

NAME
School Head
School

Approved:

NAME
Public Schools Division Supervisor
Research Coordinator
Division of City Schools-Manila