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Republic of the Philippines

Department of Education
Region IV - A (CALABARZON)
Division of Rizal
DISTRICT OF TERESA
Teresa, Rizal
TERESA NATIONAL HIGH SCHOOL
Teresa, Rizal

August 30, 2021

NORALYN I. CARIGO
Principal II
Teresa National High School
Teresa Rizal

Madam:

Greetings in the name of public service!

The undersigned are currently conducting a research study titled “ABCDDE” which
aims to _________. Likewise, as teachers of EnScieMa (English, Science, and
Mathemtics), the researchers wish to produce a plan of action to further improve the
____________ of the said initiative.

In this regard, we cordially request for your approval to allow us to administer the
research in the form for face-to-face tutorial lessons to the ______ and a research
instrument in the form of questionnaire to gather the necessary data needed in this
undertaking. Rest assured that the data to be obtained will be treated with utmost
confidentiality and will only be used for attainment of the goals of the study.

We hope that this matter merits your most favorable response.

Thank you and God bless!

Sincerely,

KRIZIA MAE D. PINEDA


ACTION RESEARCH PROPOSAL

LEAD PROPONENT
MEMBER
MEMBER
TITLE OF RESEARCH
DIVISION

Context and Rationale

Action Research Questions

Proposed Innovation, Intervention and Strategy

Action Research Methods


A. Participants and / or other Sources of Data and Information
B. Data Gathering Methods
C. Data Analysis Plan

Action Research Work Plan and Timelines


ACTIVITIES
Shade the corresponding month per Month Month Month Month Month Month
activity 1 2 3 4 5 6
Add rows if necessary

Plans for Dissemination and Utilization

DISSEMINATION
ACTIVITIES Month Month Month Month Month Month
Shade the corresponding month per 1 2 3 4 5 6
activity
Add rows if necessary
REFERENCES

SUBMITTED BY:
(Signature over printed name)
COST ESTIMATES APPROVAL FORM

TITLE OF RESEARCH
TYPE OF RESEARCH
LEAD PROPONENT
MEMBER

COST ESTIMATES
ELIGIBLE
ACTIVITY QUANTITY COST
EXPENDITURES

TOTAL

APPROVED BY:
(Signature over printed
name)

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