BERF RESEARCH PROPOSAL

APPLICATION FORM

ISO 9001:2015

VERSION REVISION NO. EFFECTIVITY Page 1 of 6

NO. 0.2 DATE:
1.0 29 MAY 2019

GENERAL INSTRUCTIONS:

 Fill out the requested information.

 Print the application form in an A4 size bond paper.
 Put the corresponding signatures in pages 2-5. For soft copies, e-signatures are allowed.
 Scan the document as a PDF file with the document name
“BERF RPAF – SURNAME, FIRST NAME (of the lead proponent”
 Submit this form with the subject heading
“RESEARCH - BERF RPAF – SURNAME, FIRST NAME (of lead proponent)”
to the following email addresses:
o pprd.calabarzon@deped.gov.ph
o CC to your DO-SEPS for Planning and Research
 Submit this form to PPRD together with the other required forms in a long folder.

A. RESEARCH INFORMATION

Strengthening Waste Segregation practice: through project BOTE ( lets BUILD,

be OPEN MINDED, and TAKE CARE our ENVIRONMENT)

Makiling Elementary School is categorized as big school, the congenital problem

of waste management and the proper place for waste disposal comes along with it.
Increasing of enrolment has made the types and kinds of Solid Waste very diverse and their
management much more complex. Regarding with this problem, barangay officials with
the faculty conducted meeting regarding on how the waste will be collected and segregated.

Project BOTE (lets Build, be Open-Minded, and Take Care our Environment) aims
to lessen the waste produce in every classroom. Before, we only segregate papers to be
collected by the ECOWASTE team of the school and the rest waste was disposed as
garbage to be collected by authorized waste picker. To lessen the garbage that dispose we
come up with the project BOTE. Where we segregate the plastic wrappers by putting them
inside the bottle. Some grade level practice this by group and some are individual.
 BERF RESEARCH PROPOSAL
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NO. 0.2 DATE:
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RESEARCH CATEGORY RESEARCH AGENDA CATEGORY

(choose only one) (choose only one main research theme)

☐National ☒Teaching and Learning

☐Region ☐Child Protection
☐Schools Division ☐Human Resource Development
☐District ☐Governance
☒School
(choose one cross-cutting theme, if applicable)
(choose only one) ☐DRRM
☒Action Research ☐Gender and Development
☐Basic Research ☐Inclusive Education
☒Others (please specify): ____________

FUND SOURCE AMOUNT

(e.g. BERF, SEF, others)* Cost Estimates
Supplies –
PhP 1,000.00
Reproduction, printing and binding costs – PhP
1,500.00
Reproduction of empty bottles PhP 2,500.00

Other expenses - during the conduct of research

PhP 1,000.00
TOTAL AMOUNT PhP 6,000.00
*indicate also if proponent will use personal funds; add rows if necessary
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APPLICATION FORM

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NO. 0.2 DATE:
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B. PROPONENT INFORMATION

LEAD PROPONENT / INDIVIDUAL PROPONENT

LAST NAME: FIRST NAME: MIDDLE NAME:

ATAAT ELEONOR SADILE

BIRTHDATE: SEX: POSITION / DESIGNATION:

Female TEACHER II

REGION DIVISION SCHOOL

CALABARZON Calamba MAKILING ELEM. SCHOOL

CONTACT NUMBER CONTACT NUMBER 2: EMAIL ADDRESS:

1: rosita.apostol@deped.gov.ph
09504604236

EDUCATIONAL DEGREE TITLE OF THESIS / RELATED

ATTAINMENT TITLE/COURSE RESEARCH PROJECT
Bachelor's Degree Bachelor of Elementary
Education
LANDBANK 0545061694 LANDBANK PARIAN,
ACCOUNT NUMBER BRANCH CALAMBA CITY
SIGNATURE OF PROPONENT:

PROPONENT 2
LAST NAME: FIRST NAME: MIDDLE NAME:
BERRNALES MARY AN MARFA
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BIRTHDATE: SEX: POSITION / DESIGNATION:

Female TEACHER I

REGION DIVISION SCHOOL

CALABARZON Calamba MAKILING ELEMENTARY SCHOOL

SCHOOL / OFFICE ADDRESS:

MAKILING, CALAMBA CITY

CONTACT NUMBER CONTACT NUMBER 2: EMAIL ADDRESS:

1: maryan.bernales@deped.gov.ph
09297585312

EDUCATIONAL DEGREE TITLE OF THESIS / RELATED

ATTAINMENT TITLE/COURSE RESEARCH PROJECT
(DEGREE TITLE) Bachelor of
Bachelor's Degree Elementary
Education
Choose an item.

Choose an item.

SIGNATURE OF PROPONENT:

PROPONENT 3
LAST NAME: FIRST NAME: MIDDLE NAME:
ISLES MARILYN FAJARDO

BIRTHDATE: SEX: POSITION / DESIGNATION:

2/1979 Female MASTER TEACHER 1
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REGION DIVISION SCHOOL

CALABARZON Calamba MAKILING ELEM. SCHOOL

CONTACT NUMBER 1: CONTACT NUMBER 2: EMAIL ADDRESS:

09338264939 marilyn.isles@deped.gov.ph

EDUCATIONAL DEGREE TITLE OF THESIS /

ATTAINMENT (DEGREE TITLE/COURSE RELATED RESEARCH
TITLE) MAED PROJECT
Doctorate Degree

Choose an item.

Choose an item.

SIGNATURE OF PROPONENT:
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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.

KINO J. ABUSTAN
Name and Signature of Immediate Supervisor
PRINCIPAL
Position / Designation

Date
THELMA G. CALATIN
Name and Signature of Immediate Supervisor
PUBLIC SCHOOLS DISTRICT SUPERVISOR
Position / Designation

Date

Position / Designation

Date