Republic of the Philippines

Department of Education
DIVISION OF CAPIZ
Banica, Roxas City
Tel. No./Fax No. (036) 6210974
E-mail: capiz@deped.gov.ph | http://depedcapiz.ph

APPRAISAL FORM FOR SCHOOL ACTION RESEARCH

(Adapted from BERF)

Name of School Head: ARLENE TACUYAN Position: OIC/ TEACHER III

School: DACUTON ELEMENTARY SCHOOL District: DUMARAO

Instruction: Please select among the following indicators the characteristics that best describes

Division of
the proposal

Criteria Level of Quality & their Description Pleas Remarks

e
check (If it needs
correction)

Capiz
I. Rationale of the Action The research topic is comprehensively
Research discussed. Different aspects of the action
research setting are elaborated showing
in depth and critical analysis of the
situation

II. Action Research The research question(s) logically

Question(s) proceeds from the context of the inquiry. It
clearly relates to the identified problem or
issue, and conveys the desired change or
improvement.It is aligned with the
research title.

III .Proposed Intervention, It outlines when, where and how the

Innovation, Strategy intervention, innovation or strategy that
will be undertaken, and who will be
involved. activities to be undertaken are
stated.

IV. Action Research Method Details are provided about who will
participate in the research; number of
people and the characteristics of those
who will participate in the research; and
a. Participants/Sources
how will the sample be selected and
of Data and
 Republic of the Philippines
Department of Education
DIVISION OF CAPIZ
Banica, Roxas City
Tel. No./Fax No. (036) 6210974
E-mail: capiz@deped.gov.ph | http://depedcapiz.ph

Information recruited

Various instruments for procedures and

data collection is discussed. It is outlined
• b. Data Gathering and extensively discussed.

Methods

Division of
• c. Ethical Issues
Identification of ethical concerns that
could possibly emanate from the conduct
of the research and an elaborate
discussion on how to prevent thee from
taking place. It can include but not limited
to the following: right to conduct the study

Capiz
or investigation to answer a question;
securing free prior and informed consent
from respondents; issues of confidentiality
and anonymity; written approval for the
use of materials with copyright (e.g.
secondary data sets, data collection
tools).

d.Data Analysis Plan It indicates how the data was analyzed

and reported

Contains the research timelines- when

VI. Action Research Work Plan
and Timeline
VII. Plans for Dissemination and
Utilization
will the project begins and how long will it
take for it to be completed; include the
estimates for each step in the research
process. (e.g. 5 days or 3 weeks
It indicates how the result of the research
will be cascaded to the intended user of
the research findings. ( e.g. presentations
in conferences)

IX. References Provides in text of work and reference list

consistently and accurately

X. Appendices It consists of: letters, pictures, Pre-test

and Post test results, TOS, Item analysis,
Pretest Post test testing Materials with
key to correction, Activity sheets, Pictures
 Republic of the Philippines
Department of Education
DIVISION OF CAPIZ
Banica, Roxas City
Tel. No./Fax No. (036) 6210974
E-mail: capiz@deped.gov.ph | http://depedcapiz.ph

as documentation

Curriculum Vitae brief account of the researchers

education, qualification, and previous
experience ( with 2x2 picture)

Checked: Committee on Checking

Division of
EDEN H. HERMO ROMARIE P. BALUME RUTH V. HILAPAD IRMA A. CASAMAYO
Principal l Master Teacher ll Master Teacher lI Master Teacher lI

Noted :

ANGEL F. PAYO JR.,PhD.

Capiz
Public School District Supervisor

Approved:

MARGGIE A. OBLIGACION, PhD

Senior Education Program Specialist
Planning & Research